Outcome of extracorporeal shockwave lithotripsy (ESWL) for pediatric renal calculi: Our Experience

Dr Nachiket Vyas; Dr Shivam Priyadarshi; Dr Vishal Kirti Jain; Dr Madan Mohan Agarwal

Volume : VII, Issue : VII, July - 2018

Outcome of extracorporeal shockwave lithotripsy (ESWL) for pediatric renal calculi: Our Experience

Dr Nachiket Vyas, Dr Shivam Priyadarshi, Dr Vishal Kirti Jain, Dr Madan Mohan Agarwal

Abstract :

Extracorporeal Shock wave lithotripsy (ESWL)is anestablishedmodality for treating renalcalculiinadults.TheefficacyofSWLfor pediatric calculi hasbeenunderscrutinybecauseoftheunknown longterm effectsof shockwaveson developing renalparenchyma.Thepresent study aims atassessingtheefficacyofSWLforpediatricrenalcalculiandalsoincludesrenalunitswithcongenitalanomaliesasmalrotationandhorseshoekidney.The study wasdonebetweenJan1998andJune2006in19childrenandtreated20renal calculi. Completefragmentationoccurredin18outof19cases(94.75%).12patients(63.15%)required1sittingwhereas6(33.33%)required2sittings.Inthegroupstudied2casesof malrotation and1with horseshoekidney were successfully treated.WeconcludethatESWL is an excellentmodalityfortreatingpediatric renalcalculiwithminimum morbidity.Itcanbe easilydoneundersedoanalgesiainchildrenwithouttheneedofgeneral anesthesia.