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ISSN 2305-7939 (Electronic)

2019, Number 2

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RCU 2019; 8 (2)

Extracorporeal lithotripsy for the treatment of renoureteral lithiasis in the child

Rodríguez GY, Ochoa GY, Gonzales LT

Language: Spanish
References: 32
Page: 175-186
PDF size: 783.67 Kb.


ABSTRACT

Introduction: Extracorporeal shock wave lithotripsy (ESWL) is a minimal invasive procedure commonly performed for the treatment of urinary stone, with promising results in pediatric patients. It is considered the first line treatment for these ages. Objective: To present general and updated aspects about the ESWL for the treatment of urinary stones in children. Methods: It was made a systematic revision and some indexed scientific articles were consulted. The information sources consulted were: SciELO, Ebsco and Pubmed. The information was processed using computing means. Development: ESWL in children is indicated in radio-opaque renal lithiasis up to 20 mm of diameter and not impacted ureteral lithiasis up to 10 mm, both with a under calculi, free urinary way. The frequency of treatments in children is less. In children, it is sometimes needed the use of general anesthesia to apply ESWL. There is not yet a consensus on the maximum number of shock waves and the number of sessions that can be applied in the pediatric patients. Conclusions: Due to the outcomes obtained and the fewer complications, the ESWL is the first line treatment for children. The success index and the complications of ESWL in children are related to dependent factors of the stones, the conditions of the urinary way and the kind of lithotriptor used. Mastering endourologists techniques is significant and important for the treatment of the ESWL complications in children.


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