PD34-12 THE ROLE OF MICROSCOPIC HEMATURIA IN SYMPTOMATIC CHILDREN WITH SUSPECTED URINARY STONES

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD34-12 THE ROLE OF MICROSCOPIC HEMATURIA IN SYMPTOMATIC CHILDREN WITH SUSPECTED URINARY STONES Yossi Ventura, Roi Babaoff, Dimitry Hunovich, Tal May, David Ben meir, David A lifshitz, and Roy Morag Yossi VenturaYossi Ventura More articles by this author , Roi BabaoffRoi Babaoff More articles by this author , Dimitry HunovichDimitry Hunovich More articles by this author , Tal MayTal May More articles by this author , David Ben meirDavid Ben meir More articles by this author , David A lifshitzDavid A lifshitz More articles by this author , and Roy MoragRoy Morag More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003327.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The prevalence of pediatric stone disease has increased over the last few decades. In children, the clinical attributes are not typical and require a high index of suspicion for correct diagnosis. We aimed to evaluate the role of microscopic hematuria as a diagnostic tool in children presenting with symptomatic urinary stones compared to the adult population. METHODS: A retrospective review of consecutive cases of suspected symptomatic urinary stones between 2016-2021 at a pediatric referral center's emergency department. Collected data included: medical history, clinical symptoms, laboratory, and radiological findings. We compared the prevalence of microscopic hematuria in children with radiologically confirmed urinary stones to a similar adult cohort and examined the associations between microscopic hematuria and the clinical, laboratory, and radiological findings in children. RESULTS: Of 184 patients reviewed, ninety-four children were diagnosed with symptomatic urinary stones confirmed by ultrasound (55%) or computed tomography (45%). Median age was 10 years (IQR 6-15) and 55% were males. Compared to an adult cohort [n=90, median age 52 years (IQR 41-65)], microscopic hematuria prevalence was significantly lower in children (62.8 vs. 82%, p=0.005). Reported clinical symptoms included flank/abdominal pain (47%), hematuria (27.7%), fever (21.3), and LUTS (12.8%). Children who presented with flank/abdominal pain and concurrent fever were associated with lower rates of microscopic hematuria on multivariate analysis [OR=0.24 (CI 0.06-0.089), p=0.03]. CONCLUSIONS: Microscopic hematuria prevalence is significantly lower in the pediatric population compared to the adult population and should not be used as a single guide to further evaluation when urinary stones are suspected. Source of Funding: no sources © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e925 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yossi Ventura More articles by this author Roi Babaoff More articles by this author Dimitry Hunovich More articles by this author Tal May More articles by this author David Ben meir More articles by this author David A lifshitz More articles by this author Roy Morag More articles by this author Expand All Advertisement PDF downloadLoading ...