Outcome of Small Residual Stone Fragments Following Shock Wave Lithotripsy in Children

Afshar, Kourosh; McLorie, Gordon A.; Papanikolaou, Frank; Malek, Rowja; Harvey, Elizabeth H.; Pippi-Salle, Joao L.; Bägli, Darius; Khoury, Antoine E.; Farhat, Walid A.

doi:10.1097/01.ju.0000138525.14552.1b

Cited by 94 publications

(49 citation statements)

References 17 publications

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“…A small study of 26 kidneys with residual fragments of ≤ 5 mm showed an adverse clinical outcome in 69% [22]. The presence of a metabolic abnormality was associated with stone growth.…”

Section: The Fate Of 'Clinically Insignificant Fragments' After Swlmentioning

confidence: 99%

The natural history of untreated renal tract calculi

Keoghane¹,

Walmsley²,

Hodgson³

2010

BJU International

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“…A small study of 26 kidneys with residual fragments of ≤ 5 mm showed an adverse clinical outcome in 69% [22]. The presence of a metabolic abnormality was associated with stone growth.…”

Section: The Fate Of 'Clinically Insignificant Fragments' After Swlmentioning

confidence: 99%

The natural history of untreated renal tract calculi

Keoghane¹,

Walmsley²,

Hodgson³

2010

BJU International

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“…Higher success rates have been achieved in the treatment of smaller stones.A renal pelvis stone smaller than 2 cm in diameter will be an ideal choice for ESWL treatment. [18][19][20][21][22][23] Dimensions, location, and composition of the stone, anatomy of the renal calyx, superposition of bone on ureter are the most important factors effecting success rates of ESWL.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive approaches and their efficacy in pediatric urolithiasis

Altıntaş

Beytur

Oğuz

et al. 2013

Turkish Journal of Urology

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Objective: We compared the frequency of usage and success of minimally invasive approaches in the management of pediatric urolithiasis in our clinic. Material and methods:Data from pediatric patients (≤16 years of age) who had undergone percutaneous nephrolithotomy (PNL), ureterorenoscopy (URS), and extracorporeal shock wave lithotripsy (ESWL) between January 2001 and December 2011 were retrospectively investigated. Results:In this study, 415 pediatric patients, who were treated for 291 renal, and 124 ureteral stones, were evaluated. The patients were treated with PNL (n=148; 82 boys, 66 girls), URS (n=99; 58 boys, and 41 girls) or ESWL (n=168; 91 boys, and 77 girls). The mean patient ages were 7.3 (1-16), 9.1 (1-16), and 8.8 (1-16) years in the PNL, URS, and ESWL groups, respectively. The stone-free rates after treatment with PNL, URS, and ESWL were 77, 83.8 and 88.7%, respectively. Conclusion:It is important that selected therapies are properly planned, and the use of minimally invasive approaches is important in pediatric patients due to potentially high recurrence rates. Currently, ESWL, PNL and URS are performed with high success rates for the treatment of stones, and open surgery is rarely used due to the success obtained with minimally invasive approaches.

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“…Afshar et al (45) evaluated the consequences of residual fragments following ESWL in the pediatric population. The data of 39 boys and 44 girls with a median age of 7 years and a mean follow up of 46 months who underwent ESWL were analysed.…”

Section: Retrograde Intrarenal Surgerymentioning

confidence: 99%