Extracorporeal shock wave lithotripsy in the treatment of pediatric urolithiasis: a single institution experience
| Autor: | Frank Sofras, Ioannis Heretis, Konstantinos Stamatiou, Dimitrios Takos, Vaios Papadimitriou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent complications Urology medicine.medical_treatment Stone free Analgesic efficacy Pediatric urolithiasis Increased fluid intake Lithotripsy lcsh:RC870-923 Urolithiasis children medicine Humans Ureteroscopy Single institution Child Retrospective Studies medicine.diagnostic_test Greece treatment business.industry lithiasis Infant lcsh:Diseases of the genitourinary system. Urology Extracorporeal shock wave lithotripsy Surgery Treatment Outcome Child Preschool Feasibility Studies Female business ESWL |
| Zdroj: | International braz j urol v.36 n.6 2010 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 36, Iss 6, Pp 724-731 (2010) International braz j urol, Volume: 36, Issue: 6, Pages: 724-731, Published: DEC 2010 |
| Popis: | PURPOSE: To compare the efficacy and safety of the electromagnetic lithotripter in the treatment of pediatric lithiasis to that of the earlier electrohydraulic model. MATERIALS AND METHODS: Two groups of children with lithiasis aged between 10 and 180 months who underwent extracorporeal shock wave lithotripsy (ESWL). In the first group (26 children), ESWL was performed by using the electrohydraulic MPL 9000X Dornier lithotripter between 1994 and 2003 while in the second group (19 children) the electromagnetic EMSE 220 F-XP Dornier lithotripter was used from April 2003 to May 2006. RESULTS: In the first group, 21/26 children (80.7%) were stone free at first ESWL session. Colic pain resolved by administration of an oral analgesic in 6 (23%), brief hematuria (< 24 h) resolved with increased fluid intake in 5 (19.2%), while slightly elevated body temperature (< 38°C) occurred in 4 (15.3%). Four children (15.3%) failed to respond to treatment and were treated with ureteroscopy. In the second group 18/19 children were completely stone free at first ESWL session (94.7%). Complications were infrequent and of minor importance: colic pain treated with oral analgesic occurred in 1 (5.26%), brief hematuria (< 24 h), resolved with increased fluid intake in 4 (21%) and slightly elevated body temperature (< 38°C) monitored for 48 hours occurred in 6 (31.5%). Statistical analysis showed that electromagnetic lithotripter is more efficacious and safer than the earlier electrohydraulic model. CONCLUSIONS: Technological development not only has increased efficacy and safety of lithotripter devices in treating pediatric lithiasis, but it also provided less painful lithotripsy by eliminating the need for general anesthesia. |
| Databáze: | OpenAIRE |
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