Pediatric Nephrology

, Volume 5, Issue 3, pp 339–347 | Cite as

Surgical aspects of urolithiasis in children

  • Hamada El-Damanhoury
  • Rainer Bürger
  • Rudolf Hohenfellner
Practical Pediatric Nephrology


Operative management of renal calculi has changed radically in the last decade. New operative techniques. the use of intra-operative ultrasound and Doppler sonography have even made possible the removal of complete staghorn calculi in short and kidney-preserving procedures. The introduction of percutaneous nephrolithotomy and stone extraction using a specially designed ureteroscope and, above all, the clinical application of extracorporeal shock wave lithotripsy have made stone surgery less invasive and have provided a higher rate of preservation of kidney function.

Key words

Urolithiasis Surgery Endourology Extracorporeal shock wave lithotripsy Chemolysis 


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  1. 1.
    Sinno K, Boyce WH, Resnick MI (1979) Childhood urolithiasis. J Urol 121:662–664PubMedGoogle Scholar
  2. 2.
    Borgmann V, Nagel R (1982) Urolithiasis in children. Urol Int 37: 198PubMedGoogle Scholar
  3. 3.
    Pais M, Retik AB (1975) Reversible hydronephrosis in the neonate with urinary sepsis. N Engl J Med 292:465PubMedGoogle Scholar
  4. 4.
    Barnner MP, Pollack HM (1983) Radiologic evaluation of urinary calculi. In: Roth RA, Finlayson B (eds) Stones: clinical management of urolithiasis. Williams and Wilkins, Baltimore, pp 53–166Google Scholar
  5. 5.
    Mandell VS, Mandell J, Gaisie G (1985) Pediatric urologic radiology, intervention and endourology. Urol Clin North Am 12:151–168PubMedGoogle Scholar
  6. 6.
    Ash JM, Gilday DL (1980) Renal nuclear imaging and analysis in pediatric patients. Urol Clin North Am 7:201PubMedGoogle Scholar
  7. 7.
    Chervu LR, Blaufax MB (1982) Renal radiopharmaceuticals: an update. Semin Nucl Med 12:224–245PubMedGoogle Scholar
  8. 8.
    Jenny EF, Voges GE, Riedmiller HN, Nägele-Wöhrle B, Hohenfellner R (1989) 99mTc-Mercaptoacetyltriglycerine (MAG3) — a new radioisotope for renal function and reflux studies especially in children. J Urol 141:226AGoogle Scholar
  9. 9.
    Cukier J, Martinez-Navas F (1983) La lithiase urinaire de l'enfant. In: Journées Urologiques de Necker. Masson, Paris, pp 133–138Google Scholar
  10. 10.
    Malek RS (1976) Urolithiasis. In: Kelalis PP, King LR (eds) Clinical pediatric urology. Saunders, Philadelphia, pp 856–895Google Scholar
  11. 11.
    Laufer J, Boichis H (1989) Urolithiasis in children: current medical management. Pediatr Nephrol 3:317–331PubMedGoogle Scholar
  12. 12.
    Alken P, Thüroff J, Riedmiller H, Hohenfellner R (1984) Doppler sonography and B-mode ultrasound scanning in renal stone surgery. Urology 23:455PubMedGoogle Scholar
  13. 13.
    Seddon JM, Bonin RE (1977) Coagulum pyelolithotomy. Urology 9: 564PubMedGoogle Scholar
  14. 14.
    Boyce WH, Smith MGV (1967) Anatrophic nephrotomy and plastic calyrraphy. Trans Am Assoc Genitourinary Surgeons 59:18–24Google Scholar
  15. 15.
    Johnston JH (1982) Urolithiasis: surgical aspects. In: Williams DI, Johnston JH (eds) Paediatric urology. Butterworth, London, pp 361–367Google Scholar
  16. 16.
    Caldamone AA (1983) Surgery of upper urinary tract calculi in children. Urol Clin North Am 10:645–648PubMedGoogle Scholar
  17. 17.
    Aurora AL, Taneja OP, Gupta DN (1970) Bladder stone disease of childhood, an epidemiologic study. Acta Paediatr Scand 59: 177–184PubMedGoogle Scholar
  18. 18.
    Valysevi A, Halstead SB, Dhanamitta S (1967) Studies of bladder sone disease in Thailand. VI. Urinary studies in children, 2–10 years old, resident in a hypo- and hyper-endemic area. Am J Clin Nutr 20: 1362–1368PubMedGoogle Scholar
