Results of Shockwave Lithotripsy for Pediatric Urolithiasis

Tan, Andrew; Al-Omar, Mohammed A.; Watterson, James; Nott, Linda; Denstedt, John D.; Razvi, Hassan

doi:10.1089/end.2004.18.527

Cited by 67 publications

(19 citation statements)

References 18 publications

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“…A study by Tan, et al . reported only moderate efficacy of ESWL in the pediatric population [23]. He documented 100 patients with a mean stone size of 7.8 mm, where 60% of the patients were declared as stone cleared after the first extracorporeal shock wave lithotripsy session, and the stone-free rate amplified to 68% after a second session.…”

Section: Discussionmentioning

confidence: 99%

“…It has been suggested that harmful effects of shock waves of ESWL can be avoided only by decreasing the number of shockwaves and reducing the energy in kilovolts [20]. Many studies have documented that there are no deleterious effects of ESWL on flourishing kidneys [21-23]. Considering the fact that we are still awaiting long-term data, it would seem prudent to shock the pediatric kidney as little as possible.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study

Iqbal

Assad

Bhatti

et al. 2016

Cureus

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ObjectiveTo retrospectively evaluate the effectiveness of extracorporeal shock wave lithotripsy (ESWL) for urolithiasis and compare the results between children and adults.Materials and methodsFrom January 2011 to January 2015 (four years), ESWL was performed in 104 children and 300 adults for urolithiasis. MODULITH® SLX-F2 lithotripter (Storz Medical AG, Tägerwilen, Switzerland) equipment was used for ESWL. The stone-free rates, the number of ESWL sessions required, complication rates and ancillary procedures used were evaluated in a comparative manner.ResultsThe mean age ± standard deviation (SD) of children was 7.84±4.22 years and of adults was a 40.22±1.57 years. Mean ± SD of the stone size was 1.28±61 cm in the adults while 1.08 ± 0.59 cm in the children. In adults, the complications included steinstrasse in six (1.98%) patients, fever in 15 (4.95%), hematuria in 19 (6.28%) and sepsis in six (1.98%) patients. In children, steinstrasse was observed in two (1.9%), mild fever in two (1.9%), hematuria in six (5.7%) and sepsis was seen in four (3.8%) patients. The overall complication rate in the adults and in the children, it was found to be 46/300 (15%) and in the children, it was seen to be 14/104 (13%). No statistical difference was found in post-ESWL complications between children and adults (P>0.05). Ancillary procedures including double J (DJ) stent were used in 13 (12.5%) children and 87 (29%) adults. There was a better stone clearance rate in children i.e. 79% as compared to 68% in adults (X2: P=0.036).ConclusionChildren can achieve high stone-free rates after ESWL with a lower need for repeat ancillary procedures as compared to adults. However, there is a difference in the post-ESWL complications between these groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study

Iqbal

Assad

Bhatti

et al. 2016

Cureus

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“…However, urologic intervention may be necessary if the calculus does not progress or spontaneously pass within 30 days (7). Additionally, complications may occur up to 3 months after the stone has been identified, suggesting that follow-up longer than 30 days may be necessary (8).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Urologic Intervention in Emergency Department Patients with Suspected Renal Colic

Yan

McLeod

Edmonds

et al. 2015

The Journal of Emergency Medicine

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“…The frequent failure of ESWL in children, however, is primarily associated with anatomical abnormalities of the kidney and urinary tract malformations. According to some authors, they reduce the chance of plaque removal after the first session from 64 to 31% [18, 19]. …”

Section: Discussionmentioning

confidence: 99%

Application of Pneumatic Lithotripter and Holmium Laser in the Treatment of Ureteral Stones and Kidney Stones in Children

Życzkowski

Bogacki

Nowakowski

et al. 2017

BioMed Research International

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Objective. Treatment options for urolithiasis in children include URSL and RIRS. Various types of energy are used in the disintegration of deposits in these procedures. We decided to evaluate the usefulness of URSL and RIRS techniques and compare the effectiveness of pneumatic lithotripters and holmium lasers in the child population based on our experience. Materials and Methods. One hundred eight (108) children who underwent URSL and RIRS procedures were enrolled in the study and divided into two (2) groups according to the type of energy used: pneumatic lithotripter versus holmium laser. We evaluated the procedures' duration and effectiveness according to the stone-free rate (SFR) directly after the procedure and after fourteen (14) days and the rate of complications. Results. The mean operative time was shorter in the holmium laser group. A higher SFR was observed in the holmium laser but it was not statistically significant in the URSL and RIRS procedures. The rate of complications was similar in both groups. Conclusions. The URSL and RIRS procedures are highly efficient and safe methods. The use of a holmium laser reduces the duration of the procedure and increases its effectiveness in comparison with the use of a pneumatic lithotripter.

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Results of Shockwave Lithotripsy for Pediatric Urolithiasis

Cited by 67 publications

References 18 publications

Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study

Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study

Risk Factors Associated with Urologic Intervention in Emergency Department Patients with Suspected Renal Colic

Application of Pneumatic Lithotripter and Holmium Laser in the Treatment of Ureteral Stones and Kidney Stones in Children

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