Extracorporeal Shock Wave Lithotripsy (ESWL) monotherapy were performed in 12 children with urinary stones using the Modulith SL 20 electromagnetic lithotripter between December, 1990 and July, 1992.
@ES The results obtained were as follows:
@EN 1. The sex was 7(58.3%) in male and 5(41.7%) in female. The average patient age was 7.9 years with a range of 1 to 15 years.
2. The locations of stone were kidney in 5(41.7%) and ureter in 7(58.3%). The size of stone was a range of 0.4 to 2.3cm in 11 and staghorn calculi in 1.
3. Five of 12 patients (41.7%) were required general anesthesia and 7 of 12 patients were controled by only analgesics.
4. The average numbers of ESWL were 2.1 sessions with a range of 1 to 7 times.
5. The total average success rate was 100%, ten of the 12 patients(83.3%) for whom a month follow up were free of stone.
6. All of the patients was not required the pre & post-ESWL additional manipulation. Main complications of ESWL were gross hematuria(100%), pain(25%), fever(16.7%), steinstrasse(16.7%), but ESWL complications were disappeared with conservative
treatment.
Therefore, ESWL monotherapy with Modulith SL 20 is considered to be a safe, effective, and easily applicable procedure for the treatment of childhood urolithiasis as well as adult urinary stone.
|