Pediatric Nephrology

, Volume 25, Issue 7, pp 1239–1244 | Cite as

Pediatric urolithiasis: the current surgical management

  • Michael StraubEmail author
  • Jürgen Gschwend
  • Christoph Zorn
Educational Review


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.


ESWL PCNL URS Urolithiasis Children Pediatric urolithiasis Endoscopy 



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Copyright information

© IPNA 2010

Authors and Affiliations

  • Michael Straub
    • 1
    • 2
    Email author
  • Jürgen Gschwend
    • 1
  • Christoph Zorn
    • 1
  1. 1.Department of UrologyTechnische Universität MünchenMünchenGermany
  2. 2.Rechts der Isar Medical Center, Department of UrologyTechnische Universität MünchenMünchenGermany

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