Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0451641 (urolithiasis)
 3,973 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Extracorporeal shock wave lithotripsy (ESWL) has been proved to be an effective method of treating upper urinary tract calculi. However, there is little experience with the use of this approach in pediatric urolithiasis, especially for lower urinary tract calculi. Nine children, aged 1-18 years, were treated here with urolithiasis in the renal pelvis, lower ureter and bladder, using Dornier MFL 5000. A polystyrene plate was used to protect small children from chest damage. Prone position was routinely used to treat lower ureteral and vesical calculi, thus avoiding bony pelvis blockage of shock wave energy. Excellent pulverization was achieved in eight cases; fragmentation in only one case, then required cystolithotripsy for bladder stone fragments three months after ESWL. No patient had melena. Neither hemoptysis nor gastrointestinal complications were seen. Extracorporeal shock wave lithotripsy is a safe and effective method of treating urinary tract calculi in children.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi
PMID:Extracorporeal shock wave lithotripsy in children: experience with the multifunctional lithotripter MFL 5000. 129 46

A retrospective study of childhood urolithiasis was performed from July 1978 to December 1989 in the National Taiwan University Hospital. During the eleven years, fourteen patients aged from 1 to 16 years were enrolled. The male to female ratio was 10:4, but no sex predilection was found in seven children with bladder stone(s) (M:F = 4:3), Hematuria and pyuria were the commonest symptoms and signs. Bladder stone was the most frequently encountered stone while renal stone was the second. The underlying factors included urinary tract anomalies, and surgical intervention of the urinary tract and trauma. Proteus species was the most common bacterium isolated from the urine of stone patients. However, half of the patients' urine specimens were sterile. Calcium oxalate and struvite were the two main components of the stones irrespective of renal, ureteral, or bladder stone origin. Lithotomy, endourological removal, and extracorporeal shock wave lithotripsy were the major therapeutic procedures, but the last procedure might replace the others.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi
PMID:Urolithiasis in children. 206 81