Basuguy, ErolÖnen, AbdurrahmanAzizoğlu, MustafaOkur, Mehmet HanifiAydoğdu, BahattinArslan, Serkan2024-03-252024-03-252023Basuguy, E., Önen, A., Azizoğlu, M., Okur, M. H., Aydoğdu, B. ve Arslan, S. (2023). Effectiveness of extracorporeal shock wave lithotripsy in urolithiasis patients under 2 years of age. Cirugia y Cirujanos (English Edition), 91(5), 620-626.0009-7411https://www.cirugiaycirujanos.com/frame_esp.php?id=904https://hdl.handle.net/11468/13685Objective: In this study, we present our extracorporeal shock wave lithotripsy (ESWL) outcomes in urolithiasis patients under the age of two. Materials and Methods: The procedure was performed with patients < 2 years of age sedated, under anesthesia using ketamine and Dormicum (midazolam), in the supine position. Fragmentation was evaluated by fluoroscopy after the procedure. Results: A total of 74 procedures were performed on 65 kidneys. One patient with bilateral stones had two sessions of ESWL on the right side; three sessions of ESWL were performed in one patient with a unilateral stone, and two sessions were performed in seven patients with unilateral stones. All other patients underwent one session of ESWL. As post-procedural complications, hematuria was observed in 14 patients (12 mild and 2 significant), and vomiting occurred in 1 patient. Ureterorenoscopy was performed in 5 patients, and percutaneous nephrolithotomy in 6 patients due to a failed procedure. Conclusion: As a result, ESWL treatment is effective and has advantages such as a short hospitalization time, good reproducibility, cost-effectiveness, and a low rate of complications. Therefore, we recommend ESWL as the first-line treatment for renal and proximal ureteral stones in infants < 2 years of age.eninfo:eu-repo/semantics/openAccessChildrenExtracorporeal shock waveLithotripsyUrolithiasisArticle915620626WOS:0011087693000142-s2.0-851743579063784488410.24875/CIRU.22000548Q4N/A