Evidence map›Paper›PMID 41083800›Full record

ReviewWorld journal of urology2025

Urinary tract anomalies and their role in pediatric stone formation.

Rifat Burak Ergül, M Fırat Ozervarli, Kazım Can Oba, Yasin Yitgin, Tzevat Tefik

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In one paragraph

Review in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rifat Burak ErgülDepartment of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
M Fırat OzervarliDepartment of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Kazım Can ObaDepartment of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Yasin YitginDepartment of Urology, Istanbul Nisantasi University, Faculty of Medicine, Istanbul, Turkey.
Tzevat TefikDepartment of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey. tztefik@istanbul.edu.tr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis review aims to evaluate the role of congenital urinary tract anomalies in the pathogenesis of pediatric nephrolithiasis. By examining specific structural abnormalities such as ureteropelvic junction obstruction (UPJO), horseshoe kidney, ectopic kidney, exstrophy-epispadias complex, and ureterocele, we aim to elucidate how these anomalies contribute to urinary stasis, infection, metabolic disturbances, and ultimately, stone formation in children.

methodsA narrative literature review was conducted focusing on congenital anomalies of the urinary tract and their association with pediatric stone formation. Relevant studies, case series, and case reports published in peer-reviewed journals were analyzed to explore the pathophysiological mechanisms, diagnostic approaches, and treatment strategies employed in affected pediatric populations.

resultsUrinary tract anomalies such as UPJO, horseshoe kidney, and ectopic kidneys were frequently associated with increased risk of stone formation, primarily due to urinary stasis and infection. In UPJO, a significant proportion of patients (up to 76%) also exhibited underlying metabolic abnormalities. Combined surgical approaches, such as robotic or laparoscopic pyeloplasty with simultaneous stone removal, demonstrated favorable outcomes with low complication rates. In children with exstrophy-epispadias complex and bladder augmentation, bladder stones developed in up to 22% of cases, regardless of the bowel segment used. Ureteroceles, although rare in children, can also harbor stones and pose diagnostic challenges. Minimally invasive interventions have shown promising results in these scenarios.

conclusionsCongenital urinary tract anomalies may increase the risk of pediatric stone formation by contributing to urinary obstruction, stasis, and metabolic derangements. While existing evidence supports this association, further prospective studies are needed to better define causality and optimize management strategies in this unique patient population.

Indexed as

Urinary TractUrogenital AbnormalitiesChildHumansUreteral ObstructionCongenital urinary tract anomaliesEctopic kidneyExstrophy-epispadias complexHorseshoe kidneyLithogenesisMinimally invasive surgeryPediatric nephrolithiasisUreteroceleUreteropelvic junction obstructionUrinary stasis

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.