Results of shockwave lithotripsy for pediatric urolithiasis.
| Autor: | Tan AH; Division of Urology, St. Joseph's Health Care, University of Western Ontario; London, Ontario, Canada., Al-Omar M, Watterson JD, Nott L, Denstedt JD, Razvi H |
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| Jazyk: | angličtina |
| Zdroj: | Journal of endourology [J Endourol] 2004 Aug; Vol. 18 (6), pp. 527-30. |
| DOI: | 10.1089/end.2004.18.527 |
| Abstrakt: | Background and Purpose: Shockwave lithotripsy (SWL) is widely practiced in the management of pediatric urolithiasis. However, the efficacy, need for ancillary procedures, and treatment-related complications are not as clearly defined as in the adult population. We reviewed the outcomes of SWL in the pediatric population at our lithotripsy unit. Patients and Methods: A retrospective review of all patients Results: Risk factors were identified in 31 children (27.0%), including metabolic and anatomic abnormalities. Patients with a risk factor were less likely to be stone free after one SWL session than those without risk factors (31.7% v 64.7%; P < 0.001). General (74.8%), neurolept (24.4%), and epidural (0.8%) anesthesia were utilized. Ureteral stents were placed in 25% of treatments. There were no intraoperative complications. Minor complications were seen in 4.6% of patients. Ancillary procedures were required in 10 patients. Following initial SWL treatment, 60.2% of patients were stone free. The retreatment rate was 13.9%. Following a second treatment, the stone-free rate increased to 68%. The EQ was 54.3. Conclusion: Employing a strict definition of treatment success, single-session SWL in our series offers moderate efficacy in the pediatric population. Patients who have a large stone or risk factor such as an anatomic abnormality are less likely to become stone free and might better undergo an endourologic procedure. |
| Databáze: | MEDLINE |
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