Indian Journal of Urology Users online:1556  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
SYMPOSIUM
Year : 2010  |  Volume : 26  |  Issue : 4  |  Page : 544-548

Pediatric extracorporeal shock wave lithotripsy: Predicting successful outcomes


Department of Urologic Surgery, University of Minnesota Medical Center and Amplatz Children's Hospital, Minneapolis, MN, USA

Correspondence Address:
Aseem R Shukla
Deparment of Urologic Surgery, University of Minnesota Medical Center and Amplatz Children's Hospital, 420 Delaware Street S.E., Mayo Mail Code 394, Minneapolis, MN 55455
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.74457

Rights and Permissions

Extracorporeal shock wave lithotripsy (ESWL) is currently a first-line procedure of most upper urinary tract stones <2 cm of size because of established success rates, its minimal invasiveness and long-term safety with minimal complications. Given that alternative surgical and endourological options exist for the management of stone disease and that ESWL failure often results in the need for repeat ESWL or secondary procedures, it is highly desirable to identify variables predicting successful outcomes of ESWL in the pediatric population. Despite numerous reports and growing experience, few prospective studies and guidelines for pediatric ESWL have been completed. Variation in the methods by which study parameters are measured and reported can make it difficult to compare individual studies or make definitive recommendations. There is ongoing work and a need for continuing improvement of imaging protocols in children with renal colic, with a current focus on minimizing exposure to ionizing radiation, perhaps utilizing advancements in ultrasound and magnetic resonance imaging. This report provides a review of the current literature evaluating the patient attributes and stone factors that may be predictive of successful ESWL outcomes along with reviewing the role of pre-operative imaging and considerations for patient safety.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4455    
    Printed143    
    Emailed3    
    PDF Downloaded213    
    Comments [Add]    
    Cited by others 4    

Recommend this journal

 

HEALTHWARE INDIA