[Urolithiasis in children].
Urolithiasis is rare in childhood (about 1%) and commonly associated with urinary tract infection. Like in adults ESWL is the minimally invasive treatment and therefore primary therapeutic approach. However, the passage of stone debris is less complicated than in adults and auxiliary measures are seldom needed. There is no evidence of soft tissue damage after ESWL, but in aspect of the growing organ lithotriptors with small focal zone and ultrasound location system are preferable. Obstructive anatomical abnormalities, if so, must be treated simultaneously. For prevention a strict antibiotic (longterm) therapy, according repeat antibiograms, and exclusion of metabolic disease are essential. Medication as well as special diets must be handled carefully or avoided as they might induce growth disorders.
Türk
C
C
Urologischen Abteilung, Ludwig Boltzmann-Institut für extrakorporale Lithotripsie und Endourologie, Wien.
Stackl
W
W
D002648:Child; D003131:Combined Modality Therapy; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation*; D012008:Recurrence; D014545:Urinary Calculi / Q000209:etiology / Q000628:therapy*; D014552:Urinary Tract Infections / Q000150:complications / Q000628:therapy
Urolithiasis bei Kindern.