Extra corporeal shock wave lithotripsy for the management of paediatric urolithiasis

ABSTRACT

Between 1992 and 1994, 33 children with urinary calculi [renal, ureters, bladder] were treated in Al-Nour Specialized Hospital and King Fahad Hospital in Holy Makkah and Jeddah [K.S.A.] using lithostar plus 2 for extra corporeal shock wave lithotripsy. Lithotripsy was performed on 28 renal cases; 8 ureteral and 2 bladder stones. The success rate [stone free and fragments 3 mm or less] for renal stones was 81.3% within 3 months and the stone free rate 95.4% after 3 months and auxilliary procedures were performed in 25% of the renal calculi. The success rate for ureteral calculi was 85% within 3 months, the stone free rate was 90.3% after 3 months and auxilliarv procedure were performed in 10% of the ureteral calculi. The over all success rate was 87% within 3 months, stone free rate 95.2% after 3 months, the retreatment 37% and auxilliary procedure were 39%, while 2 children with stone bladder the clearance rate after 3 weeks 100%. Ureterolithotomy was performed in 2 cases while one patient underwent percutaneous nephrostomy to obviate urinary obstruction, 10 patients out 33 children underwent ESWL have developed complications, [Colic 13%, fever 3%, perirenal hematoma 3% and mild hematuria in 6%]