Extracorporeal Shock Wave Lithotripsy Experience in Children

Rupture of undiagnosed embryonal rhabdomyosarcoma after shock wave lithotripsy in an 11-year-old girl

“…A large series of SWL in children demonstrated complications, safety and stone-free rates similar to those in adults. 5 Although SWL has generally been accepted as a safe procedure, major complications have been reported after SWL. 3,6 These complications include transient gross hematuria, flank pain, urinary tract infection, and hematoma, which usually can be managed conservatively.…”

Minimally invasive approaches and their efficacy in pediatric urolithiasis

“…[6,7] Even in cases with recurrent stone disease, endourological procedures have been repeatedly, and successfully performed, and in the long-term postoperative follow-up period a significant urinary system damage has not occurred after applications of ESWL, PNL, and URS. [8][9][10][11][12] Management of stone disease with ESWL was firstly reported in 1986 by Newman et al [13] As is the case with adult patients, in pediatric patients ESWL is accepted to be the firstline treatment alternative in the management of renal stones smaller than 2 cm in diameter. [14][15][16][17] Comparable success rates of ESWL have been reportedly achieved in children, and adults.…”

Çocuk Böbrek Taşlarinda Eswl Uygulamasi

“…1982'de Chaussy ve arkadaşlarının ilk insan deneyimleri ve 1984'-deki FDA onayından sonra, ESWL üriner sistem taş hastalığı tedavisini dramatik olarak değiştirmiş, emin ve etkili bir yöntem olarak ilk seçenek durumuna gelmiştir (2,5). Bugün ESWL ve endoürolojik girişimler sonucunda ,açık cerrahi yaklaşım, tüm taş hastalarında % 1-2 seviyelerindedir (4).…”