Effects of Double J Stent (DJS) Placement Before Pediatric ESWL on Complications and Stone-free Rates

jpedsurg.org

Pediatric urolithiasis remains a significant health problem in certain regions worldwide. Extracorporeal shock wave lithotripsy (ESWL) is the preferred treatment for upper urinary tract stones smaller than 20 mm in children due to its ease of application and efficacy. However, the utility of double J stenting (DJS) before ESWL in pediatric patients is still debatable. This study aims to evaluate the impact of DJS placement prior to ESWL on children's complication and stone-free rates (SFRs).

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Article · Mar 2025 · 1 min read

In brief

This study examines whether placing double J stents before extracorporeal shock wave lithotripsy (ESWL) improves outcomes in pediatric patients with kidney stones smaller than 20 mm. The research addresses an ongoing clinical debate by comparing complication rates and stone-free rates between stented and non-stented children undergoing ESWL.

ESWL is the preferred treatment for upper urinary tract stones <20mm in children due to ease and efficacy.
The role of prophylactic double J stenting before pediatric ESWL remains controversial and requires further study.
Key outcomes to assess include complication rates and stone-free rates when comparing DJS vs. no DJS approaches.
Pediatric urolithiasis continues to be a significant health burden in certain geographic regions globally.

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