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Aron M, Agarwal MS, Goel A. Comparison of percutaneous with transurethral cystolithotripsy in patients with large prostates and large vesical calculi undergoing simultaneous transurethral prostatectomy. BJU Int 2003; 91:293-5. [PMID: 12581022 DOI: 10.1046/j.1464-410x.2003.04065.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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77
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Ather MH, Faruqui N, Abid F, Sulaiman MN. Is there a difference in early perioperative morbidity in transurethral resection of prostate (TURP) versus TURP with cystolitholapaxy and TURP with inguinal herniorrhaphy? Int Urol Nephrol 2003; 33:69-72. [PMID: 12090342 DOI: 10.1023/a:1014457020723] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objective of this study is to determine the difference in early peri-operative morbidity of transurethral resection of prostate (TURP) and if it is combined with inguinal hernia repair and mechanical and/or pneumatic fragmentation of bladder calculus. All patients undergoing TURP, cystolitholapaxy (CLL), inguinal hernia repair (IHR) or any combination between January 1997 and December 1999 were identified using ICD 9CM coding and indexing system. Overall 1273 patients were identified, charts were reviewed for demographics, pre-operative parameter, intra-operative data and early peri-operative morbidity. In the three year period, 19 patients had TURP and inguinal herniorrhapy (IHR), 17 patients had TURP and cystolitholapaxy (CLL), 2 patients had TURP+IHR+CLL performed simultaneously; in the same period 346, 815, 74 patients had TURP, IHR, and CLL alone respectively. All the groups were matched for age, presentation and Co-morbidities. There was significant difference in the operating time between the different groups. Complications were not significantly different in the TURP, IHR, CLL, TURP+IHR, and TURP+CLL. In conclusion, mean operative time for TURP+IHR is increased by a fraction of 168.3 for TURP+CLL by 109.8 and TURP+IHR+CLL is 202.1 over TURP alone, with no significant difference in morbidity between TURP and TURP+IHR and TURP+CLL.
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78
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Demirci D, Ekmekçioğlu O, Demirtaş A, Gülmez I. Big bladder stones around an intravesical migrated intrauterine device. Int Urol Nephrol 2003; 35:495-6. [PMID: 15198152 DOI: 10.1023/b:urol.0000025624.15799.8d] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Spontaneous migration of the intrauterine devices into the bladder and secondary stone formation are rare complications. A 33-year-old women in whom a copper T intrauterine device had been placed two years previously, presented complaining of irritative lower urinary tract symptoms. Intravesical migration of intrauterine device and big stones around it were confirmed by radiography and cystoscopy. The stones were fragmented by using electrohydraulic lithotriptor. And then all fragments of the stones and IUD were cystoscopically removed by a grasping forceps without any complication.
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79
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Segarra J, Palou J, Montlleó M, Salvador J, Vicente J. Hasson's laparoscopic trocar in percutaneous bladder stone lithotripsy. Int Urol Nephrol 2002; 33:625-6. [PMID: 12452613 DOI: 10.1023/a:1020558029392] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Bladder calculi are a common problem traditionally treated with open cystolithotomy or transurethral cystolithalopaxy. Percutaneous cystolithotomy via an Amplatz sheath is a recent approach that keeps urethral instrumentation to a minimum. We describe a percutaneous approach to bladder stones using a Hasson's trocar. With this approach, one or more watertight approaches to the bladder can be created, allowing any kind of endoscopic surgical material to be introduced, thus opening new possibilities in the design of percutaneous bladder surgery techniques.
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80
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Zhang Y. [Urology]. ZHONGHUA YI XUE ZA ZHI 2002; 82:1693-5. [PMID: 12641928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
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81
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Kilciler M, Sümer F, Bedir S, Ozgök Y, Erduran D. Extracorporeal shock wave lithotripsy treatment in paraplegic patients with bladder stones. Int J Urol 2002; 9:632-4. [PMID: 12534907 DOI: 10.1046/j.1442-2042.2002.00529.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Spinal cord injury patients are at increased risk of developing urolithiasis and many will require treatment, most commonly with extracorporeal shock wave lithotripsy (ESWL). METHODS We examined 20 consecutive spinal cord injury patients (all male) undergoing ESWL for the treatment of bladder stones between April 1992 and May 2000. The mean number of shock waves administered in these 20 patients was 3600 and the shock power was 19 kW/s. All patients were treated without anesthesia. After ESWL, the bladder was irrigated with povidone iodine solution and stone fragments were evacuated through a 22F endoscopic sheath. RESULTS All patients became stone-free after ESWL. Stone fragments were observed in the urethra of 3 patients, which were removed by urethroscopy. No major complication was observed; however, 5 patients had minor hematuria (which subsided within 24 h) and subfebrile fever (37.2-37.5 degrees C). CONCLUSION ESWL and transurethral bladder irrigation is a safe, effective and simple modality for the treatment of bladder stones in spinal cord injury patients.
