Medical expulsive treatment in pediatric urolithiasis


Atan A., Balci M.

TURKISH JOURNAL OF UROLOGY, cilt.41, sa.1, ss.39-42, 2015 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.5152/tud.2015.82856
  • Dergi Adı: TURKISH JOURNAL OF UROLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.39-42
  • Anahtar Kelimeler: Pediatric, stone, treatment, DISTAL URETERAL STONES, SHOCK-WAVE LITHOTRIPSY, ALPHA-BLOCKER THERAPY, SPONTANEOUS PASSAGE, URINARY RETENTION, MANAGEMENT, CALCULI, TAMSULOSIN, CHILDREN, FACILITATE
  • Gazi Üniversitesi Adresli: Evet

Özet

The frequency of stone disease in childhood ranges between 0.1-5 percent. Stone disease occurs as a result of enviromental, metabolic, anatomical, infectious and nutritional factors. Percutaneous nephrolitotomy, uretherorenoscopy, laparoscopic surgery, open surgery and extracorporeal shock wave lithothripsy are treatment alternatives for stone disease during childhood. However, these methods are not completely innocent. Some complications may occur after these procedures. These procedures are generally not cost-effective. Even invasive procedures have high success rates, so medical expulsive treatment modalities have become an alternative for a group of patients. Nonsteroidal anti-inflammatory drugs, antimuscarinic drugs, phospodiesterase type 5 inhibitors, steroids, calcium channel blockers and alpha blockers are treatment alterneatives used for this modality in the literature. The drug is chosen according to the location, size, and composition of the stone, recent technology, cost, surgeon's experience and surgeon's and the parents' preferences. In this review article the following topics will be discussed such as "Why medical expulsive treatment is needed during childhood? Which drug should be chosen for which stone type? How long should a treatment of urolithiasis last?