PEDIATRIC URINARY STONE PROFILE IN SAIFUL ANWAR HOSPITAL

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

PDF
Published 2025-05-09
Muhammad Firas Balafif Besut Daryanto Pradana Nurhadi

Abstract

Objective: This study aims to provide an overview of the characteristics of age, gender, stone location, stone side, stone analysis, and management of pediatric urinary stone in the tertiary hospital. Material & Methods: This was a retrospective study done over a period of four years from January 2019 - December 2023 in our institution. The patient has undergone supporting examinations to confirm the diagnosis. Clinical data including the patient’s age, gender, stone location, stone side, stone analysis, and management were observed. Data were analyzed descriptively and using SPSS 17.0. Results: Total of 55 cases of upper and lower urinary tract stones were encountered in our study with a mean age of 11.2 years. The highest incidence was 15-18 years old (36.4%). The distribution by gender showed a higher prevalence in males (67.2%) compared female patients (32.8%). The kidney stone was the most frequent clinical presentation (36.3%). From the upper urinary tract stone, the left side becomes the predominant area (54.2%). The most common stone constituent was calcium oxalate (41.8%). The kidney stone was mostly treated with Percutaneous Nephrolithotomy (PCNL) (75.0%). Conclusion: Pediatric urinary tract stone patients in our institution are predominantly male, with a peak rate in 15- 18 years old, most commonly found in the kidney, predominantly on the left side, and the most common stone constituent was calcium oxalate. Th kidney stone is mostly treated with PCNL. Keywords: Bladder stone, pediatric urinary stone, cystolithotripsy.


##plugins.themes.bootstrap3.article.details##

Keywords

bladder stone, pediatric urinary stone, cystolithotripsy

References

Erotocritou P, Smeulders N, Green JS. Paediatric stones: An overview. Journal of Clinical Urology. 2015;8(5):347-356.

Ahmed AA, Pasha ZE, Abnumay AA, Baz AM, Hariri LM, Alghamdi A et al. Prevalence and Pathophysiology of Pediatric Urolithiasis - A Review. Journal of Pharmaceutical Research International. 2021:236-242.

Rizvi SAH, Sultan S, Zafar MN, Ahmed B, Aba Umer S, Naqvi SAA. Paediatric urolithiasis in emerging economies. International Journal of Surgery. 2016;36:705-712.

Soliman NA, Rizvi SAH. Endemic bladder calculi in children. Pediatric Nephrology. 2017;32(9):1489-1499.

Issler N, Dufek S, Kleta R, Bockenhauer D, Smeulders N, van‘t Hoff W. Epidemiology of paediatric renal stone disease: a 22-year single centre experience in the UK. BMC Nephrology. 2017;18(1):136.

Kusumi K, Becknell B, Schwaderer A. Trends in pediatric urolithiasis: patient characteristics, associated diagnoses, and financial burden. Pediatric Nephrology. 2015;30(5):805-810.

Kokorowski PJ, Routh JC, Hubert KC, Graham DA, Nelson CP. Association of urolithiasis with systemic conditions among pediatric patients at children's hospitals. J Urol. 2012;188(4 Suppl):1618-1622.

Fang AM, Gibson E, Oster RA, Dangle PP. Effect of age, BMI, and gender on urinary risk factors in pediatric idiopathic stone formers. Journal of Pediatric Urology. 2021;17(4):477.e471-477.e479.

Panzarino V. Urolithiasis in Children. Adv Pediatr. 2020;67:105-112.

Kirejczyk JK, Porowski T, Filonowicz R, Kazberuk A, Stefanowicz M, Wasilewska A, et al. An association between kidney stone composition and urinary metabolic disturbances in children. Journal of Pediatric Urology. 2014;10(1):130-135.

Spivacow FR, del Valle EE, Boailchuk JA, Sandoval Díaz G, Rodríguez Ugarte V, Arreaga Álvarez Z. Metabolic risk factors in children with kidney stone disease: an update. Pediatric Nephrology. 2020;35(11):2107-2112.

Lee ST, Cho H. Metabolic features and renal outcomes of urolithiasis in children. Renal Failure. 2016;38(6):927-9.

Section
Articles
Copyright Information
Department of Urology, Faculty of Medicine/Airlangga University