Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function

Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function

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Yigit Akin,1 Selcuk Yucel21Department of Urology, Harran University School of Medicine, Sanliurfa, Turkey; 2Department of Urology, Acibadem University School of Medicine, Istanbul, TurkeyIntroduction: Extracorporeal shock wave lithotripsy (ESWL) is a well-known and successful treatment modality.In addition, it can be used in premature infants.ESWL is used to treat kidney and ureter stones in children.However, although it is a preferred noninvasive treatment in that setting, there is debate about its long-term effects on growing kidneys in children.Objectives: To investigate the long-term effects of pediatric ESWL on renal function in light of updated literature.

Methods: PubMed peppermint smoothie hibiscus and Medline were searched for studies on ESWL in a pediatric population with keywords including efficacy, child, kidney calculi, ureter calculi, lithotripsy, injury, vascular trauma, and shock waves.The research was limited to the English literature during a period from 1980 to 2014.In total, 3,000 articles were evaluated, but only 151 papers were considered.Only the manuscripts directly related to the reviewed subjects were included in the current study.Results: However, the acute effects of ESWL in kidney are well-described.

Although standoff kingsville ontario there are limited studies on the long-term effects of ESWL in children, there is a widespread opinion that ESWL is not affecting renal functions in the long-term.Conclusion: ESWL is a safe, effective, and noninvasive treatment option in children.Although ESWL can cause some acute effects in the kidney, there is no long-term effect on the growing kidneys of children.Keywords: child, lithotripsy, nephrolithiasis, renal injury, vascular trauma.