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Urinary Calculi in Children A 5 to 1 5‐year Follow‐up with Particular Reference to Recurrent and Residual Stones *
Author(s) -
ANDROULAKAKIS P. A.,
BARRATT T. M.,
RANSLEY P. G.,
WILLIAMS D. INNES
Publication year - 1982
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1982.tb13544.x
Subject(s) - clearance , medicine , residual , surgery , urinary system , staghorn calculus , urology , algorithm , mathematics , percutaneous nephrolithotomy , percutaneous
Summary— Between 1965 and 1974 188 children were operated on for urinary calculi; 150 cases of non‐metabolic stones have been followed up for 5 to 15 years to assess the results of surgery and to evaluate recurrent and residual calculi. Of 132 cases completely cleared of stones at initial surgery 11 had a recurrence; 8 of the recurrences developed amongst 33 patients who remained persistently infected post‐operatively. Reoperation was necessary in 8 cases to stop renal deterioration. Amongst 18 patients with residual calculi only 7 required reoperation; small residual fragments were effectively controlled with long‐term antibiotic therapy and close supervision.