Diagnosis of Childhood Urinary System Stones

Urinary system stones can be seen not only in adults, but also in all childhood, including infancy. Lifestyle (sedentary-sedentary life), differentiation of nutritional habits compared to the past, and inappropriate-unnecessary vitamin D supplementation are the factors that cause urinary system stone disease to be seen more frequently today, while increasing the level of knowledge and awareness about stone disease, the use of ultrasonography within appropriate indications, in childhood. Diagnosed urinary system stone disease cases have also increased.

While the stones are mostly intrarenal in infants (the stone is located in the kidneys), ureteral stones are more prominent in older children. Urinary system stones are more common in boys under the age of 10 and in girls over the age of 10. The presence of a family history of stones is important and 12-68% of the patients have a family history of stones. Approximately one third of pediatric patients are asymptomatic and are diagnosed incidentally in ultrasonography performed for other reasons. It may occur due to reasons such as hydronephrosis, ureteropelvic junction stenosis and vesicoureteral reflux), urinary tract infections, metabolic diseases that cause high rate of urinary stone forming crystals. and facilitating causes should be eliminated.

The purpose of radiological evaluation in children with suspected stones is to confirm the diagnosis, as well as to determine the localization of the stone, the presence of urinary obstruction (obstruction), the degree if any, and whether there are anatomical causes that will facilitate the development of stones in the urinary system. .

Read: 0

yodax