What was quite interesting is that the biggest stone that passed spontaneously was 7 mm and otherwise stones bigger than 5 mm are unlikely to pass, which is a useful little guideline because that's a bit smaller than what you might expect from the experience in adults. The natural history of pediatric stone disease. The pediatric ureter is as efficient as the adult ureter in transporting stone fragments after extracorporeal shock wave lithotripsy, according to two studies. Nonetheless, some patients still require percutaneous nephrolithotomy, which can be done with the same techniques used in adults. Percutaneous nephrolithotomy in the management of pediatric renal calculi.
Urinary infection is reduced by correcting the voiding dysfunction.
Correcting the abnormality will greatly reduce the incidence of breakthrough urinary tract infections and facilitate resolution of reflux. The treatment of dysfunctional elimination decreases urinary tract infections and surgery in children with vesicoureteral reflux. The normal work-up involved videourodynamic testing which is invasive and expensive. This is a fairly rare type of voiding abnormality which has been identified in adults and needs a fundamentally different type of therapy. This will improve our ability to get kids out of the hospital and back with their families in a much shorter period of time.