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Treatment of paediatric urolithiasis by extracorporeal shock-wave lithotripsy

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Abstract

Non-surgical removal of renal and ureteral stones has proven successful in adults. In this study, 21 paediatric patients have been treated with the first generation extracorporeal shock-wave lithotriptor and an additional 13 children with a second generation local shock-wave lithotriptor. A total of 47 stones was treated. Treatment-related complications such as colics (17%/18.8%) or fever (8.3%/6.2%) were minimal. Stone passage occurred in 93% and 100%, respectively of each group. Open surgery is still the treatment of choice for large staghorn calculi. Extracorporeal shock-wave lithotripsy can be performed successfully in paediatric nephrolithiasis with stones of limited size.

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Abbreviations

PNL:

percutaneous nephrolithotomy

ESWL:

extracorporeal shock-wave lithotripsy

LS:

local shock-wave lithotripsy

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Wilbert, D.M., Schofer, O. & Riedmiller, H. Treatment of paediatric urolithiasis by extracorporeal shock-wave lithotripsy. Eur J Pediatr 147, 579–581 (1988). https://doi.org/10.1007/BF00442466

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  • DOI: https://doi.org/10.1007/BF00442466

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