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Large stone clearance in 2-year-old child with staghorn and calyceal stones using SWL monotherapy.

Mohamad Al-Ali B, Pummer K - Cent European J Urol (2012)

Bottom Line: Treatment of pediatric urolithiasis requires a thorough metabolic and urological evaluation on an individual basis.In this case report we reported our own experience in the management of staghorn and calyceal stones in both kidneys with SWL.In our case, clearance of multiple staghorn stones and a calyceal stone was obtained without any complications after 7 sessions of SWL over 2 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Medical University of Graz, Graz, Austria.

ABSTRACT
Treatment of pediatric urolithiasis requires a thorough metabolic and urological evaluation on an individual basis. The objective of our case report was to determine the efficiency and the role of shockwave lithotripsy (SWL) in the treatment of pediatric urolithiasis. In this case report we reported our own experience in the management of staghorn and calyceal stones in both kidneys with SWL. In our case, clearance of multiple staghorn stones and a calyceal stone was obtained without any complications after 7 sessions of SWL over 2 months.

No MeSH data available.


Related in: MedlinePlus

Child with Stag horn stones.
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Figure 0001: Child with Stag horn stones.

Mentions: We began our treatment on the left kidney with 4 sessions of SWL, which involved 8000 shock waves (SW) in all (7000 SW for renal calculi and 1000 SW for ureteral stone, see Figure 1), followed by clearance on the left side. While the right staghorn stone required only 3 sessions of SWL, which totaled 6000 SW (5000 SW for staghorn stone, 1000 SW for its fragments in ureter, see Figure 2). However, after the 2nd session, our patient developed fever that required drainage of the right kidney. Analyses of the stones revealed infected stones, however, urologic work-up did not detect any predisposing factor.


Large stone clearance in 2-year-old child with staghorn and calyceal stones using SWL monotherapy.

Mohamad Al-Ali B, Pummer K - Cent European J Urol (2012)

Child with Stag horn stones.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921768&req=5

Figure 0001: Child with Stag horn stones.
Mentions: We began our treatment on the left kidney with 4 sessions of SWL, which involved 8000 shock waves (SW) in all (7000 SW for renal calculi and 1000 SW for ureteral stone, see Figure 1), followed by clearance on the left side. While the right staghorn stone required only 3 sessions of SWL, which totaled 6000 SW (5000 SW for staghorn stone, 1000 SW for its fragments in ureter, see Figure 2). However, after the 2nd session, our patient developed fever that required drainage of the right kidney. Analyses of the stones revealed infected stones, however, urologic work-up did not detect any predisposing factor.

Bottom Line: Treatment of pediatric urolithiasis requires a thorough metabolic and urological evaluation on an individual basis.In this case report we reported our own experience in the management of staghorn and calyceal stones in both kidneys with SWL.In our case, clearance of multiple staghorn stones and a calyceal stone was obtained without any complications after 7 sessions of SWL over 2 months.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Medical University of Graz, Graz, Austria.

ABSTRACT
Treatment of pediatric urolithiasis requires a thorough metabolic and urological evaluation on an individual basis. The objective of our case report was to determine the efficiency and the role of shockwave lithotripsy (SWL) in the treatment of pediatric urolithiasis. In this case report we reported our own experience in the management of staghorn and calyceal stones in both kidneys with SWL. In our case, clearance of multiple staghorn stones and a calyceal stone was obtained without any complications after 7 sessions of SWL over 2 months.

No MeSH data available.


Related in: MedlinePlus