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Experience of high polymer gel pad assisted ultrasound monitoring in the treatment of infant urolithiasis during extracorporeal shock wave lithotripsy

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Abstract

In the extracorporeal shock wave lithotripsy for infants, we used a medical polymer gel pad to assist ultrasonic positioning, so that the ultrasonic probe could be far away from the shock wave energy field. Although not affecting the ultrasonic positioning and monitoring effect, we discussed the protective effect of this method on the ultrasonic probe. A retrospective analysis was made on 21 infants (0–3 years old) who received ESWL in our hospital from June 2021 to February 2023. After the stones were accurately located by B-ultrasound before surgery, a 4 * 5 * 10 cm medical polymer gel pad was placed between the skin and the ultrasonic probe to keep the ultrasonic probe away from the shock wave energy field. The B-ultrasonic wave source locked the target stone through the gel pad, and the lithotripter Dornier Compact Delta II was used for lithotripsy. The extracorporeal shock wave lithotripsy was completed under the whole process of B-ultrasonic monitoring. All patients completed the surgery under ultrasound monitoring, and there were no abnormalities in the ultrasound probe during the surgery. The average stone size was 0.60 ± 0.21 cm, the surgical time was 39.8 ± 13.8 min, and the total energy of lithotripsy was 7.41 ± 4.35 J. There were no obvious complications in all patients after the surgery. After 2 weeks of ultrasound examination, the success rate of lithotripsy in 21 patients reached 85.7%. We believe that the use of the gel pad increases the distance between the ultrasonic probe and the skin, leaving the probe away from the shock wave energy field, avoiding the damage of the shock wave source to the ultrasonic probe, and does not affect the monitoring effect of ultrasound on stones and the success rate of lithotripsy, which is worthy of further promotion in the field of children’s urinary stones.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

References

  1. Tasian GE, Copelovitch L (2014) Evaluation and medical management of kidney stones in children. J Urol 192(5):1329–1336

    Article  PubMed  Google Scholar 

  2. Lu J, Sun X, He L, Wang Y (2009) Efficacy of extracorporeal shock wave lithotripsy for ureteral stones in children. Pediatr Surg Int 25:1109–1112

    Article  PubMed  Google Scholar 

  3. Slavkovic A, Radovanovic M, Vlajkovic M et al (2006) Extracorporeal shock wave lithotripsy in the management of pediatric urolithiasis. Urol Res 34:315–320

    Article  CAS  PubMed  Google Scholar 

  4. Erdenetsesteg G, Manohar T, Singh H et al (2006) Endourologic management of pediatric urolithiasis: proposed clinical guidelines. J Endourol 20:737–748

    Article  PubMed  Google Scholar 

  5. Villanyi KK, Szekely JG, Farkas LM et al (2001) Short term changes in renal function after extracorporeal shock wave lithotripsy in children. J Urol 166:222–224

    Article  CAS  PubMed  Google Scholar 

  6. Adans M, Newman D, Lingeman J et al (1989) Extracorporeal shock wave lithotripsy in pediatric age population: short and term result. J Urol 140:271–274

    Google Scholar 

  7. Gofrit ON, Pode D, Meretyk S et al (2001) Is 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

    Article  CAS  PubMed  Google Scholar 

  8. Jeong US, Lee S, Kang J et al (2013) Factors affecting the outcome of extracorporeal shock wave lithotripsy for unilateral urinary stones in children: a 17-year single-institute experience. Korean J Urol 54:460–466

    Article  PubMed  PubMed Central  Google Scholar 

  9. Tasian GE, Kabarriti AE, Kalmus A et al (2017) Kidney stone recurrence among children and adolescents. J Urol 197(1):246–252

    Article  PubMed  Google Scholar 

  10. Constanti M, Calvert RC, Thomas K, Dickinson A, Carlisle S (2020) Cost analysis of ureteroscopy (URS) vs. extracorporeal shockwave lithotripsy (ESWL) in the management of ureteric stones <10 mm in adults: a UK perspective. BJU Int 125(3):457–466

    Article  PubMed  Google Scholar 

  11. He Q, Xiao K, Chen Y, Liao B, Li H, Wang K (2019) Which is the best treatment of pediatric upper urinary tract stones among extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy and retrograde intrarenal surgery: a systematic review. BMC Urol 19(1):98

