Effectiveness and complications of ESWL in the treatment of renal pelvis stones in the children less than 8 years of age in Sanandaj, Iran 2007-2015
Journal Title: مجله علمي دانشگاه علوم پزشكي كردستان - Year 2018, Vol 23, Issue 93
Abstract
Background and Aim: Extracorporeal shock wave lithotripsy (ESWL) has revolutionized the treatment of kidney stones in children. However, use of this technology has several complications which cast doubt on its safety and effectiveness. The aim of this study was to evaluate the effectiveness and complications of extracorporeal shock wave lithotripsy in the treatment of renal pelvis stones in the children less than 8 years of age. Material and Method: This retrospective study included children less than 8 years of age with renal pelvis stones who had been referring to Tohid Hospital in Sanandaj, between 2007 and 2015. Data of the patients, such as age, sex, clinical status, stone free rate, days of hospitalization, response rate to treatment and complications were obtained from the patients' medical records. We used a checklist to collect data of 35 children less than 8 years of age (including 37 kidneys) with renal pelvis stones who had been treated with ESWL in Tohid Hospital. SPSS software and descriptive statistics (absolute and relative frequency, mean and standard deviation) were used for data analysis. Result: The sizes of the stones were between 8 and 25 mm. Thirty three patients (94.5%) were treated after one ESWL session and two patients (5.5%) were treated after two ESWL sessions. Six patients (16.2%) developed fever due to urinary tract infection; in two cases free stones lodged in ureter and 8 cases (21.6%) required hospitalization after ESWL. Hematuria occurred in all cases. Subcapsular hematoma was not observed in the patients. Blood transfusion was not given to the patients. The effectiveness of ESWL and stone free rate had inverse relationship with the age of the patients and sizes of the stones. Conclusion: In this study extracorporeal shock wave lithotripsy was an extremely effective method for the treatment of renal pelvis stones in children and major and irreversible complications were not common. ESWL was more suitable for the treatment of the stones of less than 20 mm.
Authors and Affiliations
MD H Sofimajidpour, A Sajadi
Keywords
Related Articles
- EP ID EP283364
- DOI -
- Views 74
- Downloads 0
Anti-cancer effect of phosphatidylinositol 3-kinase inhibitor on NB4 leukemic cells
Background and Aim: In the last decades, experimental studies have shown that aberrant activation of phosphatidylinositol 3-kinase (PI3K) pathway is an essential step for both initiation and maintenance of tumorgenesis i...
Prevalence of anti-toxocara antibodies in children with allergic manifestations referring to allergy clinics in Zanjan
Background and Aim: Toxocariasis is a common parasitic zoonosis of humans, dogs and cats. Migration of Toxocara larva in the internal organs is accompanied by a variety of complications such as hepatomegaly, marked eosin...
Evaluation of appropriate antibiotic administration by general practitioners at the emergency department of a teaching hospital in Sanandaj, Iran
Material and Methods: In this prospective descriptive study we evaluated the prescriptions for 170 patients who had been referring to the emergency department of Tohid Hospital in Sanandaj from May 2013 to May 2014. We s...
The effect of twelve weeks of aerobic training on serum levels of interleukin-6, vaspin and serum amyloid A in postmenopausal women with metabolic syndrome
Background and Aim: Increase in some inflammatory factors secreted by the adipose tissue can have predisposing effect on the development of metabolic syndrome. This study aimed to assess the effect of 12 weeks of aerobic...
The effects of two traditional and post-activation potentiation warm-up methods on ground reaction forces during squat-jump
Background and Aim: A proper warm-up method can be used as a strategy to improve performance of athletes in various sport fields. The purpose of the present study was to assess the effect of traditional and post-activati...