Pediatric Extracorporeal Shock Wave Lithotripsy: Long-Term Results and Effects on Renal Growth
The Domier HM3 lithotripter was used to treat 55 stone events in 44 pediatric patients. The mean patient age at treatment was 11.3 years, with the youngest patient being 13 months of age. Sixty-two extracorporeal shock wave lithotripsy (ESWL§) treatments were necessary for the 55 stone events at a mean of 1,186 shock waves (range, 250 to 2,100) at 19.6 kV (range, 16 to 26 kV). Follow-up was available for 95% of the treated stone events; 79% were stone free at three months, and 83% eventually became stone free. Risk factors for retained fragments in the pediatric population appear to be similar to those for adults. Renal growth of 14 treated renal units in 12 patients has been unimpaired after ESWL treatment.
KeywordsShock Wave Shock Wave Lithotripsy Extracorporeal Shock Wave Lithotripsy Ureteral Calculus Kidney Stone Disease
Unable to display preview. Download preview PDF.
- 2.Church UDN, Maloney CM, Nolan R, et al: Pediatric urolithiasis in the 1970s. J Urol 123: 237, 1980.Google Scholar
- 5.Polinsky MS, Kaiser BA, Balvarte HJ: Urolithiasis in childhood. Pediatr Clin N Am 34: 683, 1987.Google Scholar
- 7.Piel CF and Roof BS: Renal calculi. In Rubin MI and Barratt TM (eds): Pediatric Nephrology. Baltimore: The Williams & Wilkins Company, 1975.Google Scholar
- 13.Stapleton FB, Noe HN, Roy S, et al: Hypercalciuria in children with urolithiasis. Am JDis Child 136: 675, 1982.Google Scholar
- 14.Barratt TM: Urolithiasis: medical aspects. In Williams DI and Johnston JM (eds): Paediatric Urology. Edition H. London: Butterworth Scientific, 1982.Google Scholar
- 17.Mininberg DT: ESWL in children. Urologists’ Correspondence Club. April 27, 1987.Google Scholar
- 20.Mosaad A and El-Salamouni T: Results of ESWL in young children. In Lingeman JE and Newman DM: Shock Wave Lithotripsy II: Urinary and Biliary. New York: Plenum Press, 1989.Google Scholar
- 23.Lingeman JE, Coury TA, Newman DM, et al: Comparison of results and morbidity of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy. J Uro1138:485, 1987.Google Scholar
- 26.Chaussy C: Extracorporeal Shock Wave Lithotripsy: Technical Concept, Experimental Research, and Clinical Application. Basel, Switzerland: Karger, 1986.Google Scholar
- 27.Graff J, Pastor J, Senge T, et al: The effect of high energy shock waves on bony tissue: an experimental study. J Urol 137: 278A, 1987.Google Scholar
- 32.Lingeman JE, Smith LH, Woods JR, et al: Staghom calculi. In Lingeman JE, Smith LH, Woods JR, et al. (eds): Urinary Calculi: ESWL, Endourology, and Medical Therapy. Philadelphia: Lea & Febiger, 1989.Google Scholar
- 33.Lingeman JE, McAteer JL, Kempson SA, et al: Bioeffects of extracorporeal shock wave lithotripsy: strategy for research and treatment. Urol Clin N Am 15: 507, 1988.Google Scholar