[Urological treatment of urolithiasis in children].
Endo-urological techniques and extracorporeal shock waves lithotripsy (ESWL) have dramatically improved the management of urolithiasis in children. ESWL has been shown to be safe and effective, achieving a stone clearance rate up to 85% with minimal short-term morbidity, and this non-invasive method has become the first-line treatment for most upper urinary tract calculi in children. However, it long-term effects on kidney function and growth remain unknown, and its repeated use should therefore be restricted. Endo-urological techniques, mainly percutaneous procedures and ureteroscopy, and surgical procedures, are only indicated for large multiple stones, or secondary stones needing simultaneous treatment of an underlying uropathy.
Robert
M
M
Service d'urologie, hôpital Lapeyronie, Montpellier, France.
Avérous
M
M
D002648:Child; D003131:Combined Modality Therapy; D004724:Endoscopy / Q000379:methods; D006801:Humans; D008096:Lithotripsy / Q000379:methods; D014545:Urinary Calculi / Q000601:surgery / Q000628:therapy*
Traitement urologique de la lithiase urinaire chez l'enfant.