Clinical and Demographic Characteristics of Children with Urolithiasis: Single-Center Experience from Eastern Turkey

TABEL Y., Akin I. M., Tekin S.

UROLOGIA INTERNATIONALIS, cilt.83, sa.2, ss.217-221, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 83 Sayı: 2
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1159/000230027
  • Dergi Adı: UROLOGIA INTERNATIONALIS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.217-221
  • Anahtar Kelimeler: Nephrolithiasis, Pediatric urolithiasis, Urolithiasis, PEDIATRIC STONE DISEASE, URINARY-EXCRETION, CALCIUM, HYPERCALCIURIA, MANAGEMENT, CHILDHOOD
  • İnönü Üniversitesi Adresli: Evet

Özet

Objective: To evaluate the clinical and demographic findings of children with urolithiasis in eastern Turkey. Methods: We retrospectively reviewed the medical records of 67 children with urolithiasis for clinical and laboratory data. Results: Mean age at the time of diagnosis was 39.1 +/- 41.2 months. Complaints at admission were: urinary tract infection (29.9%), macroscopic hematuria (26.9%), abdominal or flank pain (19.4%), spontaneous passing of the stone (8.9%), growth and developmental delay (7.5%), and non-specific findings (8.9%). A family history of urolithiasis was positive in 50.7% of patients. Metabolic screening could be performed in 47 (70.1%) of patients due to socioeconomic problems and revealed hypercalciuria in 59.6%, infectious stone in 17%, cystinuria in 6.4%, hyperuricosuria in 10.6%, hyperoxaluria 4.3%, and hypocitruria in 2.1%. Stone analysis of patients (26.9%) revealed calcium oxalate in 38.9%, calcium phosphate in 22.2%, uric acid in 16.7%, cystine in 11.2%, struvite in 5.6% and mixed content in 5.6%. Conclusion: We believe early diagnosis with detailed metabolic screening and appropriate treatment and follow-up procedures and the contribution of urolithiasis to end-stage renal disease can be avoided. Copyright (C) 2009 S. Karger AG, Basel