Abstract | OBJECT: MATERIALS AND METHODS: We enrolled 102 patients aged 5-24 months who had kidney stones and received SWL therapy under sedoanalgesia using a Siemens Lithostar Modularis device. Patient and stone characteristics, therapy parameters, pain score, complications, discharge time, and follow-ups were registered and evaluated. Pain score was assessed using a Neonatal Infant Pain Score ( NIPS). Postanesthetic discharge scoring system (PADSS) was used for the assessments of postprocedural discharge procedure. RESULTS: Mean age of the patients was 17.2 ± 6.3 months (5-24 months). Mean stone size was 7.9 ± 3.3 mm (5-23 mm). The most common concomitant metabolic disorders were hypercalciuria and hypocitraturia. The stone-free rates of the infants were 70.6, 87.3, and 99.1 % after the first, second, and third sessions of SWL therapy, respectively. The mean NIPS scores procedure during, and at 1 h after SWL procedure were determined as 0.24 ± 0.45 and 0.34 ± 0.47, respectively. There was no statistically significant difference between two pain score values (P = 0.114). The mean discharge time of patients after the SWL procedure were 108.6 ± 27.9 min. Forty-two patients (41.1 %) were followed up. The follow-up period varied between 8 and 48 months (mean 19.5 months); none of those patients showed evidence of diabetes mellitus, hypertension, or renal function impairment. CONCLUSIONS: SWL therapy under sedoanalgesia is a safe and efficient treatment modality that can be administered with low complication rates and high stone-free rates in the treatment of renal stones in infants.
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Authors | Senol Adanur, Tevfik Ziypak, Ali Haydar Yılmaz, Huseyin Kocakgol, Mehmet Aksoy, Turgut Yapanoglu, Ozkan Polat, Yılmaz Aksoy |
Journal | International urology and nephrology
(Int Urol Nephrol)
Vol. 46
Issue 11
Pg. 2095-101
(Nov 2014)
ISSN: 1573-2584 [Electronic] Netherlands |
PMID | 25080207
(Publication Type: Journal Article)
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Topics |
- Analgesia
(methods)
- Child, Preschool
- Conscious Sedation
(methods)
- Female
- Follow-Up Studies
- Humans
- Infant
- Kidney Calculi
(therapy)
- Lithotripsy
(methods)
- Male
- Pain Measurement
- Retrospective Studies
- Time Factors
- Treatment Outcome
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