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• W2036403742 abstract "No AccessJournal of UrologyPediatric Urology1 Aug 2010Stone Size is Only Independent Predictor of Shock Wave Lithotripsy Success in Children: A Community Experience Sean McAdams, Nicholas Kim, Indupur R. Ravish, Manoj Monga, Roland Ugarte, Rajendra Nerli, and Aseem R. Shukla Sean McAdamsSean McAdams Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author , Nicholas KimNicholas Kim Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author , Indupur R. RavishIndupur R. Ravish Department of Urology, KLES Kidney Foundation, Nehru Nagar, Belgaum, India More articles by this author , Manoj MongaManoj Monga Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author , Roland UgarteRoland Ugarte Urology Associates Ltd., Edina, Minnesota More articles by this author , Rajendra NerliRajendra Nerli Department of Urology, KLES Kidney Foundation, Nehru Nagar, Belgaum, India More articles by this author , and Aseem R. ShuklaAseem R. Shukla Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.03.059AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined whether age, gender, body mass index, number of stones, stone location or total stone diameter could independently predict stone-free rates after extracorporeal shock wave lithotripsy in children. Materials and Methods: We reviewed 149 patients 3 to 17 years old undergoing shock wave lithotripsy between 2001 and 2008. Cases were retrieved from a regional shock wave lithotripsy database. Variables analyzed included age, gender, body mass index, number of shocks delivered, stone location, number of stones and total stone diameter. Stone-free status on followup imaging at 2 weeks to 3 months was considered a successful outcome. Results: Of 149 patients 32 had multiple stones. After shock wave lithotripsy 106 patients (71%) were stone-free, 12 (8%) required a repeat procedure and 31 (21%) had residual fragments. Number of stones per patient ranged from 1 to 18 (mean ± SD 2.14 ± 2.60). Mean ± SD number of stones was 1.87 ± 2.42 in successfully treated patients and 2.81 ± 2.92 in those with treatment failure (p = 0.065). Total stone diameter ranged from 2 to 90 mm (mean ± SD 14.03 ± 16.68). Mean total stone diameter was 11.1 ± 13.4 mm in successfully treated patients and 21.3 ± 21.4 mm in those with treatment failure (p <0.005). Conclusions: To our knowledge we present the first multi-institutional cohort study in children demonstrating no significant relationship between successful outcome and patient age, gender, body mass index, stone location or number of stones. Only total stone diameter independently predicted shock wave lithotripsy success. 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Google Scholar © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 184Issue 2August 2010Page: 659-664 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordschildnephrolithiasislithotripsykidney calculihigh-energy shock wavesMetricsAuthor Information Sean McAdams Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author Nicholas Kim Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author Indupur R. Ravish Department of Urology, KLES Kidney Foundation, Nehru Nagar, Belgaum, India More articles by this author Manoj Monga Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author Roland Ugarte Urology Associates Ltd., Edina, Minnesota More articles by this author Rajendra Nerli Department of Urology, KLES Kidney Foundation, Nehru Nagar, Belgaum, India More articles by this author Aseem R. Shukla Department of Urologic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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