Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants

Background. Extracorporeal shock wave lithotripsy (ESWL) has progressively acquired popularity as being the gold standard treatment for upper urinary tract lithiasis in infants since 1980. Our aim was to evaluate the outcome of ESWL for kidney stones and the use of double-J stent in infants. Materia...

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Main Authors: Mehdi Younesi Rostami, Mehrdad Taghipour-Gorgikolai, Rayka Sharifian
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/589038
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author Mehdi Younesi Rostami
Mehrdad Taghipour-Gorgikolai
Rayka Sharifian
author_facet Mehdi Younesi Rostami
Mehrdad Taghipour-Gorgikolai
Rayka Sharifian
author_sort Mehdi Younesi Rostami
collection DOAJ
description Background. Extracorporeal shock wave lithotripsy (ESWL) has progressively acquired popularity as being the gold standard treatment for upper urinary tract lithiasis in infants since 1980. Our aim was to evaluate the outcome of ESWL for kidney stones and the use of double-J stent in infants. Material and Methods. A prospective clinical trial study performed on 50 infants with renal calculi at pelvic admitted in the Urology ward of Shafa Hospital, Sari, Iran, between 2001 and 2010. Main outcome measure of our study was clearing stones after one or more consecutive sessions of ESWL. Results. The study included 50 patients with renal calculi at pelvic. Among them, there were 35 (70%) boys and 15 (30%) girls with the age ranging from 1 to 13 months (mean of 7 month ± 3 days). All of them were treated by standard ESWL using Simons Lithostor plus machine. The stone sizes ranged from 6 mm to 22 mm. Double-J stents were placed in 11 infants (22%) with stones larger than 13 mm. Most of the patients required only one ESWL session. Conclusion. Since there were no complications following ESWL treatment, we can conclude that, in short term, ESWL is an effective and safe treatment modality for renal lithiasis in infants. In addition, we recommend double-J stent in infants with stones larger than 13 mm.
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spelling doaj-art-d94864ed84aa47e8883b92e4f0c99aaa2025-08-20T03:24:16ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/589038589038Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in InfantsMehdi Younesi Rostami0Mehrdad Taghipour-Gorgikolai1Rayka Sharifian2Department of Urology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari 4813894393, IranStudent Research Committee, Cancer Research Center, Thalassemia Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari 4813894393, IranStudent Research Committee, Cancer Research Center, Thalassemia Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari 4813894393, IranBackground. Extracorporeal shock wave lithotripsy (ESWL) has progressively acquired popularity as being the gold standard treatment for upper urinary tract lithiasis in infants since 1980. Our aim was to evaluate the outcome of ESWL for kidney stones and the use of double-J stent in infants. Material and Methods. A prospective clinical trial study performed on 50 infants with renal calculi at pelvic admitted in the Urology ward of Shafa Hospital, Sari, Iran, between 2001 and 2010. Main outcome measure of our study was clearing stones after one or more consecutive sessions of ESWL. Results. The study included 50 patients with renal calculi at pelvic. Among them, there were 35 (70%) boys and 15 (30%) girls with the age ranging from 1 to 13 months (mean of 7 month ± 3 days). All of them were treated by standard ESWL using Simons Lithostor plus machine. The stone sizes ranged from 6 mm to 22 mm. Double-J stents were placed in 11 infants (22%) with stones larger than 13 mm. Most of the patients required only one ESWL session. Conclusion. Since there were no complications following ESWL treatment, we can conclude that, in short term, ESWL is an effective and safe treatment modality for renal lithiasis in infants. In addition, we recommend double-J stent in infants with stones larger than 13 mm.http://dx.doi.org/10.1155/2012/589038
spellingShingle Mehdi Younesi Rostami
Mehrdad Taghipour-Gorgikolai
Rayka Sharifian
Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants
Advances in Urology
title Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants
title_full Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants
title_fullStr Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants
title_full_unstemmed Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants
title_short Treatment of Kidney Stones Using Extracorporeal Shock Wave Lithotripsy (ESWL) and Double-J Stent in Infants
title_sort treatment of kidney stones using extracorporeal shock wave lithotripsy eswl and double j stent in infants
url http://dx.doi.org/10.1155/2012/589038
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