Yıl: 2017 Cilt: 39 Sayı: 2 Sayfa Aralığı: 67 - 71 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?

Öz:
Objective: We aimed to investigate the effectiveness of shock wave Lithotripsy (SWL) and factors affecting seance number while treating children with renal stones.Materials and Methods: A total of 50 children (53 renal units) who underwent SWL for renal stones between 2012 and 2014 were investigated retrospectively. The demographics of patients, the number, size, side, location, and radiolucency of stones in kidneys, placement of JJ stents, shock number, energy, seance number, stone-free rate, and complications were noted.Results: Patients involved 25 girls and 25 boys with a median age of 4.0 years ranging from eight months to 16 years (21≤3y). Stones were located in the renal pelvis and calyxes in 20 and 33 patients, respectively. Of the renal stones, 33 were single and 20 were multiple. The mean stone size was 11.02±5.4 mm. Success rates were 45.3, 75.5, and 92.5% after seances 1, 2, and 3, respectively. Per seance, the mean SWL shock waves and energy were 1219±262 and 12.6±0.9 kV. A significant relationship was found between the need for a third seance and patient age (≤3 years and >3), radiolucent and radiopague, ≤10 mm and >10 mm or single and multiple stone (p<0.05). However, no significant relationship was found between success rate and age; sex; number, size, location, and side of stones; and radiolucent stones.Conclusions: Age, radiolucency, stone size, and number of stones were significant predictors of SWL success in children. We observed that stone-free status is achieved more quickly, even within the first or second SWL seances by significantly decreasing the need for the third séance in group age ≤3 years, radiolucent, ≤10 mm or single renal stones
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Chaussy C, Brendel W, Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet 1980; 2(8207): 1265-8. [CrossRef]
  • 2. D’Addessi A, Bongiovanni L, Racioppi M, Sacco E, Bassi P. Is extracorporeal shock wave lithotripsy in pediatrics a safe procedure? J Pediatr Surg 2008; 43(4): 591-6. [CrossRef]
  • 3. D’Addessi A, Bongiovanni L, Sasso F, Gulino G, Falabella R, Bassi P. Extracorporeal shockwave lithotripsy in pediatrics. J Endourol 2008; 22(1): 1-12. [CrossRef]
  • 4. Badawy AA, Saleem MD, Abolyosr A, Aldahshoury M, Elbadry MS, Abdalla MA, et al. Extracorporeal shock wave lithotripsy as first line treatment for urinary tract stones in children: outcome of 500 cases. Int Urol Nephrol 2012; 44(3): 661-6. [CrossRef]
  • 5. Rodrigues Netto N, Longo JA, Ikonomidis JA, Rodrigues Netto M. Extracorporeal shock wave lithotripsy in children. J Urol 2002; 167(5): 2164-6. [CrossRef]
  • 6. Griffin SJ, Margaryan M, Archambaud F, Sergent-Alaoui A, Lottmann HB. Safety of Shock Wave Lithotripsy for Treatment of Pediatric Urolithiasis: 20-Years Experience. J Urol 2010; 183(6): 2332-6. [CrossRef]
  • 7. Rizvi SA, Naqvi SA, Hussain Z, Hashmi A, Hussain M, Zafar MN, et al. Management of pediatric urolithiasis in Pakistan: experience with 1,440 children. J Urol 2003; 169(2): 634-7. [CrossRef]
  • 8. Lottmann HB, Archambaud F, Traxer O, Mercier-Pageyral B, Helal B. The efficacy and parenchymal consequences of extracorporeal shock wave lithotripsy in infants. BJU Int 2000; 85(3): 311-5. [CrossRef]
  • 9. Dincel N, Resorlu B, Unsal A, Tepeler A, Silay MS, Armağan A, et al. Are small residual stone fragments really insignificant in children? J Pediatr Surg 2013; 48(4): 840-4. [CrossRef]
  • 10. El-Assmy A, El-Nahas AR, Harraz AM, El Demerdash Y, Elsaadany MM, El-Halwagy S, et al. Clinically Insignificant Residual Fragments: Is It an Appropriate Term in Children? Urology 2015; 86(3): 593-8. [CrossRef]
  • 11. Pirincci N, Gecit I, Bilici S, Taken K, Tanik S, Ceylan K. The effectiveness of extracorporeal shock wave lithotripsy in the treatment of ureteral stones in children. Eur Rev Med Pharmacol Sci 2012; 16(10): 1404-8.
  • 12. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240(2): 205-13. [CrossRef]
  • 13. Onen A. Urinary stone disease in children. Çocuk Cerrahisi Dergisi 2013; 8-32.
