Naslov
ESWL treatment of urinary stones in children

Autori
Tucak, Antun ; Prlić, Damir ; Kuveždić, Hrvoje

Izvornik
European Urology (0302-2838) 37 (2000), S2;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, sažetak, znanstveni

Sažetak
Introduction: ESWL treatment of urinary stones in children is based on same principles as in adults. The ESWL je treatment of choice when conservative approach failed. MATRERIALS& METHODS: Since 1986 until 1998 at our department 6000 patients were treated with the ESWL. Among them 48 patients (0, 8%) were children, most of them or 33 were between 10 and 15 years old. RESULTS:In our children group we treated 26 calceal, 16 pyelon, 5 pyeloertheral segment and 11 uretheral stones. In 48 patients we perfomed 68 ESWL sesions. Treatmens were performed in general anaesthesia in 15 cases (31, 25%), in 24 only analgesia and in 9 sedation and analgesia.Supporting procedures were used in 11 patients (22, 9%) in 7 (14, 5%) cases "JJ" stent, "push and bang" in 2 (4, 2%) and retrograde catheter plus contrast in 2 (4, 2%) cases. Complication like "steinstrasse" were found in 7 patients (14, 58%). In 4 patients this complication were treated by conservative approach and in 3 patients by placing "JJ" stent.Febrile reaction was present in 5 patients. CONCLUSION: The average unmber of ESWL sessions for stone treatment were 1, 42. After 6 months of follow-up 89, 7% of patients were stone free. In our group of patients ESWL was successful method of urinary stone removal with very low incidence of complications.

Izvorni jezik
Engleski

POVEZANOST RADA