Recent data show a high recurrence rate in children with stones treated with either shock wave lithotripsy, ureteroscopy, or percutaneous nephrolithotomy, particularly in those with abnormal anatomy. In a study of 60 children, overall recurrence within 5 years was 55%; patients with abnormal anatomy had a 65% chance of stone recurrence compared with 38% for those with normal anatomy. These findings support the aggressive diagnosis and treatment of metabolic abnormalities in children.
ORIGINAL RESEARCH PAPER
Lao, M. et al. High recurrence rate at 5 year follow-up in children who underwent upper tract stone surgery. J. Urol. doi:10.1016/j.juro.2013.09.021
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Abnormal anatomy increases risk of stone recurrence. Nat Rev Urol 10, 617 (2013). https://doi.org/10.1038/nrurol.2013.228
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DOI: https://doi.org/10.1038/nrurol.2013.228