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Stepwise shock wave lithotripsy: Results of initial study for the treatment of urinary stones in childhood

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Abstract

Objective: To assess the effectiveness of stepwise extracorporeal shock wave lithotripsy in the treatment of upper urinary stones in childhood. Patients and methods: Between August 1998 and August 2003, 31 patients were treated for renal or ureteric stones. All treatments were performed with Dornier Compact Delta lithotripter. The number of shock wave was limited to maximum 3000 shock waves/session. The voltage was started at 10 kV and increased stepwise to 12.75 kV. Stone clearance was assessed at 3 months. The stone free state was defined as the absence of stone fragments. Results: Total 31 stones (24 renal and 7 ureteral stones) were treated. The age of the patients was median 8 (min–max: 0.8–12) years. The length of the stones was median 1 (min–max: 0.5–1.5) cm for renal stones and median 0.5 (min–max: 0.5–1) cm for ureteral stones. As an auxiliary procedure, open pyelolithotomy was required for 1 patient. The overall stone free rates for renal and ureter stones were 79% and 100%, respectively. Post-treatment insignificant hematuria was observed in all cases. Conclusion: Stepwise shock wave lithotripsy was an effective procedure for the treatment of urinary calculi in childhood.

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References

  1. S Choong H Whitfield P Duffy et al. (2000) ArticleTitleThe management of paediatric urolithiasis Br J Urol 86 857–860 Occurrence Handle1:STN:280:DC%2BD3M7hsFCksA%3D%3D

    CAS  Google Scholar 

  2. M Fraser AD Joyce DFM Thomas et al. (1999) ArticleTitleMinimally invasive treatment of urinary tract calculi in children Br J Urol 84 339–342 Occurrence Handle1:STN:280:DyaK1MzpvFSlsw%3D%3D

    CAS  Google Scholar 

  3. HB Lottmann F Archambaud O Traxer et al. (2000) ArticleTitleThe efficacy and parenchymal consequences of extracorporeal shock wave lithotripsy in infants Br J Urol 85 311–315 Occurrence Handle1:STN:280:DC%2BD3c7jvVKjtw%3D%3D

    CAS  Google Scholar 

  4. DS Lampel A Lampel (2001) ArticleTitleThe surgical management of stones in children Br J Urol 87 732–740

    Google Scholar 

  5. MA Sayed AM el-Taher HA Aboul-Ella SE Shaker (2001) ArticleTitleSteinstrasse after extracorporeal shock wave lithotripsy: aetiology, prevention and management Br J Urol 88 675–678 Occurrence Handle1:STN:280:DC%2BD387lslyjtg%3D%3D

    CAS  Google Scholar 

  6. Y Zhou FH Cocks GM Preminger P Zhong (2004) ArticleTitleThe effect of treatment strategy on stone comminution efficiency in shock wave lithotripsy J Urol 172 349–354 Occurrence Handle15201809 Occurrence Handle10.1097/01.ju.0000132356.97888.8b

    Article  PubMed  Google Scholar 

  7. A Tekin S Tekgul N Atsu A Ergen S Kendi (2001) ArticleTitleUreteropelvic junction obstruction and coexisting renal calculi in children: role of metabolic abnormalities Urology 57 542–545 Occurrence Handle11248635 Occurrence Handle1:STN:280:DC%2BD3M3islKgsA%3D%3D Occurrence Handle10.1016/S0090-4295(00)01030-X

    Article  PubMed  CAS  Google Scholar 

  8. Y Shiroyanagi T Yagisawa M Nanri et al. (2002) ArticleTitleFactors associated with failure of extracorporeal shock-wave lithotripsy for ureteral stones using Dornier lithotripter U/50 Int J Urol 9 304–307 Occurrence Handle12110093 Occurrence Handle10.1046/j.1442-2042.2002.00475.x

    Article  PubMed  Google Scholar 

  9. JC Williams SuffixJr KC Saw RF Paterson et al. (2003) ArticleTitleVariability of renal stone fragility in shock wave lithotripsy Urology 61 1092–1097 Occurrence Handle12809867 Occurrence Handle10.1016/S0090-4295(03)00349-2

