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European Journal of Pediatrics

, Volume 147, Issue 6, pp 579–581 | Cite as

Treatment of paediatric urolithiasis by extracorporeal shock-wave lithotripsy

  • D. M. Wilbert
  • O. Schofer
  • H. Riedmiller
Original Investigations

Abstract

Non-surgical removal of renal and ureteral stones has proven successful in adults. In this study, 21 paediatric patients have been treated with the first generation extracorporeal shock-wave lithotriptor and an additional 13 children with a second generation local shock-wave lithotriptor. A total of 47 stones was treated. Treatment-related complications such as colics (17%/18.8%) or fever (8.3%/6.2%) were minimal. Stone passage occurred in 93% and 100%, respectively of each group. Open surgery is still the treatment of choice for large staghorn calculi. Extracorporeal shock-wave lithotripsy can be performed successfully in paediatric nephrolithiasis with stones of limited size.

Key words

Nephrolithiasis Extracorporeal shock-wave lithotripsy 

Abbreviations

PNL

percutaneous nephrolithotomy

ESWL

extracorporeal shock-wave lithotripsy

LS

local shock-wave lithotripsy

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References

  1. 1.
    Alken P (1984) Perkutane Nephrolithotomie. Urologe A 23:20–24Google Scholar
  2. 2.
    Chaussy, Ch (ed) (1982) Extracorporeal shockwave lithotripsy. Karger, BaselGoogle Scholar
  3. 3.
    Eisenberger F, Chaussy Ch, Wanner K (1977) Extracorporale Anwendung von hochenergetischen Stoßwellen. — Ein neuer Aspekt in der Behandlung des Harnsteinleidens. Aktnuel Urol 8:3–11Google Scholar
  4. 4.
    Malek S (1986) Pediatric urolithiasis. In: Kelalis, King, Belman (eds) Clinical pediatric urology, 2nd edn. Saunders, Philadelphia, pp 1093–1124Google Scholar
  5. 5.
    Reichenberger H, Wilbert DM, Naser G, Noske E (1986) Ein System für die extrakorporale Stoßwellenlithotripsie mit elektromagnetischer Quelle und lokaler Ankopplung. Vortrag. Dt. Gesellschaft f. Med. Physik, LübeckGoogle Scholar
  6. 6.
    Schäfer RM, Brühl P (1984) Perkutane Litholapaxie im Kindesalter. In: Kaufmann J (ed) Verhandlungsbericht der Deutschen Gesellschaft für Urologie, Springer, Berlin Heidelberg New York, pp 90–93Google Scholar
  7. 7.
    Wilbert DM, Alken P (1984) Extrakorporale Stoßwellenlithotripsie. Ärztebl Rhld-Pf 12:731–739Google Scholar
  8. 8.
    Wilbert DM, El Seweifi A, Alken P (1986) Die Bedeutung der Steingröße bei der ESWL. Aktuel Urol 17:181–185Google Scholar
  9. 9.
    Wilbert DM, Riedmiller H, Alken P, Hohenfellner R (1986) Local shockwave lithotripsy — Clinical results (Vortrag 208). 4th World Meeting on Endourology and ESWL, Madrid, SpainGoogle Scholar
  10. 10.
    Wilbert DM, Riedmiller H, Alken P, Hohenfellner R (1988) Second generation lithotripsy, clinical evaluation. J Urol (in press)Google Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • D. M. Wilbert
    • 1
  • O. Schofer
    • 2
  • H. Riedmiller
    • 1
  1. 1.Department of Urology, Mainz Medical SchoolJohannes Gutenberg-UniversityMainzFederal Republic of Germany
  2. 2.Department of Paediatrics, Mainz Medical SchoolJohannes Gutenberg-UniversityMainzFederal Republic of Germany

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