Document Detail

Childhood urolithiasis: experiences and advances.
MedLine Citation:
PMID:  2011420     Owner:  NLM     Status:  MEDLINE    
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.
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    
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital and Children's Center, Baltimore, Maryland 21205.
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MeSH Terms
Child, Preschool
Maryland / epidemiology
Retrospective Studies
Urinary Calculi / epidemiology*,  etiology,  therapy
Urinary Tract Infections / complications

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