Posted in Volume 16 - Number 1
MALIK HUSSAIN JALBANI, RAJIB ALI DEENARI, MUKHTIAR AHMED ABRO
ABSTRACT | Full Text PDF
OBJECTIVE: To assess the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) in children.
STUDY DESIGN: Prospective Study.
MATERIALS AND METHODS: Sixty five children having reno ureteral stones were under went ESWL. Among them 41(63.07%) were males and 24(36.92%) were females. Their age ranged between 11 months to 14 years (mean age 7years). Most of the children presented with pain, fever and hematuria. All the children were under went Ultrasound KUB, IVP, Blood CP, Renal Function Tests, and Urine DR & Urine Culture for Sensitivity & Coagulation profile. MPL 9000 (Dornier) and Compact sigma (Dornier) Lithotripters were used, and 50 (76.92%) children were treated under General Anaesthesia while 15(23.07%) required only Analgesia.
RESULTS: 950 patients treated on ESWL from January 2005 to December 2008 at Department of Urology, CMCH Larkana. Among them 63(96.92%) children had renal stones (32 right & 31 left) two(3.07) children had left upper ureteral stones. 43(66.15%) children become stone free with 1st session, 15 required two sessions to clear their stones while 1 child required 3 sessions. At the end of study 63(96.29%) children were stone free while two (3.07%) lost to follow up. Minor complications like, colic was encountered in 15 (23.07%) patients, and five (7.69%) developed fever. These patients were treated conservatively. Seven (10.76%) children developed stein strasse among them 4 patients cleared the fragments on expectant therapy while 2 patients required URS and 1 patient needed PCN.
CONCLUSION: Extracorporeal Shock wave lithotripsy is an effective treatment for upper urinary tract calculi in children and infants.
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