Korean J Urol.
1999 Feb;40(2):152-155.
Shock Wave Lithotripsy in Children
- Affiliations
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- 1Department of the Urology, College of Medicine, Inje University, Seoul, Korea.
Abstract
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PURPOSE: Retrospective study was performed to evaluate the safety and effectiveness of shock wave lithotripsy(SWL) for treatment of urinary calculi in children.
MATERIALS AND METHODS
24 SWL treatments using Dornier MPL 9000X lithotriptor were performed in 15 children between 8 months and 15 years old from January, 1991 to August, 1997. Patient`s characteristics, stone location, success rate and complications were reviewed retrospectively.
RESULTS
The location of stones were kidney in 6 cases and ureter in 13 cases: upper ureter in 6 and lower ureter in 7. The SWL treatments were successful in all case. All cases except three had their stones removed by SWL in one session. Of the 19 cases, 9 cases required ketamine anesthesia and 10 cases were done under intravenous injection of analgesics. Minor complications, such as flank pain, gross hematuria and steinstrasse, were noted but resolved with conservative management.
CONCLUSIONS
We think that SWL is a useful and safe method for the first line therapy of pediatric urolithiasis.
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