6533b7dafe1ef96bd126ed0d
RESEARCH PRODUCT
Treatment of paediatric urolithiasis by extracorporeal shock-wave lithotripsy.
D. M. WilbertO. SchoferH. Riedmillersubject
medicine.medical_specialtyStaghorn calculusAdolescentbusiness.industrymedicine.medical_treatmentOpen surgeryLithotripsyAnesthesia GeneralExtracorporeal shock wave lithotripsyExtracorporealFirst generationSurgeryKidney CalculiChild PreschoolLithotripsyPediatrics Perinatology and Child HealthmedicineHumansbusinessChildPaediatric patientsNephrostomy Percutaneousdescription
Non-surgical removal of renal and ureteral stones has proven successful in adults. In this study, 21 paediatric patients have been treated with the first generation extracorporeal shock-wave lithotriptor and an additional 13 children with a second generation local shock-wave lithotriptor. A total of 47 stones was treated. Treatment-related complications such as colics (17%/18.8%) or fever (8.3%/6.2%) were minimal. Stone passage occurred in 93% and 100%, respectively of each group. Open surgery is still the treatment of choice for large staghorn calculi. Extracorporeal shock-wave lithotripsy can be performed successfully in paediatric nephrolithiasis with stones of limited size.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1988-08-01 | European journal of pediatrics |