Abstract
Objective: Stones of the urinary system occur in children at varying prevalence depending on the changing environment, diet, and genetic factors. The aim of this study was to evaluate patients with urinary tract stones in terms of surgical treatment indications, treatment methods and outcomes, and complications.
Material and Methods: Patients who were treated for urinary tract stones between January 2009 and December 2013 were retrospectively evaluated. Patients’ age,sex,etiology, size, location, and number of their existing stones,the treatment method,stone-free rates, and postoperative complications were recorded.
Results: A total of 505 patients were evaluated. The mean age of the patients at the time of diagnosis was 55.8±52.2 (0–216) months. Of the 505 cases, 157 (31%) underwent surgery. The mean age of the patients was 63.6±55.2 (0–216) months. There was a statistically significant difference between the sizes of the stones found in patients receiving medical treatment and those who underwent surgery (p<0.05). There was no statistically significant difference between the surgical method and the number of patients with residual stones (p>0.05). In postoperative checks, there was no statistically significant difference between the size and location of the existing residual stone and the surgical method (p>0.05).
Conclusion: Stone disease of the urinary system is an important health concern in children. Determining the etiology, identifying surgical indications, and performing surgery using appropriate procedures play a key role in the treatment of the disease.
Keywords: urinary tract stones, children, surgery
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