Pediatric urolithiasis has increased globally in the last few decades. The role of familial predisposition and environmental factors in pediatric urolithiasis is now better understood. Early diagnosis and prevention of recurrence are crucial in reducing the morbidity in children. This article updates about the effective approaches for the management of pediatric urolithiasis. Children represent about 1% of all patients with urolithiasis but 100% of these children are considered at high-risk for recurrent stone formation.

It is crucial for them to receive a therapy that will render them stone free. In addition, a metabolic workup of these children is also necessary to ensure a tailored metaphylaxis to prevent or delay recurrence. Clinical findings The clinical presentation usually depends on age. Nonspecific symptoms are common in very young children while symptoms such as flank pain and…