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• W2019605702 abstract "No AccessJournal of UrologyPEDIATRIC UROLOGY1 Dec 2003Extracorporeal Shock Wave Lithotripsy as First Line Treatment Alternative for Urinary Tract Stones in Children: A Large Scale Retrospective Analysis AHMET YASER MUSLUMANOGLU, AHMET TEFEKLI, OMER SARILAR, MURAT BINBAY, FATIH ALTUNRENDE, and UNSAL OZKUVANCI AHMET YASER MUSLUMANOGLUAHMET YASER MUSLUMANOGLU More articles by this author , AHMET TEFEKLIAHMET TEFEKLI More articles by this author , OMER SARILAROMER SARILAR More articles by this author , MURAT BINBAYMURAT BINBAY More articles by this author , FATIH ALTUNRENDEFATIH ALTUNRENDE More articles by this author , and UNSAL OZKUVANCIUNSAL OZKUVANCI More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000096422.72846.80AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Management of urinary tract stones in children represents a challenging problem. In this study we retrospectively analyzed our experience with extracorporeal shock wave lithotripsy (SWL) in children. Materials and Methods: During a 12-year period 408 urinary tract calculi in 344 children (mean age 8.7 ± 3.9 years, range 6 months to 14 years) were managed with the Lithostar Plus lithotriptor (Siemens Medical Systems, Iselin, New Jersey). There were 57 caliceal stones, 167 in the renal pelvis, 31 in the proximal ureter, 16 in the mid ureter and 121 in the distal ureter, and 16 bladder stones. Results: All patients were treated on an outpatient basis, with intravenous sedation being used in 138 (40.1%), general anesthesia in 132 (38.4%) and no anesthesia in 74 (21.5%). A maximum of 3,500 shocks and 18 kV per session was given. A total of 780 SWL sessions were applied (mean 1.9 sessions per stone). Overall, a stone-free rate of 79.9% and clinically insignificant residual fragments in 13.2% of cases were observed at 3-month followup with a re-treatment rate of 53.9%. Overall efficacy quotient was 50.9%. Significantly more favorable results were achieved in ureteral calculi and stones 2 cm or smaller (p <0.05). Complications were observed in 33 patients (9.6%). Conclusions: Our results indicate that SWL, with satisfactory stone-free rates and efficacy quotients in stones 2 cm or smaller can be offered as a first line treatment in children. References 1 : Pediatric urolithiasis. Urol Clin North Am1997; 24: 173. Google Scholar 2 : Stones in children. Turk J Pediatr1984; 26: 51. Google Scholar 3 : Treatment update on pediatric urolithiasis. World J Urol1997; 15: 195. Google Scholar 4 : The surgical management of stones in children. BJU Int2001; 87: 732. Google Scholar 5 : Extracorporeal shock wave lithotripsy in children. J Urol2002; 167: 2164. Google Scholar 6 Preminger, G.M., Clayman, R.: The changing face of lithotripsy: impact of second generation machines. 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Google Scholar 20 : Is the pediatric ureter as efficient as the adult ureter in transporting fragments following extracorporeal shock wave lithotripsy for renal calculi larger than 10 mm.?. J Urol2001; 166: 1862. Link, Google Scholar From the Department of Urology, Haseki Teaching and Research Hospital, and Tümtaş SWL Center, Istanbul, Turkey© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byShahat A, Elderwy A, Safwat A, Abdelkawi I, Reda A, Abdelsalam Y, Sayed M and Hammouda H (2016) Is Tamsulosin Effective after Shock Wave Lithotripsy for Pediatric Renal Stones? A Randomized, Controlled StudyJournal of Urology, VOL. 195, NO. 4 Part 2, (1284-1288), Online publication date: 1-Apr-2016.Tejwani R, Wang H, Wolf S, Wiener J and Routh J (2018) Outcomes of Shock Wave Lithotripsy and Ureteroscopy for Treatment of Pediatric UrolithiasisJournal of Urology, VOL. 196, NO. 1, (196-201), Online publication date: 1-Jul-2016.Tuncer M, Sahin C, Yazici O, Kafkasli A, Turk A, Erdogan B, Faydaci G and Sarica K (2018) Does Extracorporeal Shock Wave Lithotripsy Cause Hearing Impairment in Children?Journal of Urology, VOL. 193, NO. 3, (970-974), Online publication date: 1-Mar-2015.Saad K, Youssif M, Hamdy S, Fahmy A, El Din Hanno A and El-Nahas A (2018) Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery for Large Renal Stones in Pediatric Patients: A Randomized Controlled TrialJournal of Urology, VOL. 194, NO. 6, (1716-1720), Online publication date: 1-Dec-2015.Mokhless I, Abdeldaeim H, Saad A and Zahran A (2014) Retrograde Intrarenal Surgery Monotherapy Versus Shock Wave Lithotripsy for Stones 10 to 20 mm in Preschool Children: A Prospective, Randomized StudyJournal of Urology, VOL. 191, NO. 5S, (1496-1500), Online publication date: 1-May-2014.Salem H, Fathy H, ElFayoumy H, Aly H, Ghonium A, Mohsen M and Hegazy A (2018) Slow vs Rapid Delivery Rate Shock Wave Lithotripsy for Pediatric Renal Urolithiasis: A Prospective Randomized StudyJournal of Urology, VOL. 191, NO. 5, (1370-1374), Online publication date: 1-May-2014.Yucel S, Akin Y, Danisman A and Guntekin E (2018) Complications and Associated Factors of Pediatric Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 187, NO. 5, (1812-1816), Online publication date: 1-May-2012.Ost M and Docimo S (2018) UreteroscopyJournal of Urology, VOL. 185, NO. 4, (1189-1190), Online publication date: 1-Apr-2011.Griffin S, Margaryan M, Archambaud F, Sergent-Alaoui A and Lottmann H (2018) Safety of Shock Wave Lithotripsy for Treatment of Pediatric Urolithiasis: 20-Year ExperienceJournal of Urology, VOL. 183, NO. 6, (2332-2336), Online publication date: 1-Jun-2010.McAdams S, Kim N, Ravish I, Monga M, Ugarte R, Nerli R and Shukla A (2018) Stone Size is Only Independent Predictor of Shock Wave Lithotripsy Success in Children: A Community ExperienceJournal of Urology, VOL. 184, NO. 2, (659-664), Online publication date: 1-Aug-2010.Fayad A, El-Sheikh M, AbdelMohsen M and AbdelRaouf H (2018) Evaluation of Renal Function in Children Undergoing Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 184, NO. 3, (1111-1115), Online publication date: 1-Sep-2010.Smaldone M, Corcoran A, Docimo S and Ost M (2018) Endourological Management of Pediatric Stone Disease: Present StatusJournal of Urology, VOL. 181, NO. 1, (17-28), Online publication date: 1-Jan-2009. Volume 170Issue 6December 2003Page: 2405-2408 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordspediatricstreatment outcomeurinary calculilithotripsyendoscopyMetricsAuthor Information AHMET YASER MUSLUMANOGLU More articles by this author AHMET TEFEKLI More articles by this author OMER SARILAR More articles by this author MURAT BINBAY More articles by this author FATIH ALTUNRENDE More articles by this author UNSAL OZKUVANCI More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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