    Article  PubMed  Google Scholar 

  10. MS Ansari NP Gupta A Seth et al. (2003) ArticleTitleStone fragility: its therapeutic applications in shock wave lithotripsy of upper urinary tract stones Int Urol Nephrol 35 387–392 Occurrence Handle15160546 Occurrence Handle1:STN:280:DC%2BD2c3mt1ejsA%3D%3D Occurrence Handle10.1023/B:UROL.0000022939.61851.22

    Article  PubMed  CAS  Google Scholar 

  11. ON Gofrit D Pode S Meretyk et al. (2001) ArticleTitleIs the pediatric ureter as efficient as the adult ureter in transporting fragments following extracorporeal shock wave lithotripsy for renal calculi larger than 10 mm? J Urol 166 1862–1864 Occurrence Handle11586249 Occurrence Handle1:STN:280:DC%2BD3MrjvFWrsg%3D%3D Occurrence Handle10.1016/S0022-5347(05)65707-2

    Article  PubMed  CAS  Google Scholar 

  12. AY Muslumanoglu A Tefekli O Sarılar et al. (2003) ArticleTitleExtracorporeal shock wave lithotripsy as first line treatment alternative for urinary tract stones in children: a large scale for retrospective analysis J Urol 170 2405–2408 Occurrence Handle14634438 Occurrence Handle10.1097/01.ju.0000096422.72846.80

    Article  PubMed  Google Scholar 

  13. AR Shukla DL Hoover YL Homsy et al. (2001) ArticleTitleUrolithiasis in the low birth weight infant: the role and efficacy of extracorporeal shock wave lithotripsy J Urol 165 2320–2323 Occurrence Handle11371971 Occurrence Handle1:STN:280:DC%2BD3M3nsFelsQ%3D%3D Occurrence Handle10.1016/S0022-5347(05)66194-0

    Article  PubMed  CAS  Google Scholar 

  14. HB Lotmann F Archambaud B Hellal et al. (1998) ArticleTitle 99mTechnetium – Dimercapto – succinic acid renal scan in the evaluation of potential long-term renal parenchymal damage associated with extracorporeal shock wave lithotripsy in children J Urol 159 521–524 Occurrence Handle10.1016/S0022-5347(01)63975-2

    Article  Google Scholar 

  15. KK Villanyi JG Szekely LM Farkas et al. (2001) ArticleTitleShort-term changes in renal function after extracorporeal shock wave lithotripsy in children J Urol 166 222–224 Occurrence Handle11435873 Occurrence Handle1:STN:280:DC%2BD3MznslCrsw%3D%3D Occurrence Handle10.1016/S0022-5347(05)66130-7

    Article  PubMed  CAS  Google Scholar 

  16. GG Tally (1999) ArticleTitleConsecutive experience with four Dornier lithotripters: HM4, MPL900, Compact, and U50 J Endourol 13 329–338 Occurrence Handle10.1089/end.1999.13.329

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, School of Medicine, Erciyes University Medical Faculty, 38039, Kayseri, Turkey

    Deniz Demirci, Erçin Altıok, İbrahim Gülmez & Oğuz Ekmekçioğlu

  2. Department of Pediatric Nephrology, Erciyes University Medical Faculty, Kayseri, Turkey

    Hakan M. Poyrazoğlu

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  1. Deniz Demirci
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  2. Erçin Altıok
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  3. İbrahim Gülmez
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  4. Oğuz Ekmekçioğlu
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  5. Hakan M. Poyrazoğlu
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Correspondence to Deniz Demirci.

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Demirci, D., Altıok, E., Gülmez, İ. et al. Stepwise shock wave lithotripsy: Results of initial study for the treatment of urinary stones in childhood. Int Urol Nephrol 38, 189–192 (2006). https://doi.org/10.1007/s11255-005-4971-x

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  • DOI: https://doi.org/10.1007/s11255-005-4971-x

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