PTU - Polskie Towarzystwo Urologiczne
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ESWL in children
Article published in Urologia Polska 1992/45/2.

authors

Mieczysław Ołpiński, Andrzej Borówka, Tadeusz Krzeski, Janusz Judycki
Z Katedry i Kliniki Urologii Instytutu Chirurgii AM w Warszawie Kierownik Kliniki: prof. dr hab. med. T. Krzeski Dyrektor Instytutu: prof. dr hab. med. M. Szostek

summary

ESWL is the most commonly used method in treatment of lithiasis of the upper urinary tract in adults. Thetere is little experience now in applying this method in children. The paper presents the results of treatment with ESWL method, using Lithostar e±uipment, of nephrolithiasis and ureterolithiasis in 104 children, ages 22 months — 15 years. There have been specified 4 groups of lithiasis: I — single calculus dia. over 1 cm in the kidney, II — single calculus dia over 1 cm or multiple calculi in the kidney, III — staghorn calculi, IV — calculus in the ureter. The best treatment results were obtained in group I — 92.8% cured. The percentages of cured patients in groups II and IV were respectively 80.0% and 87.5%. Only
45.4%, of staghorn calculi were removed following ESWL. As far as nephrolithiasis is concerned, it has been found that the higher the mass of the crushed calculi, the greater the
number of — ESWL procedures necessary to fully crush the concrements, and the risk of complications related to a possibility of a fraction of calculus causing obstruction in the ureter following ESWL.

references

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correspondence

lek. med. Mieczysław Ołpiński. Klinika Urologii. 02-005 Warszawa, ul. Lindleya 4.