|
KMID : 1218220100020010038
|
|
Korean Journal of Pediatric Urology
2010 Volume.2 No. 1 p.38 ~ p.42
|
|
|
Long-term Safety on Extracorporeal Shock-wave Lithotripsy (SWL) in Preschoolers: A Multicenter Study
|
|
Kim Ki-Ho
Moon Ki-Hak
Park Jae-Shin
Kim Hyun-Tae
Chang Hyuk-Soo
Chung Sung-Kwang
|
|
|
Abstract
|
|
|
Purpose: Although extracorporeal shock-wave lithotripsy (SWL) is a minimally invasive method of treating urolithiasis but its safety has not been shown well in pediatric population. We evaluated the effectiveness and safety of SWL in preschoolers.
Materials and Methods: Thirty patients (34 cases) under 6 age who underwent SWL in tertiary medical centers in Daegu, Gyeongbuk area, for urolithiasis from March 1998 and April 2008 were enrolled this study. The age and gender, stone location and size, urinary tract infection, anesthesia, success rate and complication were assessed.
Results: Among the participants, male to female ratio was 2:1 and their mean age was 4.6 years (0-6 years). Fifteen renal stones, 6 upper ureter stones, 2 mid ureter stones, 11 lower ureter stones were found and their mean diameter was 8.3 mm (4-17 mm). The overall success rate was 67.6% and 53.3% in renal stones (8/15 cases), 66.7% in upper ureter stones (4/6 cases), 81.8% in lower ureter stones (9/11 cases) were resolved respectively. Mean follow up period was 16 months (1-122 months). The cases of mild flank pain developed in 2 patients, steinstrasse in 2 patients and urinary tract infection in 1 patient.
Conclusions: SWL is a safe and effective method of treating urolithiasis in preschoolers.
|
|
|
KEYWORD
|
|
|
Preschooler, Urolithiasis, Extracorporeal shock-wave lithotripsy (SWL)
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|