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Pediatric urolithiasis: review of research and current management

  • Urological Review
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Abstract

The treatment of urolithiasis in children has changed dramatically in recent years. With the proven safety and efficacy of extracorporeal shock wave lithotripsy (ESWL), percutaneous lithotripsy and ureteroscopy in adults, these modalities are now in the forefront of the treatment of pediatric urinary stones. Our research in the juvenile non-human primate with ESWL indicates that renal damage in most cases is neither significant or persistent. In addition, technological advances in instrumentation have cleared the way for the use of percutaneous lithotripsy and ureteroscopy in most pediatric patients. Today, open surgical procedures for stone disease in children should be a last resort.

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Authors and Affiliations

  1. Department of Urology and Pediatrics, Tulane School of Medicine, New Orleans, Louisiana, USA

    Edwin P. Harmon & Raju Thomas

  2. Department of Urology, University of Texas, Galveston, Texas, USA

    Durwood E. Neal

Authors
  1. Edwin P. Harmon
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  2. Durwood E. Neal
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  3. Raju Thomas
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Harmon, E.P., Neal, D.E. & Thomas, R. Pediatric urolithiasis: review of research and current management. Pediatr Nephrol 8, 508–512 (1994). https://doi.org/10.1007/BF00856552

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  • DOI: https://doi.org/10.1007/BF00856552

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