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Boston Children's Hospital
Fegan Building, 5th floor
To schedule or cancel an appointment, call 617-355-7796.
When canceling an appointment, please give us as much notice as possible—at least 24 hours in advance—so that we may accommodate other patients.
What to bring
Length of appointment
Your first appointment usually takes two hours. Some appointments may require special diagnostic testing, such as ultrasound or X-rays, which can add time to your visit.
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Getting Around Boston Children's
The Kidney Stone Program at Boston Children’s Hospital is focused on the treatment and prevention of kidney stones in the pediatric population.
In our clinic, children are seen by a pediatric urologist and a pediatric nephrologist for a physical examination and discussion of their health. This discussion includes a detailed review of the child’s diet and fluid intake.
During this time, several tests may be also be performed, such as:
Ultrasound is our first imaging choice since there’s no risk radiation exposure. However, if the ultrasound is inconclusive, a computed tomography (CT) scan will be performed. A CT scan uses x-rays to create images for the child’s urinary tract.
Once these tests are completed, you and your child will be asked to return for a follow-up appointment. During the follow-up appointment, our team of doctors will meet with you to review the tests results and discuss a treatment plan.
Treatment is determined based on the size, location, number and composition of the stone(s). Children have a better ability to pass stones as compared to adults. In many cases, their stones can pass spontaneously without any surgical treatment. When it does become necessary for the stones to be removed,we use noninvasive or minimally invasive surgical techniques such as extracorporeal shock wave lithotripsy (ESWL) and ureteroscopy. Less often, we will do percutaneous nephrostomy, a more invasive procedure for stones that are too big to be treated ureterosocpically.
Once the evaluation and treatment of the stone is complete, we will typically see the child twice a year to assess fluid intake, monitor symptoms and do follow-up urine and blood tests. We check for the development of new stones by follow-up ultrasounds.
Prevention is also a critical part of treatment. Not infrequently, a metabolic abnormality can be identified and treated with medication and dietary changes. Every child is prescribed a long-term preventative treatment plan that involves a high fluid intake and a no added salt diet. With regular follow-up and adherence to the established plan, it is our goal to reduce or prevent stone reoccurrence.
Boston Children's urologists and nephrologists have compiled this list of tips to help you decrease your child's chances of developing kidney stones and preventing their recurrence:
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”