BLADDER STONES IN CHILDREN

Abstract

In this work, 48 Egyptian children with bladder calculi were studied.

It has been concluded that, most of the patients were males with an average age around 3 years. They were from families with a large number of children of low standard of living, with malnutrition, bad hygienic conditions and low protein diet.

The main complaint of most of patients was screeming and straining during micturation with tendency to pench the penis, so that any child who complains of diurnal frequency, screeming during micturation and penciling his penis must be considered to have a stone in his bladder.

No delinitive cause of stone bladder formation in children had been detected in most cases On the other hand schistosomiasis is not an aetiological factor in the bladder stone disease commonly seen in young Egyptian children.

Vesical calculi in our cases were most commonly of mixed tvpc with calcium being the commonest components.

Suprapubic cystolithotomy is the most suitable & cheapest line of management of stone bladder in children with least morbidity.

Other techniques should be used with caution to avoid injuring the very delicate and relatively narrow urethra.

Control of any U. T. I, good hydration and nutritional supports (including proteins ofhigh biological values and vitamins) are the key stone for preventing recurrence of vesical calculi in children.