Factors and nomograms determining the effectiveness of extracorporeal shock wave lithotripsy in children with urolithiasis: a literature review

Abstract

Introduction. Extracorporeal shock wave lithotripsy (ESWL) is currently the priority method of treatment of urolithiasis in children. Due to the lack of extended indications for the use of this method to increase its effectiveness and reduce the number of anesthetics and unnecessary surgical interventions, over the past 30 years, an active search has been conducted for factors predicting the outcome of ESWL to create objective preoperative planning tools. Materials and methods. The search for information on the predictive factors of the success of an ESWL session and currently existing statistical models for predicting the effectiveness of lithotripsy in children with urolithiasis was conducted using such foreign and domestic sources as PubMed, MedLine, e-library, CyberLeninka. Conclusion. The ability to predict the outcome of an extracorporeal shock wave lithotripsy session using preoperative planning tools allows you to choose the most appropriate treatment method for a particular patient, considering his individual anatomical and physiological characteristics (age, distance from skin to stone, structure of the collecting system) and characteristics of the concretion (localization, composition, size).