![]() ![]() Median interval for follow-up was every 6 months with renal ultrasounds, which then was prolonged to annual follow up in most cases.Ĭonclusions: The observation of pediatric patients with small non-obstructing stones is safe with no episodes of acute obstructive pyelonephritis occurring in these patients. 17/106 (16%) patients developed febrile UTIs and a total of 43 ER visits for stone-related issues were noted, but no patients required urgent intervention for an infected obstructing stone. The indication for surgery in all 6 cases was pain. Only 6/106 (5.7%) patients required stone surgery with ureteroscopy and/or PCNL at an average time of 12 months after initial diagnosis. Stone location did not correlate with spontaneous passage rates. About half of the patients had spontaneous passage of stones (54/106) at an average time of 13 months after diagnosis. The average age at diagnosis was 12.5 years and the average stone size was 3.6 mm. Results: Over the 6-year study period, 106 patients with non-obstructing kidney stones were identified. Frequency of follow-up ultrasounds while on observation were noted and any ER visits, stone passage episodes, infections, and surgical interventions were documented. Patients with a history of stones or prior stone interventions were included in our population. Patients with no follow-up after initial imaging were also excluded. Patients with ureteral stones, obstruction, or stones >5 mm in size were excluded. Methods: In this IRB-approved retrospective study, patients with a diagnosis of kidney stones from January 2011 to March 2017 were identified using ICD9 and ICD10 codes. We evaluate the clinical outcomes of small non-obstructing kidney stones in the pediatric population to better define the natural history of the disease. Objective: While small non-obstructive stones in the adult population are usually observed with minimal follow-up, the same guidelines for management in the pediatric population have not been well-studied. ![]() ![]() 2Division of Urology, Department of Surgery, Texas Children's Hospital, Houston, TX, United States.1Scott Department of Urology, Baylor College of Medicine, Houston, TX, United States.Ryan 1,2 Carolina Jorgez 1 Abhishek Seth 1,2 * Hyde 2 Christine Geistkemper 1,2 David R. ![]()
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