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2012, Number 1

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RCU 2012; 1 (1)

Tratamiento de la litiasis renoureteral con litotricia extracorpórea con ondas de choque en niños

Labrada RMV, Larrea ME, Castillo RM, Borrero BLL, Valdés GAC, Del Portal CJ, Manzanet NJ, García SD

Language: Spanish
References: 16
Page: 74-84
PDF size: 316.25 Kb.


ABSTRACT

Introduction: infantile urinary lithiasis is an uncommon disease if it is compared with the adult incidence. Objectives: to describe the result of treatment applied in Cuba in children presenting urinary tract lithiasis be means of shock waves extracorporeal lithotripsy (ESWL). Methods: sample includes 202 children seen in the Center for Treatment of Urinary Lithiasis of the «Hermanos Ameijeiras» Clinical Surgical Hospital of Ciudad de La Habana from April 1986 to December 2009, using three types of lithotripters: the HM3 (Dornier), LIYHOSTAR PLUS (Siemens) and MODULITH SMX-MX (Storz). Results: limit ages were 2 and 16 years. There was predominance of male sex 68 %. The predominant symptom was the nephritic colic. The more frequent background was the urinary infection, renal calculi 85.15 % and at the ureter 14.45 %. The mean surface was of 1.20 cm2. Orotracheal general anesthesia was used 38.61 % and the intravenous one 61.39 %. In 7 cases; there were necessary re-treatments 3.47 %. Complications included acute urinary infection 2.97% and the renal subcapsular hematoma 0.99%. The 96.53% was free of lithiasic material. Conclusions: the therapy by extracorporeal shock-wave lithotripsy (ESWL) was effective and with a low rate of mortality and of severe complications, thus, it is necessary that this technique be proposed as the first therapeutical option in the resolution of urinary lithiasis at these ages. We must to remember that is not enough to eliminate the calculus, we must to identify the disease, its base treatment and to avoid relapses.


REFERENCES

  1. Goel MC, Baserge NS, Ramesh Babu R , Sinha S, Kapoor R. Pediatric kidney: Functional outcome after extracorporeal shock wave lithotripsy. J Urol. 1996;155:2044-6.

  2. Jungers P., Daudon. M. Formas especiales de litiasis: Litiasis en el niño. Litiasis Urinaria. 1991; capítulo 10. p. 90-3.

  3. Slavkovic A, Radovanovic M, Vlajkovic M, Novakovic D, Djordjevic N, Stefanovic V. Extracorporeal shock wave lithotripsy in the management of pediatric urolithiasis. Urol Res 2006 Oct;34(5)315-20.

  4. Sigman M, Laudone VP, Jenkins AD et al. Initial experience with extracorporeal shock wave lithotripsy in children. J Urol. 1987; 138:839-41.

  5. Larrea E, García C, Hernández D, Castillo M, Casals J, Báez N. Tratamiento de la litiasis renoureteral mediante Litotricia Extracorpórea por Ondas de Choque. Experiencia en Cuba. Arch. Esp. Urol. 1989;42 Sup.I S109-S115.

  6. Kroovand RL. Pediatric urolithiasis. Urol Clin North Am. 1997;24:173-84.

  7. Jallouli M, Jouini R, Maazoun K, Mongi M, Mohsen B, Nouri A. Traitement de la lithiase urinaire du nourrisson. Urologie Pédiatrique Progrès en Urologie. 2005;15:280-4.

  8. Preminger G.M, Tiselius h, Assimos D.G, Alken P, Buck C, Gallucci M et al. Guideline for the Management of Ureteral Calculi. J Urol. December 2007;178:2418-34

  9. El-Assmy A, Hafez AT, Eraky I, El-Nahas AR, El-Kappany HA. Safety and outcome of rigid ureteroscopy for management of ureteral calculi in children. J Endourol. 2006;20:252.

  10. Hodzic J, Zey S, Golka K, Selinski S, Habib Pourvali, Hans- Joerg et all. Acupuncture as an alternative to iv-analgesia in extracorporeal shock wave lithotripsy in kidney stones. J Urol. may 20, 2008;179(4 suppl 1).

  11. Kroovand RL, Braren V, Newman DM, Reidmiller H. ESWL use in children. Dialogues in pediatric. Urol. 1987 April;24:173-184.

  12. Pearle MS. Stone Disease Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J urol. 2005;173:1991-2000.

  13. Lingeman JE, McAteer JA, Gnessin E, Evan AP. Shock wave lithotripsy: advances in technology and technique. Nature Reviews Urology. 2009;6(12):660-70.

  14. Pearle MS, Calhoun EA, Curhan GC, others. Urologic diseases in America project: urolithiasis. J urol. 2005;173(3):848.

  15. Eassa WA, Sheir KZ, Gad HM, Dawaba ME, El-Kenawy MR, Elkappany HA. Prospective study of the long-term effects of shock wave lithotripsy on renal function and blood pressure. J urol. 2008;179(3):964-9.

  16. Thomas JC, Demarco RT, Donohoe JM, Adams MC, Brock JW, Slavkovic A, et al. Extracorporeal shock wave lithotripsy in the management Pediatric Urolithiasis. Urol Res. 2006;34:315.




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