1- Shahid Beheshti University of medical Sciences, Labafinejad Medical Center, Tehran, Iran
2- Shahid Beheshti University of medical Sciences, Labafinejad Medical Center, Tehran, Iran ,mehdi_dadpour@yahoo.com
2- Shahid Beheshti University of medical Sciences, Labafinejad Medical Center, Tehran, Iran ,
Abstract: (9 Views)
Backgroundsː This study aimed to investigate the efficacy and clinical outcomes of extracorporeal shock wave lithotripsy in treating urinary tract stones in children under 15 years.
Methods: Children under 15 years of age with kidney and ureteral stones who were treated at Labbafinejad Hospital from 2017 to 2023 were included. These children were identified by phone and in person, and their information was recorded. After extracorporeal shock wave lithotripsy, children were followed up with ultrasound at 48 hours, 14 days, and 3 months to assess stone clearance and the occurrence of complications. Additionally, biochemical tests were performed 48hrs and two weeks after ESWL.
Results: 55 children under 15 years of age with kidney stones who underwent ESWL were included in the study. The average stone size was 9.48 mm. The average number of ESWL sessions was 1.22. In the group of patients aged 7 years or less, the average number of ESWL sessions was 1.16, and in the group of patients over 7 years, it was 1.32. There was no statistically significant difference between the two groups. However, there was no statistically significant difference between the two groups in terms of urinary tract infection, stone size and location, or congenital kidney abnormalities. The overall success rate of ESWL was 90.9%. Two patients required intervention due to steinstrasse. The success rate of ESWL decreased with increasing stone size. Stones larger than 1.5 cm had a significantly higher failure rate of 66.7% compared to smaller stones.
Conclusion: The results showed that ESWL is more effective and requires fewer sessions in younger children, and it is a safe and effective method for treating urinary tract stones up to 2 cm in children. It was also found the rate of auxiliary procedures, and the failure rate all increased with larger stone size.
Methods: Children under 15 years of age with kidney and ureteral stones who were treated at Labbafinejad Hospital from 2017 to 2023 were included. These children were identified by phone and in person, and their information was recorded. After extracorporeal shock wave lithotripsy, children were followed up with ultrasound at 48 hours, 14 days, and 3 months to assess stone clearance and the occurrence of complications. Additionally, biochemical tests were performed 48hrs and two weeks after ESWL.
Results: 55 children under 15 years of age with kidney stones who underwent ESWL were included in the study. The average stone size was 9.48 mm. The average number of ESWL sessions was 1.22. In the group of patients aged 7 years or less, the average number of ESWL sessions was 1.16, and in the group of patients over 7 years, it was 1.32. There was no statistically significant difference between the two groups. However, there was no statistically significant difference between the two groups in terms of urinary tract infection, stone size and location, or congenital kidney abnormalities. The overall success rate of ESWL was 90.9%. Two patients required intervention due to steinstrasse. The success rate of ESWL decreased with increasing stone size. Stones larger than 1.5 cm had a significantly higher failure rate of 66.7% compared to smaller stones.
Conclusion: The results showed that ESWL is more effective and requires fewer sessions in younger children, and it is a safe and effective method for treating urinary tract stones up to 2 cm in children. It was also found the rate of auxiliary procedures, and the failure rate all increased with larger stone size.
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