Paediatric urolithiasis in Greece.
A group of 44 patients, aged from 10 months to 14 years, underwent surgery for urinary calculi over a 7-year period (1982-1989). Eleven patients had bilateral or multiple calculi (total number of stones = 55, 20 of which were staghorn). Metabolic disorders (n = 25) and Proteus urinary infection (n = 15) were the 2 factors most often associated with lithiasis. Of the 55 stones, 51 were removed by open surgery. Complete stone clearance was achieved in 29 of 36 kidneys. Follow-up periods in the remaining 7 renal units (with small residual fragments) ranged from 3.5 to 7.5 years (mean 6.2) and revealed stone recurrence in only 2 patients. Evaluation of childhood urolithiasis should include thorough metabolic investigation and sound surgical judgment; effective management requires prolonged post-operative follow-up.
Androulakakis
P A
PA
Department of Paediatric Urology, Aghia Sophia Children's Hospital, Athens, Greece.
Michael
V
V
Polychronopoulou
S
S
Aghioutantis
C
C
D000293:Adolescent; D001437:Bacteriuria / Q000150:complications; D002118:Calcium / Q000652:urine; D002648:Child; D002675:Child, Preschool; D005260:Female; D006115:Greece; D006801:Humans; D007223:Infant; D008297:Male; D010070:Oxalates / Q000652:urine; D011512:Proteus Infections / Q000150:complications; D012008:Recurrence; D012307:Risk Factors; D014527:Uric Acid / Q000652:urine; D014545:Urinary Calculi / Q000209:etiology / Q000601:surgery* / Q000652:urine
D010070:Oxalates; D014527:Uric Acid; D002118:Calcium