MP70-18 WHAT IS THE BEST CLINICAL APPROACH FOR 5-10MM URINARY STONES ON INFANTS? TREAT OR FOLLOW?

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You have accessJournal of UrologyCME1 Apr 2023MP70-18 WHAT IS THE BEST CLINICAL APPROACH FOR 5-10MM URINARY STONES ON INFANTS? TREAT OR FOLLOW? Ezel Aydoğ, Mehmet Fatih Özkaya, Furkan Özsoy, Elif Ipek Aksoy, Tarkan Soygür, and Berk Burgu Ezel AydoğEzel Aydoğ More articles by this author , Mehmet Fatih ÖzkayaMehmet Fatih Özkaya More articles by this author , Furkan ÖzsoyFurkan Özsoy More articles by this author , Elif Ipek AksoyElif Ipek Aksoy More articles by this author , Tarkan SoygürTarkan Soygür More articles by this author , and Berk BurguBerk Burgu More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003338.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There are not many researches regarding the management modality for pediatric patients, especially infants. Because of the lack of prospective randomized researches, while ESWL has a more impactful role, the overall management for pediatric patients is almost the same with adults. METHODS: 136 patients that were consulted to our clinic between Jan-2018 to Apr-2022 with incidentally detected 5-10 mm renal stones were randomized into two groups for this prospective study. The treatment group, had undergone a metabolic evaluation and a low-dose CT if required apart from the Ultrasound scans. ESWL was the preferred first approach unless the stone location was lower pole or patient had a history of a prior failed ESWL. Afterwards, either URS or PCNL were preferred depending on the ureter calibration. The control group did not undergo any further diagnostic tesst or surgical approach, unless a G2 hydronephrosis or febrile UTI presented. Two sample t-test was used for statistical analysis. RESULTS: All patients were followed every 2 months during infancy period. 23% of patients (n=16) in the control group were eventually treated with ESWL because of obstruction during ureteral stone passage. 50% of patients (n=34) had spontaneous passage of stone without any complications. At the end of the infancy, there was no significant difference of change on kidney functions between two groups. CONCLUSIONS: 5-10 mm kidney stones on infants that doesn’t cause >G2 hydronephrosis or febrile UTIs can safely be followed without any intervention or extensive metabolic evaluation during the infancy period. Source of Funding: Ankara University © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1010 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ezel Aydoğ More articles by this author Mehmet Fatih Özkaya More articles by this author Furkan Özsoy More articles by this author Elif Ipek Aksoy More articles by this author Tarkan Soygür More articles by this author Berk Burgu More articles by this author Expand All Advertisement PDF downloadLoading ...