[Treatment of urolithiasis in children and adolescents with extracorporeal lithotripsy and adjuvant urologic procedures].
OBJECTIVE
To determine the efficacy of ESWL treatment in children and the need for auxiliary urological procedures. In a retrospective analysis we investigated the number of auxiliary procedures and the stone-free rate in children after ESWL treatment.


METHODS
28 girls and 21 boys with a total of 56 stones were treated from January 1990 to January 1999. ESWL was carried out on either the Lithostar Plus or the Modulith SL20/SLX. Auxiliary procedures were subdivided into curative (ureterorenoscopy, percutaneous nephrolitholapaxy) and adjuvant (urethral stent, nephrostomy).


RESULTS
34.7% of the children were stone-free after the first ESWL treatment; 40.8% of the children were discharged with residual stone particles ready for spontaneous passage; 24.5% underwent re-ESWL treatment. Auxiliary urological procedures were required in 28.6% of the cases (adjuvant 18.3%, curative 10.3%).


CONCLUSIONS
Extracorporeal shock wave lithotripsy is also a highly effective method of treatment for urolithiasis in children. However, curative or adjuvant auxiliary urological measures are required. In order to achieve high success rates, it is advisable to perform this method of treatment in centers with broad experience in ESWL and endourological procedures in children.
Cueva Martínez
A
A
Departamento de Urología, Clínica Universitaria de Mannheim, Facultad de Medicina de la Universidad de Heidelberg, Alemania.
Braun
P M
PM
Martínez Portillo
F J
FJ
Hoang-Böhm
J
J
Jünemann
K P
KP
Alken
P
P
Köhrmann
K U
KU
D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008096:Lithotripsy; D008297:Male; D012189:Retrospective Studies; D014545:Urinary Calculi / Q000628:therapy*