When Miguel was only two, he woke up from sleep most nights screaming in pain and discomfort.
The toddler endured recurring urinary tract infections, doctors told his mom Maria, meaning Miguel felt a burning sensation of having to urinate almost constantly.
“We kept going home with a prescription, but I knew it wouldn’t fix anything,” she said.
Finally, the pediatrician in their rural Illinois hometown referred Maria and Miguel to a urologist at a Chicago hospital. The family found out Miguel had kidney stones due to cystinuria, a condition that affects the kidneys and bladder, often causing painful stones and urinary tract infections.
Miguel underwent a handful of surgeries over two years in which doctors removed bladder and kidney stones from his body, and the boy ultimately received a stent in his ureter to help urine pass through his body. While kidney stones often pass on their own, some people, like Miguel, need help passing or removing them with medications or surgeries.
Back at home, Miguel’s discomfort persisted. He had many additional kidney stones, causing him nausea and pain in his back and sides and when he used bathroom.
The Chicago urologist told the family Miguel needed yet another extensive surgery for his long-term recovery.
“All through the night, he would be crying in pain,” Maria said. “I knew something else was wrong.”
Expertise at Lurie Children’s
Around the same time, a change in her insurance brought Maria and Miguel to Ann & Robert H. Lurie Children’s Hospital of Chicago, where the family met with Bruce W. Lindgren, MD, a pediatric urologist.
Dr. Lindgren is a specialist in minimally invasive urological surgery and director of the program in that specialty at Lurie Children’s. He also helps train medical students and urology residents and fellows in urology as an associate professor of Urology at Northwestern Feinberg School of Medicine.
The expertise paid off for Maria’s son. After reviewing Miguel’s scans and meeting with the family, Dr. Lindgren was able to remove Miguel’s stent and many of his additional stones through a procedure known as percutaneous nephrolithotomy. Dr. Lindgren also performed a ureteroscopy on Miguel to visualize his urinary tract and see if other stones existed. A nurse helped explain the details of the procedures to Maria, she said, which was comforting.
At Lurie Children’s, a multidisciplinary team including Dr. Lindgren; Craig Langman, MD, head of the Division of Kidney Diseases; and others work together to provide comprehensive care to patients with complex kidney conditions like Miguel’s. The team found medication and dietary changes that would help prevent Miguel’s body from forming more stones.
After these successful efforts, Maria got the best news yet: Miguel wouldn’t need another extensive surgery.
“Before we got to Lurie Children’s, every doctor’s appointment meant scheduling a new surgery,” Maria said. “Dr. Lindgren’s care and concern gave our family comfort and peace after many worried nights with no sleep.”
Healing & Growing Up
Miguel, now 5, continues to see nephrologists, or kidney specialists, at Lurie Children’s a few time a year. Since his surgery with Dr. Lindgren, he hasn’t developed any new kidney stones.
These days, Miguel is a playful kid with almost no pain, his mom said. He sleeps through the night, loves eating spaghetti and pizza and explores his uncle’s farm with his older sister and best friend, Isabel.
“People see him and can’t believe everything he’s been through,” said Maria. “I am so thankful Lurie Children’s could help him.”