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Extracorporeal shock wave lithotripsy in children

Nature Reviews Urology volume 7, page 476 (2010)Cite this article

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The incidence of urolithiasis is increasing in children across the US and worldwide, bringing extracorporeal shock wave lithotripsy (ESWL) back into the spotlight and raising the question of whether it is still the method of choice for treating children with stone disease. Two new studies published in the September issue of The Journal of Urology address the suitability and safety of ESWL.

Abbas Basiri and colleagues from the Urology and Nephrology Research Center in Tehran, Iran, report the results of a multicenter randomized controlled trial comparing ESWL with transureteral lithotripsy (TUL) in 100 children aged 1–13 years with distal ureteral calculi. TUL has gained recent popularity owing to advances in ureteroscope technology, and has been suggested to achieve better outcomes than ESWL. However, it is a more invasive procedure and has been associated with ureteral perforation and stricture.

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ORIGINAL RESEARCH PAPERS

  1. Basiri, A. et al. A multicenter, randomized, controlled trial of transureteral and shock wave lithotripsy—which is the best minimally invasive modality to treat distal ureteral calculi in children? J. Urol. 184, 1108–1110 (2010)

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  2. Fayad, A. et al. Evaluation of renal function in children undergoing extracorporeal shock wave lithotripsy. J. Urol. 184, 1111–1115 (2010)

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Authors
  1. Sarah Payton
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Payton, S. Extracorporeal shock wave lithotripsy in children. Nat Rev Urol 7, 476 (2010). https://doi.org/10.1038/nrurol.2010.128

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