[Course of the urinary lithiasis treatment in the Surgery Department of a Children's Hospital].

Records of 90 urolithiasis patients (50 boys and 40 girls) of 5 months to 18 years old (medium 8.7 yr) treated in our department from 1975 to 1993 were reviewed. Family history was found in 25 (27.7%), concomitant uropathy in 9 and predisposing factors to lithogenesis in 35 patients. The most frequent clinical manifestations were hematuria, lumbalgia, dysuria and calculus elimination. Urinary tract infection was found in 26 cases. Treatment modalities used were: medical in 31, extracorporeal shock wave lithotripsy (ESWL) in 12 surgery en 28, endoscopy en 1 and instrumental in 1. Six of 28 surgically treated patients presented residual urolithiasis and another 6 relapsed. Three complications were registered. Recovery from hydronephrosis and/or vesicoureteral reflux was seen in all patients with these lesions.