Document Detail


Childhood urolithiasis: experiences and advances.
MedLine Citation:
PMID:  2011420     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between June 1979 and June 1989, 54 children with urolithiasis were evaluated and treated at the Johns Hopkins Children's Center. The most common symptoms were flank or abdominal pain (58%) and gross hematuria (28%). In 46 children (86%), stones were secondary to a preexisting condition and in only 8 (14%) no apparent cause of stone formation could be found. Thirty-six patients (66%) had a solitary stone, most commonly found in the kidney. Urinary tract infections were present in 25 (47%) of the patients who had stones. Stones composed either of calcium oxalate or struvite were the most frequently recovered in these patients with infections. Twenty-one patients (39%) spontaneously passed their stones whereas 23 (43%) required either surgery or extracorporeal shock-wave lithotripsy to resolve stones. Ten (20%) showed recurrence of their urolithiasis, with follow-up examination periods ranging from 1 month to 10 years. Recent advances in the management of urolithiasis and their applicability to the pediatric population are discussed.
Authors:
J P Gearhart; G Z Herzberg; R D Jeffs
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  87     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-05-07     Completed Date:  1991-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  445-50     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital and Children's Center, Baltimore, Maryland 21205.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Female
Humans
Infant
Lithotripsy
Male
Maryland / epidemiology
Retrospective Studies
Urinary Calculi / epidemiology*,  etiology,  therapy
Urinary Tract Infections / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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