  19. 19.
    Loutfi A, Reen R van, Abdel Hamid G (1974) Studies on bladder stone disease in Egyptian children. II. Methodology and general aspects of the disease. J Egypt Med Assoc 57:96–108PubMedGoogle Scholar
  20. 20.
    Eckstein HB (1960) Endemic urinary lithiasis in Turkish children: a clinical study of 119 cases. Arch Dis Child 36:137Google Scholar
  21. 21.
    Sreenevasan G (1981) Incidence of urinary stones in the various states of mainland Malaysia. Med J Malaysia 36:142–147PubMedGoogle Scholar
  22. 22.
    Sreenevasan GE (1984) Urolithiasis: lower urinary tract stone. In: Husain I (ed) Tropical urology and renal disease. Churchill Livingstone, New York, pp 200–207Google Scholar
  23. 23.
    Hohenfellner R, Marberger M (1977) Vesical calculi. In: Eckstein HB, Hohenfellner R, Williams DI (eds) Surgical pediatric urology. Thieme, Stuttgart, p 282Google Scholar
  24. 24.
    Fernström I, Johansson B (1976) Percutaneous pyelolithotomy: a new extraction technique. Scand J Urol Nephrol 10:257–259PubMedGoogle Scholar
  25. 25.
    Whitaker RH (1973) Methods of assessing obstruction in dilated ureters. Br J Urol 45:15PubMedGoogle Scholar
  26. 26.
    LiPuma JP, Haaga JR, Bryan PJ, Resnick MI, El Yousef SJ, Persky L, Caldamone A (1984) Percutaneous nephrostomy in neonates and infants. J Urol 132:722PubMedGoogle Scholar
  27. 27.
    King LR, Coughlin PWF, Ford KK, Brown MW, Van Moore A (1984) Initial experiences with percutaneous and transurethral ablation of postoperative ureteral strictures in children. J Urol 131:1167PubMedGoogle Scholar
  28. 28.
    Woodside JR, Stevens GF, Stark GL, Borden TA, Ball WS (1985) Percutaneous stone removal in children. J Urol 134:1166–1167PubMedGoogle Scholar
  29. 29.
    Alken P, Hutschenreiter G, Günther R (1982) Percutaneous kidney stone removal. Eur Urol 8:304–311PubMedGoogle Scholar
  30. 30.
    Alken P (1981) Teleskopbougierset zur perkutanen Nephrostomie. Akt Urol 12:216–219Google Scholar
  31. 31.
    Marberger M, Stackl W, Hruby W (1982) Percutaneous litholapaxy of renal calculi with ultrasound. Eur Urol 8:236–242PubMedGoogle Scholar
  32. 32.
    Boddy S-AM, Kellett MJ, Fletcher MS, Ransley BG, Paris AMI, Whitfield HN, Wickham JEA (1987) Extracorporeal shockwave lithotripsy and percutaneous nephrolithotomy in children. J Pediatr Surg 22:223–227PubMedGoogle Scholar
  33. 33.
    Shepherd P, Thomas R, Harmon EP (1988) Urolithiasis in children: innovations in management. J Urol 140:790–792PubMedGoogle Scholar
  34. 34.
    Borgmann V, Nagel R (1982) Urolithiasis in childhood: a study of 181 cases. Urol Int 37:198PubMedGoogle Scholar
  35. 35.
    Perez-Castro Ellendt E, Martinez-Piñeiro JA (1982) Ureteral and renal endoscopy: a new approach. Eur Urol 8:117–120PubMedGoogle Scholar
  36. 36.
    Huffman JL, Bagley DH, Lyon ES (1982) Treatment of distal ureteral calculi using rigid ureteroscope. Urology 20:574PubMedGoogle Scholar
  37. 37.
    Goodfried R (1984) Ultrasonic and electrohydraulic lithotripsy of ureteral calculi. Urology 23:5Google Scholar
  38. 38.
    Blute ML, Segura JW, Patterson DE (1988) Ureteroscopy. Jura 139: 510–512Google Scholar
  39. 39.
    Ritchey M, Patterson DE, Kelalis PP, Segura JW (1988) A case of pediatric ureteroscopic lasertripsy. J Urol 139:1272–1274PubMedGoogle Scholar
  40. 40.
    Chaussy C, Schmiedt E, Jocham D, Brendel W, Forssmann B, Walther V (1982) First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol 127: 417–419PubMedGoogle Scholar
  41. 41.
    Chaussy CH, Brendel W, Schmiedt E (1980) Extracorporeally induced destruction of kidney stones by shock waves. Lancet II: 1265–1268Google Scholar
  42. 42.
