TY - JOUR
T1 - Shock Wave Lithotripsy in Pediatric Stone Disease
T2 - A 15-Year Single-Center Experience with 2 Types of Lithotripters
AU - Zisman, Ariel
AU - Assadi, Akram
AU - Goldin, Oleg
AU - Malshy, Kamil
AU - Nativ, Omri
AU - Meretyk, Shimon
AU - Amiel, Gilad E.
AU - Mullerad, Michael
AU - Livne, Pinhas M.
N1 - Publisher Copyright:
© 2022
PY - 2022/12/1
Y1 - 2022/12/1
N2 - Introduction and Objectives: We report our experience with pediatric shock wave lithotripsy (SWL) using two types of lithotripters: Dornier HM3 (HM3) and Dornier Lithotripter SII (DLS). Study Design: We retrospectively reviewed the charts of children who underwent SWL between 2002 and 2016. Patients were divided into two groups based on the type of the lithotripter: during 2002-2009, we used the electrohydraulic HM3 lithotripter which was replaced in 2009 with the DLS electromagnetic lithotripter. Clinical and perioperative parameters were compared. Results: Our cohort included 107 children who underwent SWL. Average age was 11.5 ± 5.1 years. Average stone size was 10.6 ± 4.9 mm. HM3 was used in 38% of children and DLS2 in 62% (n = 41 and 66, respectively). There were no significant differences in age, gender, stone size, or location between the groups. The total SFR did not differ statistically between HM3 and DLS (83% vs. 74%, p = 0.35). SFR after one SWL was higher with the HM3 (78% vs. 62%, p = 0.093). Re-treatment rate was 22% and 17% (HM3 vs. DLS, p = 0.61). Complication rates were low, with renal colic being the most common (HM3 10%, DLS 20%, NS). Conclusions: SWL in the pediatric population using the DLS showed good results with low complication rates that are equivalent to the gold standard HM3.
AB - Introduction and Objectives: We report our experience with pediatric shock wave lithotripsy (SWL) using two types of lithotripters: Dornier HM3 (HM3) and Dornier Lithotripter SII (DLS). Study Design: We retrospectively reviewed the charts of children who underwent SWL between 2002 and 2016. Patients were divided into two groups based on the type of the lithotripter: during 2002-2009, we used the electrohydraulic HM3 lithotripter which was replaced in 2009 with the DLS electromagnetic lithotripter. Clinical and perioperative parameters were compared. Results: Our cohort included 107 children who underwent SWL. Average age was 11.5 ± 5.1 years. Average stone size was 10.6 ± 4.9 mm. HM3 was used in 38% of children and DLS2 in 62% (n = 41 and 66, respectively). There were no significant differences in age, gender, stone size, or location between the groups. The total SFR did not differ statistically between HM3 and DLS (83% vs. 74%, p = 0.35). SFR after one SWL was higher with the HM3 (78% vs. 62%, p = 0.093). Re-treatment rate was 22% and 17% (HM3 vs. DLS, p = 0.61). Complication rates were low, with renal colic being the most common (HM3 10%, DLS 20%, NS). Conclusions: SWL in the pediatric population using the DLS showed good results with low complication rates that are equivalent to the gold standard HM3.
UR - http://www.scopus.com/inward/record.url?scp=85126005410&partnerID=8YFLogxK
U2 - 10.1159/000522079
DO - 10.1159/000522079
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C2 - 35172318
AN - SCOPUS:85126005410
SN - 0042-1138
VL - 106
SP - 1260
EP - 1264
JO - Urologia Internationalis
JF - Urologia Internationalis
IS - 12
ER -