Therapie der Urolithiasis im Kindesalter

Braun, P.M.; Hoang-Böhm, J.; Portillo, F. J. Martínez; Scheepe, Jeroen R.; Jünemann, Klaus-Peter; Alken, P.; Köhrmann, K. U.

doi:10.1007/s001120050685

Cited by 2 publications

(1 citation statement)

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“…Spontaneous stone passage is easier in children compared with adults, and ureter stenting is not needed as often (only 5–37%) as it is in adults [28–30]. Nevertheless, these patients should receive pharmacological support to pass their stone fragments.…”

Section: Introductionmentioning

confidence: 99%

Pediatric urolithiasis: the current surgical management

2010

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Children represent about 1% of all patients with urolithiasis, but 100% of these children are considered high risk for recurrent stone formation, and it is crucial for them to receive a therapy that will render them stone free. In addition, a metabolic workup is necessary to ensure a tailored metaphylaxis to prevent or delay recurrence. The appropriate therapy depends on localization, size, and composition of the calculus, as well as on the anatomy of the urinary tract. In specialized centers, the whole range of extracorporeal shock-wave lithotripsy (ESWL), ureterorenoscopy (URS), and percutaneous nephrolithotomy (PCNL) are available for children, with the same efficiency and safety as in adults.

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Section: Introductionmentioning

confidence: 99%

Pediatric urolithiasis: the current surgical management

2010

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Urolithiasis bei Kindern – rationelle Diagnostik, Therapie und Metaphylaxe

Fahlenkamp

Noack

Lebentrau³

et al. 2008

Urologe

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With a proportion of 1-5%, children constitute only a small number of all patients with urolithiasis. Nevertheless, pediatric stone disease is an important health care problem because of the high recurrence rate and the threat of progredient renal function impairment with consecutive loss of quality of life. Modern therapies, especially extracorporeal shock wave lithotripsy (ESWL), ureteroscopy (URS), and percutaneous nephrolithotomy (PCNL), have caused a revolution in the operative treatment spectrum. Open surgery is required for stone removal only rarely, such as for the simultaneous repair of urinary tract anomalies. The minimally invasive modalities of modern stone therapy - mainly ESWL as the treatment of first choice - have led to widespread disregard of stone metaphylaxis. The important principle that says an urinary stone is just a symptom and not the cause of the disease is often forgotten. So it must be noted that despite the high standard of care in Germany, not all problems regarding urinary stone disease are being resolved, particularly in childhood. This article presents the current knowledge of the most important aspects of stone therapy and the methods of treatment in children.

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Therapie der Urolithiasis im Kindesalter

Cited by 2 publications

References 24 publications

Pediatric urolithiasis: the current surgical management

Pediatric urolithiasis: the current surgical management

Urolithiasis bei Kindern – rationelle Diagnostik, Therapie und Metaphylaxe

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