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Extracorporeal shock wave lithotripsy in infants less than 12-month old

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Abstract

There is a lack of literature on children compared to adults regarding the long-term effects of extracorporeal shock wave lithotripsy (SWL), specifically in infants. The aim of the present study was to analyze the efficacy and safety of SWL in infants and also evaluate its potential adverse effects in the mid-term. Between May 1999 and December 2013, 36 infants with 39 renal units underwent SWL treatment for kidney stones with an electrohydraulic lithotripter (Dornier MPL 9000/ELMED Multimed Classic). All children were less than 12-month old. The mid-term effects of SWL were examined at the last follow-up by measuring arterial blood pressure, random blood glucose level and ipsilateral kidney size. Evaluation of treatment and its consequences was based on clinical examination, blood tests and conventional imaging (plain abdominal radiography and ultrasound). Overall stone-free rate was 84.6 % after 3-month follow-up without any major complications. Mid-term follow-up was available in 20 of 36 children with a mean follow-up of 3.2 ± 2.8 years (range 0.5–15.3). None of the infants were found to develop new onset of hypertension or diabetes. All treated infant kidneys’ sizes were in the normal percentile range. SWL for management of infant kidney stones is effective and safe in the mid-term.

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References

  1. Sarica K (2006) Pediatric urolithiasis: etiology, specific pathogenesis and medical treatment. Urol Res 34:96–101

    Article  CAS  PubMed  Google Scholar 

  2. Sas DJ, Hulsey TC, Shatat IF, Orak JK (2010) Increasing incidence of kidney stones in children evaluated in the emergency department. J Pediatr 157:132–137

    Article  PubMed  Google Scholar 

  3. Newman DM, Coury T, Lingeman JE, Mertz JH, Mosbaugh PG, Steele RE, Knapp PM (1986) Extracorporeal shock wave lithotripsy experience in children. J Urol 136:238–240

    CAS  PubMed  Google Scholar 

  4. Muslumanoglu AY, Tefekli A, Sarilar O, Binbay M, Altunrende F, Ozkuvanci U (2003) Extracorporeal shock wave lithotripsy as first line treatment alternative for urinary tract stones in children: a large scale retrospective analysis. J Urol 170:2405–2408

    Article  PubMed  Google Scholar 

  5. Badawy AA, Saleem MD, Abolyosr A, Aldahshoury M, Elbadry MS, Abdalla MA, Abuzeid AM (2012) Extracorporeal shock wave lithotripsy as first line treatment for urinary tract stones in children: outcome of 500 cases. Int Urol Nephrol 44:661–666

    Article  PubMed  Google Scholar 

  6. Krambeck AE, Gettman MT, Rohlinger AL, Lohse CM, Patterson DE, Segura JW (2006) Diabetes mellitus and hypertension associated with shock wave lithotripsy of renal and proximal ureteral stones at 19 years of followup. J Urol 175:1742–1747

    Article  PubMed  Google Scholar 

  7. Nazli O, Cal C, Ozyurt C, Günaydin G, Cüreklibatir I, Avcieri V, Erhan O (1998) Results of extracorporeal shock wave lithotripsy in the pediatric age group. Eur Urol 33:333–336

    Article  CAS  PubMed  Google Scholar 

  8. Barfield WD, Committee on Fetus and Newborn (2011) Standard terminology for fetal, infant, and perinatal deaths. Pediatrics 128:177–181

    Article  PubMed  Google Scholar 

  9. Lottmann HB, Archambaud F, Traxer O, Mercier-Pageyral B, Helal B (2000) The efficacy and parenchymal consequences of extracorporeal shock wave lithotripsy in infants. BJU Int 85:311–315

    Article  CAS  PubMed  Google Scholar 

  10. McLorie GA, Pugach J, Pode D, Denstedt J, Bagli D, Meretyk S, D’A Honey RJ, Merguerian PA, Shapiro A, Khoury AE, Landau EH (2003) Safety and efficacy of extracorporeal shock wave lithotripsy in infants. Can J Urol 10:2051–2055

    PubMed  Google Scholar 

  11. Ramakrishnan PA, Medhat M, Al-Bulushi YH, Nair P, Al-Kindy A (2007) Extracorporeal shockwave lithotripsy in infants. Can J Urol 14:3684–3691

    PubMed  Google Scholar 

  12. Zeng G, Jia J, Zhao Z, Wu W, Zhao Z, Zhong W (2012) Treatment of renal stones in infants: comparing extracorporeal shock wave lithotripsy and mini-percutaneous nephrolithotomy. Urol Res 40:599–603

    Article  CAS  PubMed  Google Scholar 

  13. El Nashar AM, Metwally AH, Abd El Kader O, Ali EE, Abdelbaseer M (2014) Efficacy of shock wave lithotripsy in management of kidney stones in infants. AFJU 20:14–17

    Article  Google Scholar 

  14. Adanur S, Ziypak T, Yılmaz AH, Kocakgol H, Aksoy M, Yapanoglu T, Polat O, Aksoy Y (2014) Extracorporeal shockwave lithotripsy under sedoanalgesia for treatment of kidney stones in infants: a single-center experience with 102 cases. Int Urol Nephrol 46:2095–2101

    Article  CAS  PubMed  Google Scholar 

  15. Ather MH, Noor MA (2003) Does size and site matter for renal stones up to 30 mm in size in children treated by extracorporeal lithotripsy? Urology 61:212–215

    Article  PubMed  Google Scholar 

  16. Göktaş C, Akça O, Horuz R, Gökhan O, Albayrak S, Sarica K (2012) Does child’s age affect interval to stone-free status after SWL? A critical analysis. Urology 79:1138–1142

    Article  PubMed  Google Scholar 

  17. Yu C, Longfei L, Long W, Feng Z, Jiping N, Mao L, Lin Q, Hequn C (2014) A systematic review and meta-analysis of new onset hypertension after extracorporeal shock wave lithotripsy. Int Urol Nephrol 46:719–725

    Article  PubMed  Google Scholar 

  18. Akin Y, Yucel S (2014) Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function. Res Rep Urol 6:21–25

    PubMed  PubMed Central  Google Scholar 

  19. El-Nahas AR, Awad BA, El-Assmy AM, Abou El-Ghar ME, Eraky I, El-Kenawy MR, Sheir KZ (2013) Are there long-term effects of extracorporeal shockwave lithotripsy in paediatric patients? BJU Int 111:666–671

    Article  PubMed  Google Scholar 

  20. Azili MN, Ozturk F, Inozu M, Çayci FŞ, Acar B, Ozmert S, Tiryaki T (2015) Management of stone disease in infants. Urolithiasis 43:513–519

    Article  PubMed  Google Scholar 

  21. Onal B, Tansu N, Demirkesen O, Yalcin V, Huang L, Nguyen HT, Cilento BG, Erozenci A (2013) Nomogram and scoring system for predicting stone-free status after extracorporeal shock wave lithotripsy in children with urolithiasis. BJU Int 111:344–352

    Article  PubMed  Google Scholar 

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Correspondence to Burak Turna.

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Turna, B., Tekin, A., Yağmur, İ. et al. Extracorporeal shock wave lithotripsy in infants less than 12-month old. Urolithiasis 44, 435–440 (2016). https://doi.org/10.1007/s00240-015-0856-3

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  • DOI: https://doi.org/10.1007/s00240-015-0856-3

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