Contemporary perspective on the problem of risk factors for complicated nephrolithiasis in children

Abstract

Aim. To improve the effectiveness of prevention and metaphylaxis in complicated nephrolithiasis among children.Material and methods. Based on many years of experience in a pediatric urology department of a children’s surgery clinic, we have accumulated significant data on risk factors and their importance in practical work. Using data from 152 patients, we have developed a clinical classification and a list of risk factors.Results of the stady. The study identified various risk factors such as: age of children; variants of nephrolithiasis (unilateral, bilateral, solitary, multiple, staghorn, obstructive); stages of CP, CG, CKD, pyonephrosis and paranephritis; stages, volume and methods of surgery; dysmetabolic nephropathy and dysplasia of the renal parenchyma. By studying and analyzing risk factors in 152 patients with complicated nephrolithiasis, covering etiopathogenesis, volume of surgery, errors during surgery and factors of recurrent stone formation, we developed a clinical classification of risk factors, which was introduced into the scientific and practical activities of doctors.Conclusion. Summarizing the importance of risk factors for complicated nephrolithiasis, it is necessary to consider a combination of etiopathogenetic, clinical-laboratory, reconstructive-restorative, rehabilitative, and prognostic risk factors, to improve the quality of life for children with nephrolithiasis.