  • 14. Lingeman JE, Kim SC, Kuo RL, McAteer JA, Evan AP. Shockwave lithotripsy: anecdotes and insights. J Endourol 2003; 17(9): 687-93. [CrossRef]
  • 15. El-Assmy A, El-Nahas AR, Abou-El-Ghar ME, Awad BA, Sheir KZ. Kidney Stone Size and Hounsfield Units Predict Successful Shockwave Lithotripsy in Children. Urology 2013; 81(4): 880-4. [CrossRef]
  • 16. Smaldone MC, Corcoran AT, Docimo SG, Ost MC. Endourological Management of Pediatric Stone Disease: Present Status. J Urol 2009; 181(1): 17-28. [CrossRef]
  • 17. Onal B, Tansu N, Demirkesen O, Yalcin V, Huang L, Nguyen HT, et al. Nomogram and scoring system for predicting stone-free status after extracorporeal shock wave lithotripsy in children with urolithiasis. BJU Int 2012; 111(2): 344-52. [CrossRef]
  • 18. Göktas C, Akça O, Horuz R, Gökhan O, Albayrak S, Sarica K. Does Child’s Age Affect Interval to Stonefree Status After SWL? A Critical Analysis. Urology 2012; 79(5): 1138-42. [CrossRef]
  • 19. Habib EI, Morsi HA, ElSheemy MS, Aboulela W, Eissa MA. Effect of size and site on the outcome of extracorporeal shock wave lithotripsy of proximal urinary stones in children. J Pediatr Urol 2013; 9(3): 323- 7. [CrossRef]
  • 20. McAdams S, Shukla AR. Pediatric extracorporeal shock wave lithotripsy: predicting successful outcomes. Indian J Urol 2010; 26(4): 544-8. [CrossRef]
  • 21. Jeong US, Lee S, Kang J, Han DH, Park KH, Baek M. Factors affecting the outcome of extracorporeal shock wave lithotripsy for unilateral urinary stones in children: a 17-year single-institute experience. Korean J Urol 2013; 54(7): 460-6. [CrossRef]
  • 22. Gofrit ON, Pode D, Meretyk S, Katz G, Shapiro A, Golijanin D, et al. Is the pediatric ureter as efficient as the adult ureter in transporting fragments following extracorporeal shock wave lithotripsy for renal calculi larger than 10 mm? J Urol 2001; 166(5): 1862-4. [CrossRef]
  • 23. Mandal S, Sankhwar SN, Singh MK, Kathpalia R, Singh V, Goel A, et al. Comparison of Extracorporeal Shock Wave Lithotripsy for Inferior Caliceal Calculus Between Children and Adults: A Retrospective Analysis-Why Do Results Vary? Urology 2012; 80(6): 1209-13. [CrossRef]
  • 24. Aksoy Y, Ozbey I, Atmaca AF, Polat O. Extracorporeal shock wave lithotripsy in children: experience using a MPL-9000 lithotriptor. World J Urol 2004; 22(2): 115-9. [CrossRef]
  • 25. Jee JY, Kim SD, Cho WY. Efficacy of Extracorporeal Shock Wave Lithotripsy in Pediatric and Adolescent Urolithiasis. Korean J Urol 2013; 54(12): 865-9. [CrossRef]
  • 26. McLorie GA, Pugach J, Pode D, Denstedt J, Bagli D, Meretyk S, et al. Safety and efficacy of extracorporeal shock wave lithotripsy in infants. Can J Urol 2003; 10(6): 2051-5.
  • 27. McAdams S, Kim N, Ravish IR, Monga M, Ugarte R, Nerli R, et al. Stone size is only independent predictor of shock wave lithotripsy success in children: a community experience. J Urol 2010; 184(2): 659- 64. [CrossRef]
  • 28. Hammad FT, Kaya M, Kazim E. Pediatric extracorporeal shockwave lithotripsy: its efficiency at various locations in the upper tract. J Endourol 2009; 23(2): 229-35. [CrossRef]
  • 29. Mokhless IA, Sakr MA, Abdeldaeim HM, Hashad MM. Radiolucent Renal Stones in Children: Combined Use of Shock Wave Lithotripsy and Dissolution Therapy. Urology 2009; 73(4): 772-5. [CrossRef]
  • 30. Lottmann HB, Traxer O, Archambaud F, Mercier-Pageyral B. Monotherapy extracorporeal shock wave lithotripsy for the treatment of staghorn calculi in children. J Urol 2001; 165(6 Pt 2): 2324-7. [CrossRef]
APA KOCAOĞLU C, Soran M, Kocaoglu C, ÖNEN A (2017). Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. , 67 - 71.
Chicago KOCAOĞLU Canan,Soran Mustafa,Kocaoglu Celebi,ÖNEN Abdurrahman Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. (2017): 67 - 71.
MLA KOCAOĞLU Canan,Soran Mustafa,Kocaoglu Celebi,ÖNEN Abdurrahman Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. , 2017, ss.67 - 71.
AMA KOCAOĞLU C,Soran M,Kocaoglu C,ÖNEN A Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. . 2017; 67 - 71.
Vancouver KOCAOĞLU C,Soran M,Kocaoglu C,ÖNEN A Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. . 2017; 67 - 71.
IEEE KOCAOĞLU C,Soran M,Kocaoglu C,ÖNEN A "Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?." , ss.67 - 71, 2017.
ISNAD KOCAOĞLU, Canan vd. "Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?". (2017), 67-71.
APA KOCAOĞLU C, Soran M, Kocaoglu C, ÖNEN A (2017). Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. Erciyes Medical Journal, 39(2), 67 - 71.
Chicago KOCAOĞLU Canan,Soran Mustafa,Kocaoglu Celebi,ÖNEN Abdurrahman Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. Erciyes Medical Journal 39, no.2 (2017): 67 - 71.
MLA KOCAOĞLU Canan,Soran Mustafa,Kocaoglu Celebi,ÖNEN Abdurrahman Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. Erciyes Medical Journal, vol.39, no.2, 2017, ss.67 - 71.
AMA KOCAOĞLU C,Soran M,Kocaoglu C,ÖNEN A Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. Erciyes Medical Journal. 2017; 39(2): 67 - 71.
Vancouver KOCAOĞLU C,Soran M,Kocaoglu C,ÖNEN A Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?. Erciyes Medical Journal. 2017; 39(2): 67 - 71.
IEEE KOCAOĞLU C,Soran M,Kocaoglu C,ÖNEN A "Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?." Erciyes Medical Journal, 39, ss.67 - 71, 2017.
ISNAD KOCAOĞLU, Canan vd. "Factors Affecting the Number of Shock Wave Lithotripsy Session in Children with Renal Stones: Are age and Radiolucency the Predictors of Success?". Erciyes Medical Journal 39/2 (2017), 67-71.