Pediatric urolithiasis – Stone removal

Issue title: Metabolic Stone Disease

Article type: Research Article

Authors: Knoll, Thomas | Wendt-Nordahl, Gunnar

Affiliations: Department of Urology, Klinikum Sindelfingen-Boeblingen, University of Tuebingen, Germany

Note: [] Corresponding author: Thomas Knoll, Department of Urology, Klinikum Sindelfingen-Böblingen, Arthur-Gruber-Str. 70, 71065 Sindelfingen, Germany. Tel.: +49 7031 9812501; Fax: +49 7031 815307; E-mail: t.knoll@klinikverbund-suedwest.de

Abstract: Urolithiasis in children is a rare event with an overall incidence of 1–2%. Many stones pass spontaneously and can be managed conservatively. If spontaneous passage fails or is not indicated, the removal of the stones should be as minimal-invasive as possible and a complete stone clearance should always be attempted. Shock Wave Lithotripsy remains the method of first choice in children because of its higher efficacy compared to adults. Percutaneous nephrolithotomy and ureteroscopy can be performed safely if indicated. Laparoscopic and open techniques are limited to few selected cases.

Keywords: Urinary calculi, children, adolescence, ureteroscopy, shock wave lithotripsy, percutaneous nephrolithotomy

DOI: 10.3233/JPB-140111

Journal: Journal of Pediatric Biochemistry, vol. 4, no. 2, pp. 89-92, 2014