    Chaussy CG, Fuchs GJ (1989) Current state and future developments of noninvasive treatment of human urinary stones with extracorporeal shock wave lithotripsy. J Urol 141:782–789PubMedGoogle Scholar
  43. 43.
    Saltzman B (1988) Second-generation shock-wave lithotripters. Variation, indications, and efficacy in the treatment of ureteral calculi. Urol Clin North Am 15:385–392PubMedGoogle Scholar
  44. 44.
    Kuwahara M, Kambe K, Kurosu S, Ioritani N, Kageyama S, Orikase S, Takayama K (1987) Clinical application of extracorporeal shock wave lithotripsy using microexplosions. J Urol 137:837–840PubMedGoogle Scholar
  45. 45.
    Wilbert DM, Reichenberger H, Noske E, Riedmiller H, Alken P, Hohenfellner R (1987) New generation shock wave lithotripsy. J Urol 138:563–565PubMedGoogle Scholar
  46. 46.
    Ziegler M, Kopper B, Riedlinger R, Wurster H, Ueberle F, Neisius D, Krauss W, Vallon P, Gebhardt T (1986) Die Zertrümmerung von Nierensteinen mit einem piezoelektrischen Gerätesystem. Erste klinische Erfahrungen. Urologe [A] 25:193Google Scholar
  47. 47.
    Newman DM, Coury T, Lingeman JE, Mertz JHO, Mosbaugh PG, Steele RE, Knapp PM (1986) Extracorporeal shock wave lithotripsy experience in children. J Urol 136:238–240PubMedGoogle Scholar
  48. 48.
    Wilbert DM, Schofer O, Riedmiller H (1988) Treatment of paediatric urolithiasis by extracorporeal shock wave lithotripsy. Eur J Pediatr 147:579–581PubMedGoogle Scholar
  49. 49.
    Frick J, Köhle R, Kunit G (1988) Experience with extracorpreal shock wave lithotripsy in children. Eur Urol 14:181–183PubMedGoogle Scholar
  50. 50.
    Böhle A, Knipper A, Thomas C (1989) Extracorporeal shock wave lithotripsy in paediatric patients. Scand J Urol Nephrol 23:137–140PubMedGoogle Scholar
  51. 51.
    Braren W (1987) ESWL management of children urolithiasis: state of the art. Dial Pediatr Urol 10:2Google Scholar
  52. 52.
    Newman DM (1987) The Methodist Hospital experience with ESWL: state of the art. Dial Pediatr Urol 10:3Google Scholar
  53. 53.
    Riedmiller H (1987) Experience with two ESWL machines: state of the art. Dial Pediatr Urol 10:4Google Scholar
  54. 54.
    Kroovand RL (1987) ESWL in spina bifida child: state of the art. Dial Pediatr Urol 10:6Google Scholar
  55. 55.
    Sheldon CA, Smith AD (1982) Chemolysis of calculi. Urol Clin North Am 9:121–130PubMedGoogle Scholar
  56. 56.
    Finlayson B (1974) Renal lithiasis in review. Urol Clin North Am 1: 181PubMedGoogle Scholar
  57. 57.
    Burns JR, Gauthier JF, Finlayson B (1984) Dissolution kinetics of uric acid calculi. J Urol 131:708PubMedGoogle Scholar
  58. 58.
    Rodman JS, Williams JJ, Peterson CM (1984) Dissolution of uric acid calculi. J Urol 131:1039PubMedGoogle Scholar
  59. 59.
    Newman GE (1985) Chemolysis of renal calculi. In: Carson CC, Dunnick NR (eds) Endourology, Churchill Livingstone, New York, pp 181–190Google Scholar
  60. 60.
    Schmeller NT, Kersting H, Schüller J, Chaussy C, Schmiedt E (1984) Combination of chemolysis and shock wave lithotripsy in the treatment of cystine renal calculi. J Urol 131:434PubMedGoogle Scholar
  61. 61.
    Hayase Y, Fukatsu H, Segawa A (1980) The dissolution of cystine stones by irrigated tiopronine solution. J Urol 124:775PubMedGoogle Scholar
  62. 62.
    Smith AD, Lee WJ (1983) Fercutaneous stone removal procedures including irrigation. Urol Clin North Am 10:719PubMedGoogle Scholar

Copyright information

© IPNA 1991

Authors and Affiliations

  • Hamada El-Damanhoury
    • 1
  • Rainer Bürger
    • 1
  • Rudolf Hohenfellner
    • 1
  1. 1.Department of UrologyJohannes Gutenberg University, Medical SchoolMainzFederal Republic of Germany

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