Journal of Pediatric Biochemistry 2014; 04(02): 089-092
DOI: 10.1055/s-0036-1586466
Review Article
Georg Thieme Verlag KG Stuttgart – New York

Pediatric urolithiasis – Stone removal

Thomas Knoll
a   Department of Urology, Klinikum Sindelfingen-Boeblingen, University of Tuebingen, Germany
,
Gunnar Wendt-Nordahl
a   Department of Urology, Klinikum Sindelfingen-Boeblingen, University of Tuebingen, Germany
› Author Affiliations

Subject Editor:
Further Information

Publication History

17 April 2014

17 April 2014

Publication Date:
03 August 2016 (online)

Abstract

Urolithiasis in children is a rare event with an overall incidence of 1–2%. Many stones pass spontaneously and can be managed conservatively. If spontaneous passage fails or is not indicated, the removal of the stones should be as minimal-invasive as possible and a complete stone clearance should always be attempted. Shock Wave Lithotripsy remains the method of first choice in children because of its higher efficacy compared to adults. Percutaneous nephrolithotomy and ureteroscopy can be performed safely if indicated. Laparoscopic and open techniques are limited to few selected cases.