Upper urinary tract stone disease in children

ABSTRACT

The urolithiasis has become a significant health problem in our population. Symptoms of urinary calculi in children vary with age. Treatment option should be directed towards renal parenchyma. OBJECTIVE: To find out various modes of presentation. To find out the advantages of to treatment modalities in children with urinary stone disease. SETTING: The study was conducted in urology department Mayo Hospital Lahore. STUDY DESIGN: Forty children below the age of fourteen years with upper urinary tract stone disease were studies in two groups. Group A thirty patients were treated by open surgery and Group B ten patients with extracorporeal shockwave lithotripsy. PERIOD Oct 1996 to Sep 1997. Results showed 97% success rate in open surgery and 80% in ESWL. CONCLUSIONS; ESWL is a safe, non invasive and effective modality in small sized stones in children. Traditional open surgery may be the preferred treatment for paediatric urolithiasis in a developing country like Pakistan because of poverty, poor long term follow up due to lack of health education and infrequent availability of the facility in government sector