Clinical Experience With Pediatric Urolithiasis

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Abstract
Clinical experience with 47 pediatric patients with stones is reviewed. Surgical therapy was standard with successful stone manipulation in 12 of 13 patients. In 91% of the patients factors causing or predisposing to stone disease were discovered. A thorough metabolic evaluation, including an oral Ca loading test in 20 children, proved to be helpful. A new patient subgroup relating unexplained hematuria to eventual stone formation is described. The protocol for metabolic evaluation and recommendations for treatment based on the results of such an evaluation are given. The metabolic evaluation of the child with stones were meaningful and particularly helpful in planning subsequent therapy for these patients.

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