Treatment of paediatric urolithiasis by extracorporeal shock-wave lithotripsy.
Non-surgical removal of renal and ureteral stones has proven successful in adults. In this study, 21 paediatric patients have been treated with the first generation extracorporeal shock-wave lithotriptor and an additional 13 children with a second generation local shock-wave lithotriptor. A total of 47 stones was treated. Treatment-related complications such as colics (17%/18.8%) or fever (8.3%/6.2%) were minimal. Stone passage occurred in 93% and 100%, respectively of each group. Open surgery is still the treatment of choice for large staghorn calculi. Extracorporeal shock-wave lithotripsy can be performed successfully in paediatric nephrolithiasis with stones of limited size.
Wilbert
D M
DM
Department of Urology, Mainz Medical School, Johannes Gutenberg-University, Federal Republic of Germany.
Schofer
O
O
Riedmiller
H
H
D000293:Adolescent; D000768:Anesthesia, General; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy; D009403:Nephrostomy, Percutaneous