Urinary tract stone disease in childhood is as frequent as in adults. Diagnosis and treatment of urinary tract stone disease in the pediatric age group was not different from that in adult age. Extracorporeal shock wave lithotripsy is known to be safe in adults, but concerns about high-energy pulse can affect the development of kidney injury in children. New generation ESWL devices had the opportunity of lower radiation exposure with better fluoroscopic focusing, and even no radiation exposure with ultrasonographic visualization. We retrospectively evaluated our results of ESWL treatment in children with urinary tract stones.

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