High Recurrence Rate at 5-Year Followup in Children after Upper Urinary Tract Stone Surgery》.pdf

Pediatric Urology High Recurrence Rate at 5-Year Followup in Children after Upper Urinary Tract Stone Surgery Michael Lao, Barry A. Kogan,* Mark D. White and Paul J. Feustel From the Urological Institute of Northeastern New York, Albany Medical College, Albany, New York Purpose: Pediatric urolithiasis has been treated with shock wave lithotripsy, Abbreviations ureteroscopy and percutaneous nephrolithotomy with high success rates during and Acronyms short-term followup. We studied our success rate and modifiable risk factors KUB ¼ x-ray of kidneys, ureters in patients with at least 5 years of followup postoperatively. and bladder Materials and Methods: Retrospective chart review was performed for patients PCNL ¼ percutaneous younger than 18 years who underwent upper tract stone surgery between 1999 nephrolithotomy and 2007, were stone-free afterward and had at least 5 years of followup. SWL ¼ shock wave lithotripsy Recurrence rate, and anatomical and metabolic abnormalities were assessed. URS ¼ ureteroscopy Results: Of 60 eligible children 30 (33 kidneys) had at least 5 years of followup. Average patient age at surgery was 10 years, 17 patients were female and Accepted for publication September 3, 2013. 20 kidneys had anatomical abnormalities. Overall recurrence rate at 5 years was * Correspondence: 23 Hackett Blvd., Urological Institute of Northeastern New York, Albany 55% (95% CI 38%e70%). Ureteral stones had a lower recurrence rate than renal Medical College, Albany, New York 12208 stones (5 of 19 and 13 of 14, respectively, p 0.001). Patien