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Esposito C, Masieri L, Bagnara V, Tokar B, Golebiewski A, Escolino M (2019) Ureteroscopic lithotripsy for ureteral stones in children using holmium: yag laser energy−results of a multicentric survey. J Pediatr Urol 15(4):391.e1-e7

    Article  CAS  PubMed  Google Scholar 

  13. Iqbal N, Assad S, Rahat Aleman Bhatti J, Hasan A, Shabbir MU, Akhter S (2016) Comparison of extracorporeal shock wave lithotripsy for urolithiasis between children and adults: a single centre study. Cureus 8(9):e810

    PubMed  PubMed Central  Google Scholar 

  14. Chan LH, Good DW, Laing K, Phipps S, Thomas BG, Keanie JY et al (2017) Primary SWL is an efficient and cost-effective treatment for lower pole renal stones between 10 and 20 mm in size: a large single center study. J Endourol 31(5):510–516

    Article  PubMed  Google Scholar 

  15. Salem HK, Morsi HA, Omran A, Daw MA (2007) Tubeless percutaneous nephrolithotomy in children. J Pediatr Urol 3(3):235–238

    Article  Google Scholar 

  16. El-Nahas AR, Awad BA, El-Assmy AM, Abou El-Ghar ME, Eraky I, El-Kenawy MR, Sheir KZ (2013) Are there long-term effects of extracorporeal shockwave lithotripsy in pediatric patients? BJU Int 111(4):666–671

    Article  PubMed  Google Scholar 

  17. Pirincci N, Gecit I, Bilici S, Taken K, Tanik S, Ceylan K (2012) The effectiveness of extracorporeal shock wave lithotripsy in the treatment of ureteral stones in children. Eur Rev Med Pharmacal Sci 16(10):1404–1408

    CAS  Google Scholar 

  18. Brad AB, Ferro M, Vartolomei MD et al (2019) Particularities and efficacy of extracorporeal shock wave lithotripsy in children. Urol Int 103(3):318–325

    Article  PubMed  Google Scholar 

  19. Chaussy CG, Tiselius HG (2018) How can and should we optimize extracorporeal shockwave lithotripsy? Urolithiasis 46(1):3–17

    Article  PubMed  Google Scholar 

  20. Safwat AS, Bissada NK, Kumar U et al (2008) Experience with ureteroscopic holmium laser lithotripsy in children. Pediatr Surg Int 4(5):579–581

    Article  Google Scholar 

  21. Jia J, Shen X, Wang L et al (2013) Extracorporeal shock wave lithotripsy is effective in treating single melamine induced urolithiasis in infants and young children. Urologe A 189(4):1498–1502

    Google Scholar 

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Acknowledgements

Thanks are due to Lulu Jin and Lizhe Hu for assistance with the experiments and to Xiang Yan for valuable discussion.

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Authors and Affiliations

  1. Pediatric Urolith Center, National Clinical Research Center for Child Health, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, Zhejiang, China

    Kang-jie He

  2. Department of Urology, Pediatric Urolith Center, National Clinical Research Center for Child Health, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, Zhejiang, China

    Lu-lu Jin, Li-zhe Hu & Xiang Yan

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  1. Kang-jie He
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  2. Lu-lu Jin
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  3. Li-zhe Hu
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  4. Xiang Yan
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Contributions

K-jH: Extracorporeal shock wave lithotripsy assistant, data analysis and writing. L-lJin, LH: Extracorporeal shock wave lithotripsy assistant, collecting data. XY: Propose ideas, perform surgical procedures, and provide article guidance.

Corresponding author

Correspondence to Xiang Yan.

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The authors have no conflicts of interest to declare.

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The plan for this study has been approved by the hospital’s Human Research Ethics Committee, and all parents of the patients have expressed informed consent.

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He, Kj., Jin, Ll., Hu, Lz. et al. Experience of high polymer gel pad assisted ultrasound monitoring in the treatment of infant urolithiasis during extracorporeal shock wave lithotripsy. Urolithiasis 51, 114 (2023). https://doi.org/10.1007/s00240-023-01488-6

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  • DOI: https://doi.org/10.1007/s00240-023-01488-6

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