Evaluation of Renal Function in Children Undergoing Extracorporeal Shock Wave Lithotripsy

Fayad, Amr; El-Sheikh, Mohamed; AbdelMohsen, Mostafa; Abdelraouf, H.

doi:10.1016/j.juro.2010.05.016

Cited by 22 publications

(16 citation statements)

References 23 publications

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“…8 ± 3.5/yr 84.6 ± 24.7 82.5 ± 26.5 0.33 Fayad et al [27] 100 Children 6 mo 113.13 ± 4.51 113.01 ± 4.27 0.46…”

Section: Percutaneous Nephrolithotomymentioning

confidence: 98%

“…In contrast, it is stated that serum creatinine levels were not markedly affected after SWL in patients with a solitary kidney in approximately 4 years follow up [26] . In addition, it is stated that SWL treatment was not associated with a significant impact on kidney function or subsequent renal scaring, regardless of stone size or number of SWL seances in children [27] . The results of these two studies are shown in (Table 1).…”

Section: Extracorporeal Swlmentioning

confidence: 99%

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Effect of urinary stone disease and its treatment on renal function

Mercimek

Özden

2015

WJN

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Urolithiasis is a common disease that affects urinary tract in all age groups. Both in adults and in children, stone size, location, renal anatomy, and other factors, can influence the success of treatment modalities. Recently, there has been a great advancement in technology for minimally invasive management of urinary stones.The epoch of open treatment modalities has passed and currently there are much less invasive treatment approaches, such as percutaneous nephrolithotomy, ureteroscopy, shockwave lithotripsy, and retrograde internal Surgery. Furthermore, advancement in imaging technics ensures substantial knowledge that permit physician to decide the most convenient treatment method for the patient. Thus, effective and rapid treatment of urinary tract stones is substantial for the preservation of the renal function. In this review, the effects of the treatment options for urinary stones on renal function have been reviewed. Core tip: In this article, urinary stone disease, treatment options and its effects on renal function are examined. Moreover, in the light of recent publications, effect of treatment options on functional state of the kidney in patients with renal impairment is investigated.Mehmet NM, Ender O. Effect of urinary stone disease and its treatment on renal function. World

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“…8 ± 3.5/yr 84.6 ± 24.7 82.5 ± 26.5 0.33 Fayad et al [27] 100 Children 6 mo 113.13 ± 4.51 113.01 ± 4.27 0.46…”

Section: Percutaneous Nephrolithotomymentioning

confidence: 98%

Section: Extracorporeal Swlmentioning

confidence: 99%

Effect of urinary stone disease and its treatment on renal function

Mercimek

Özden

2015

WJN

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“…In children, SWL has a major role in the treatment of urinary stone disease [3] . SWL is not related to decreases in kidney function or subsequent renal scarring [4] . Pretreatment with ureteral stent placements in the pediatric population is still a debated issue.…”

Section: Introductionmentioning

confidence: 83%

Do JJ Stents Increase the Effectiveness of Extracorporeal Shock Wave Lithotripsy for Pediatric Renal Stones?

et al. 2016

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Purpose: We aimed to evaluate the effects of preoperative urinary catheterization in nephrolithiasis treatment with extracorporeal shock wave lithotripsy (SWL). Methods: Patients admitted to the Department of Pediatric Surgery for renal stones between June 2012 and June 2014 were evaluated retrospectively. Patients were divided into 2 groups based on JJ stent placements. Group 1 did not receive JJ stents, while group 2 did. The recorded demographic data for each group included age, gender, stone size, location, sessions, and complications. The Elmed Complit ESWL system was used with 11-13 kV, and 1,000-1,200 shots in patients 2-4 years of age, and 11-14 kV, and 1,000-1,500 shots for patients over 4 years. Results: In group 1, 18 sessions of SWL were performed on 8 female and 2 male children with a mean age of 4.5 (range 2-12) years and stone diameter of 9 (range 7-15) mm. The locations of the renal stones were in the upper pole in 1 patient, 7 in the lower pole, and 2 in the pelvis renalis. Postoperatively, 1 patient had hematuria, 2 had dysuria, and one had a stone in the external urethral meatus. Eighty percent of patients were stone free; there were no fragmentations in 2 patients, and 1 patient discontinued treatment. In group 2, 15 SWL sessions were performed on 5 female and 5 male children aged 4 (range 3-5) and the stone diameter was 9 (range 7-16) mm. The locations of the renal stones were in the upper pole in 6 patients, in the lower pole in 3 patients, and in the ureteropelvic junction in one patient. JJ stents were placed in all patients preoperatively. Postoperatively, 3 patients had hematuria and one had dysuria. At the end of the study, all of the patients were stone free. Statistically, there were no differences in age, gender, stone size, location, and the number of sessions. Conclusions: Our results indicate that SWL without preoperative ureteral stenting is an effective and safe procedure that can be carried out in the pediatric population. Preoperative JJ stenting is unnecessary in patients, especially in those with smaller stone diameters.

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“…The patient should not move during ESWL. When the child is not old enough to understand our instructions, general anesthesia is needed (1.5 mg/kg ketamine and 0.05 mg/kg midazolam are preferred) 18. Small children also may need some suspension under the body, and the water cushion also should be adjusted.…”

Section: Methodsmentioning

confidence: 99%

Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function

Akın¹,

Yücel²

2014

RRU

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IntroductionExtracorporeal shock wave lithotripsy (ESWL) is a well-known and successful treatment modality. In addition, it can be used in premature infants. ESWL is used to treat kidney and ureter stones in children. However, although it is a preferred noninvasive treatment in that setting, there is debate about its long-term effects on growing kidneys in children.ObjectivesTo investigate the long-term effects of pediatric ESWL on renal function in light of updated literature.MethodsPubMed and Medline were searched for studies on ESWL in a pediatric population with keywords including efficacy, child, kidney calculi, ureter calculi, lithotripsy, injury, vascular trauma, and shock waves. The research was limited to the English literature during a period from 1980 to 2014. In total, 3,000 articles were evaluated, but only 151 papers were considered. Only the manuscripts directly related to the reviewed subjects were included in the current study.ResultsHowever, the acute effects of ESWL in kidney are well-described. Although there are limited studies on the long-term effects of ESWL in children, there is a widespread opinion that ESWL is not affecting renal functions in the long-term.ConclusionESWL is a safe, effective, and noninvasive treatment option in children. Although ESWL can cause some acute effects in the kidney, there is no long-term effect on the growing kidneys of children.

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Evaluation of Renal Function in Children Undergoing Extracorporeal Shock Wave Lithotripsy

Abstract: Shock wave lithotripsy is a safe modality for treating renal calculous disease in children up to 16 years old, with no impact on long-term kidney function.

Cited by 22 publications

References 23 publications

Effect of urinary stone disease and its treatment on renal function

Effect of urinary stone disease and its treatment on renal function

Do JJ Stents Increase the Effectiveness of Extracorporeal Shock Wave Lithotripsy for Pediatric Renal Stones?

Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function

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