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Title: $Pediatric Kidney: Functional Outcome After Extracorporeal Shock Wave Lithotripsy
Abstract: No AccessJournal of UrologyPediatric Urology1 Jun 1996Pediatric Kidney: Functional Outcome After Extracorporeal Shock Wave Lithotripsy Mahesh C. Goel, Narender S. Baserge, R.V. Ramesh Babu, Sanjay Sinha, and Rakesh Kapoor Mahesh C. GoelMahesh C. Goel , Narender S. BasergeNarender S. Baserge , R.V. Ramesh BabuR.V. Ramesh Babu , Sanjay SinhaSanjay Sinha , and Rakesh KapoorRakesh Kapoor View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66101-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We studied the efficacy, functional outcome and morphological changes following extracorporeal shock wave lithotripsy (ESWL*) of renal calculi in a pediatric population. *Dornier Medical Systems, Inc., Marietta, Georgia. Materials and Methods: We prospectively evaluated 50 patients 2 to 12 years old (mean age 7.64) undergoing ESWL with the Siemens Lithostar Plus. Functional outcome was assessed by comparing total and ipsilateral glomerular filtration rates before and after ESWL. Glomerular filtration rate was measured using Gates' method on a99m technetium-pentetic acid radionuclide renal scan corrected to body surface area times 1.73 m.2 . Ultrasound was performed to assess morphological changes after ESWL. Results: The immediate fragmentation rate was 86 percent and the clearance rate was 82 percent. At the end of the study 40 patients were evaluable. Immediately after ESWL ultrasonography showed perirenal hematoma in 3 patients, intrarenal hematoma in 2 and subcapsular hematoma in 1. These changes resolved spontaneously at followup. There was no change in total or ipsilateral glomerular filtration rate at a mean followup of 31.7 months. Before and after ESWL total glomerular filtration rates were 86.58 plus/minus 12.43 and 86.27 plus/minus 12.82 ml. per minute per 1.73 m.2, respectively. Treated kidney glomerular filtration rate decreased insignificantly from 40.58 plus/minus 12.61 to 40.41 plus/minus 12.61 ml. per minute per 1.73 m.2 at 3 months. At the last followup the change in glomerular filtration rate was insignificant. Conclusions: ESWL is effective in the pediatric population, and it can be safely performed without long-term bio-effects on the function or morphology of the growing kidney. References 1 : Extracorporeal shock wave lithotripsy experience in children. J. Urol.1986; 136: 238. Link, Google Scholar 2 : Extracorporeal shock wave lithotripsy in childhood. J. Urol.1987; 138: 1106. Link, Google Scholar 3 : Treatment of pediatric urolithiasis by extra corporeal shock-wave lithotripsy. Eur. J. Ped.1988; 147: 579. Google Scholar 4 : Long term follow up after extra corporeal shock wave lithotripsy in children. Eur. Urol.1991; 19: 225. 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Google Scholar From the Department of Urology and Nuclear Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTejwani R, Wang H, Wolf S, Wiener J and Routh J (2018) Outcomes of Shock Wave Lithotripsy and Ureteroscopy for Treatment of Pediatric UrolithiasisJournal of Urology, VOL. 196, NO. 1, (196-201), Online publication date: 1-Jul-2016.Sun X, He L, Lu J, Cong X, Shen L, Wang Y and Zhu H (2018) Greater and Lesser Ischiadic Foramina as Path of Shock Wave Lithotripsy for Distal Ureteral Stone in ChildrenJournal of Urology, VOL. 184, NO. 2, (665-668), Online publication date: 1-Aug-2010.STERNBERG K, GREENFIELD S, WILLIOT P and WAN J (2018) PEDIATRIC STONE DISEASE: AN EVOLVING EXPERIENCEJournal of Urology, VOL. 174, NO. 4 Part 2, (1711-1714), Online publication date: 1-Oct-2005.MUSLUMANOGLU A, TEFEKLI A, SARILAR O, BINBAY M, ALTUNRENDE F and OZKUVANCI U (2018) Extracorporeal Shock Wave Lithotripsy as First Line Treatment Alternative for Urinary Tract Stones in Children: A Large Scale Retrospective AnalysisJournal of Urology, VOL. 170, NO. 6, (2405-2408), Online publication date: 1-Dec-2003.VILLÁNYI K, SZÉKELY J, FARKAS L, JÁVOR É and PUSZTAI C (2018) SHORT-TERM CHANGES IN RENAL FUNCTION AFTER EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN CHILDRENJournal of Urology, VOL. 166, NO. 1, (222-224), Online publication date: 1-Jul-2001.SHUKLA A, HOOVER D, HOMSY Y, PERLMAN S, SCHURMAN S and REISMAN E (2018) UROLITHIASIS IN THE LOW BIRTH WEIGHT INFANT: THE ROLE AND EFFICACY OF EXTRACORPOREAL SHOCK WAVE LITHOTRIPSYJournal of Urology, VOL. 165, NO. 6 Part 2, (2320-2323), Online publication date: 1-Jun-2001.JAYANTHI V, ARNOLD P and KOFF S (2018) STRATEGIES FOR MANAGING UPPER TRACT CALCULI IN YOUNG CHILDRENJournal of Urology, VOL. 162, NO. 3 Part 2, (1234-1237), Online publication date: 1-Sep-1999.Lottmann H, Archambaud F, Hellal B, Pageyral B and Cendron M (2018) sup 99m TECHNETIUM-DIMERCAPTO-SUCCINIC ACID RENAL SCAN IN THE EVALUATION OF POTENTIAL LONG-TERM RENAL PARENCHYMAL DAMAGE ASSOCIATED WITH EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN CHILDRENJournal of Urology, VOL. 159, NO. 2, (521-524), Online publication date: 1-Feb-1998.Streem S (2018) Contemporary Clinical Practice of Shock Wave Lithotripsy: A Reevaluation of ContraindicationsJournal of Urology, VOL. 157, NO. 4, (1197-1203), Online publication date: 1-Apr-1997. Volume 155Issue 6June 1996Page: 2044-2046 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Mahesh C. Goel More articles by this author Narender S. Baserge More articles by this author R.V. Ramesh Babu More articles by this author Sanjay Sinha More articles by this author Rakesh Kapoor More articles by this author Expand All Advertisement PDF downloadLoading ...