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Extracorporeal Shock Wave Lithotripsy for Renal Calculi in Children
Author(s) -
MISHRIKI S. F.,
WILLS M. I.,
MUKHERJEE A.,
FRANK J. D.,
FENELEY R. C. L.
Publication year - 1992
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.1992.tb15533.x
Subject(s) - extracorporeal shock wave lithotripsy , medicine , lithotripsy , surgery , nephrostomy , stent , ureteric stent , staghorn calculus , renal colic , percutaneous nephrolithotomy , percutaneous , alternative medicine , pathology
Summary Fifteen children (8 male and 7 female) with an age range of 18 months to 15 years were treated with extracorporeal shock wave lithotripsy (ESWL) using the Siemens Lithostar. Two children had a history of metabolic stone disease and 1 child had previously undergone open stone surgery. Four children were treated with a ureteric stent in place and 1 nephrostomy was inserted before treatment. All children were treated under general anaesthesia and all of the stones treated were confined to the kidney and ranged in size from 5 mm to a complete staghorn. The number of treatments ranged from 1 to 6 and generator voltage ranged from 16 to 19 kV with a maximum number of 30,000 shocks to a complete staghorn. Complications were minimal, with 3 children presenting with colic, 1 child requiring a stent and none requiring a nephrostomy after treatment. The overall stone clearance rate at 3 months was 65%. ESWL provides an effective treatment for selected calculi in children. In the short term, complications are minimal but the long‐term effects on children need to be monitored.