Efficacy of shock wave lithotripsy in management of kidney stones in infants

Nashar, A.M. El; Metwally, Ahmed; Kader, O. Abd El; Ali, Esmael; Abdelbaseer, M.

doi:10.1016/j.afju.2013.11.002

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…Limited reports about ESWL in infancy exist because of the rarity of renal stones in infancy. The success rate of ESWL in infant patient was 84.6-100% ( 11 , 12 ). Despite these high stone free rate of the procedure, ESWL has some disadvantages such as requirement of anesthesia, ureteral obstruction in high volume renal stones and higher additional intervention rate ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of miniaturized percutaneous nephrolitotomy in infants: single centre experience

Pelit

Kati

Çanakçı³

et al. 2017

Int. braz j urol.

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Objectives:The present study was aim to evaluate the safety and efficacy of Mini-PNL to treat kidney stones in patients aged <3 years. This is the one of the largest series in the literature in this age group of patients.Material and methods:From May 2012 to April 2016, the medical records of 74 infant patients who underwent mini-PNL for renal stones were reviewed retrospectively. All infants were evaluated with the plain abdominal radiograph, urinary ultrasound, non-contrast computerized tomography and/or intravenous urogram. Pre-operative, intraoperative and post-operative data were analyzed.Results:A total of 74 infant (42 male, 32 female) with a mean age 21.5±8.2 (10-36) months were included in this study. The mean size of the stones was 22.0±5.9 (14-45) mm. A 17 Fr rigid pediatric nephroscope with a pneumatic intracorporeal lithotripsy were used through 20-22 Fr access sheath. The stone-free rate was 84.7% at 1 month after the operation. Mean operative time was 74.0 (40-140) min. Mean fluoroscopy screening time was as 4.3(3.1-8.6) min. Average hospitalization time was 3.8 (2-9) day. Auxiliary procedures were performed to 11(15.3%) patients (7 extracorporeal shock wave lithotripsy, 3 re- percutaneous nephrolitotomy, 1 retrograde intrarenal surgery). No major complication classified as Clavien IV-V observed in study group.Conclusions:Mini-PNL with pneumatic intracorporeal lithotripsy can be performed safely and effectively to manage kidney stones in infants with high stone free rate and low complications.

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Section: Discussionmentioning

confidence: 99%

Outcomes of miniaturized percutaneous nephrolitotomy in infants: single centre experience

Pelit

Kati

Çanakçı³

et al. 2017

Int. braz j urol.

View full text Add to dashboard Cite

show abstract

“…Limited reports about ESWL in infancy exist because of the rarity of renal stones in infancy. The success rate of ESWL in infant patient was 84.6-100% (11,12). Despite these high stone free rate of the procedure, ESWL has some disadvantages such as requirement of anesthesia, ureteral obstruction in high volume renal stones and higher additional intervention rate (13).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of miniaturized percutaneous nephrolitotomy in infants: Single centre experience

Pelit¹,

Kati²,

Akın³

et al. 2016

European Urology Supplements

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ARTICLE INFO ______________________________________________________________ ______________________Objectives: The present study was aim to evaluate the safety and efficacy of Mini-PNL to treat kidney stones in patients aged <3 years. This is the one of the largest series in the literature in this age group of patients. Material and methods:From May 2012 to April 2016, the medical records of 74 infant patients who underwent mini-PNL for renal stones were reviewed retrospectively. All infants were evaluated with the plain abdominal radiograph, urinary ultrasound, noncontrast computerized tomography and/or intravenous urogram. Pre-operative, intraoperative and post-operative data were analyzed.Results: A total of 74 infant (42 male, 32 female) with a mean age 21.5±8.2 (10-36) months were included in this study. The mean size of the stones was 22.0±5.9 (14-45) mm. A 17 Fr rigid pediatric nephroscope with a pneumatic intracorporeal lithotripsy were used through 20-22 Fr access sheath. The stone-free rate was 84.7% at 1 month after the operation. Mean operative time was 74.0 (40-140) min. Mean fluoroscopy screening time was as 4.3(3.1-8.6) min. Average hospitalization time was 3.8 (2-9) day. Auxiliary procedures were performed to 11(15.3%) patients (7 extracorporeal shock wave lithotripsy, 3 re-percutaneous nephrolitotomy, 1 retrograde intrarenal surgery). No major complication classified as Clavien IV-V observed in study group. Conclusions: Mini-PNL with pneumatic intracorporeal lithotripsy can be performed safely and effectively to manage kidney stones in infants with high stone free rate and low complications.

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Extracorporeal shock wave lithotripsy in infants less than 12-month old

et al. 2015

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There is a lack of literature on children compared to adults regarding the long-term effects of extracorporeal shock wave lithotripsy (SWL), specifically in infants. The aim of the present study was to analyze the efficacy and safety of SWL in infants and also evaluate its potential adverse effects in the mid-term. Between May 1999 and December 2013, 36 infants with 39 renal units underwent SWL treatment for kidney stones with an electrohydraulic lithotripter (Dornier MPL 9000/ELMED Multimed Classic). All children were less than 12-month old. The mid-term effects of SWL were examined at the last follow-up by measuring arterial blood pressure, random blood glucose level and ipsilateral kidney size. Evaluation of treatment and its consequences was based on clinical examination, blood tests and conventional imaging (plain abdominal radiography and ultrasound). Overall stone-free rate was 84.6 % after 3-month follow-up without any major complications. Mid-term follow-up was available in 20 of 36 children with a mean follow-up of 3.2 ± 2.8 years (range 0.5-15.3). None of the infants were found to develop new onset of hypertension or diabetes. All treated infant kidneys' sizes were in the normal percentile range. SWL for management of infant kidney stones is effective and safe in the mid-term.

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Efficacy of shock wave lithotripsy in management of kidney stones in infants

Cited by 4 publications

References 30 publications

Outcomes of miniaturized percutaneous nephrolitotomy in infants: single centre experience

Outcomes of miniaturized percutaneous nephrolitotomy in infants: single centre experience

Outcomes of miniaturized percutaneous nephrolitotomy in infants: Single centre experience

Extracorporeal shock wave lithotripsy in infants less than 12-month old

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