Abstract

Objectives: As in adult patients, “Extracorporeal Shockwave Lithotripsy” treatment is a frequently used treatment in pediatrics. In this study, we retrospectively evaluated the results and the complications of ESWL treatment in children for renal and ureteral stones.

Material and Methods: In this study, we included the data of 282 pediatric patients that underwent ESWL using Stonelith PCK V-5 Lithotriptor device for the treatment of renal and ureteral stones between January 1998 and February 2013. ESWL procedure is conducted in the supine position and with sessions of 20-45 mins. Each ESWL session exercised at least 2000 up to 3500 shock waves with 13 kV increasing up to 17 kV according to the severity of the case.

Results: The mean age of 105 girls and 177 boys was 10.41 (range: 1-17). The mean stone burden was 1.3 cm2 (range: 0.5-5 cm2) (1.58 cm2 for kidney stones and 1.02 cm2 for ureteral stones) and a total of 392 ESWL sessions were performed. Fentanyl and/or ketamine sedo-analgesia were required in 204 patients. The complete stone free rate was 82.2 %. Hematuria, in 87 patients, and skin brushing, in 62, were the only minor complications. Ureterorenoskopy in 14 patients and percutaneous nephrolithotomy in 19 patients were performed as additional intervention for the treatment of the residual stones.

Conclusion: ESWL is a commonly used treatment method with low morbidity, applicability with minimal need for anesthesia, and high stone-free rate in the treatment of pediatric urolithiasis.

Key Words: Pediatric; Stone; ESWL.