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82
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Simhofer H, Riedelberger K. [Endoscopic lithotripsy of a urinary bladder calculus with the aid of a holmium-YAG-laser in a gelding]. DTW. DEUTSCHE TIERARZTLICHE WOCHENSCHRIFT 2002; 109:383-6. [PMID: 12395576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
A 6 year old Haflinger gelding was presented to the reporting clinics with a history of chronic dysuria. A large cystic calculus (12 x 9 x 9 cm) was diagnosed cystoscopically. Lithotripsy was carried out endoscopically in the standing, sedated patient with a Holmium:YAG surgical laser (2100 nm, 0.5-3.5 J/pulse, 3-60 pulses/sec.). The endoscope was inserted into the bladder via perineal urethrostomy. Fragmentation of the urolith was carried out with a laser fiber (core diameter 600 microns) in contact mode. Healing proceeded uneventfully. On follow up examination 8 weeks post surgery, no signs of recurrence, cystitis or strictures of the urethra were present.
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83
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O'Connor RC, Laven BA, Bales GT, Gerber GS. Nonsurgical management of benign prostatic hyperplasia in men with bladder calculi. Urology 2002; 60:288-91. [PMID: 12137828 DOI: 10.1016/s0090-4295(02)01698-9] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To assess the outcome of men with bladder calculi who did not undergo transurethral resection of the prostate after endoscopic stone removal. Bladder calculi associated with benign prostatic hyperplasia (BPH) have historically been an absolute indication for transurethral resection of the prostate. METHODS A retrospective analysis of the results of 23 men who underwent endoscopic removal of bladder calculi with subsequent medical management of BPH symptoms was performed. Inclusion criteria included men with bladder stones secondary to BPH, serum creatinine 1.6 mg/dL or less, no evidence of hydronephrosis, and no history of acute urinary retention or neurogenic bladder. The International Prostate Symptom Score and postvoid residual urine volume before and after treatment and the incidence of bladder stone recurrence and associated complications were recorded. All patients were treated with either an alpha-receptor blocker or alpha-receptor blocker and finasteride after bladder stone removal. RESULTS The follow-up after endoscopic removal of the bladder calculi averaged 30.0 months (range 6 to 96). The International Prostate Symptom Score before and after treatment was 18.3 and 9.4 (P <0.01), respectively. The postvoid residual urine volume before and after treatment was 354 and 179 mL (P <0.01), respectively. Urinary tract infection, acute urinary retention, recurrent calculi, chronic renal insufficiency, or renal failure developed in 21.7% (n = 5), 17.4% (n = 4), 17.4% (n = 4), 4.3% (n = 1), and 0% (n = 0) of the 23 men, respectively. Overall, 18 (78%) did not have any complications. CONCLUSIONS Many men with bladder stones can be successfully and safely treated with transurethral stone removal and medical management of BPH.
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84
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Cursio R, Choquenet C. Iatrogenic bladder stone formation on absorbable suture 3-years after radical prostatectomy. MINERVA UROL NEFROL 2002; 54:127-8. [PMID: 12070460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Vesical calculi formation on absorbable sutures is rare. The case of a 68-year-old white man, who had formed a large bladder stone on absorbable suture 3 years after radical prostatectomy, is reported. Endoscopic lithotripsy of the bladder calculi was performed and the suture was removed.
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85
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Léger P. [History and fading of bladder stones]. LA REVUE DU PRATICIEN 2002; 52:1053-5. [PMID: 12107924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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86
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Knönagel H, Müntener M. [Urolithiasis and ultrasound diagnosis. Value of ultrasound in diagnosis of urolithiasis]. PRAXIS 2002; 91:603-609. [PMID: 12014061 DOI: 10.1024/0369-8394.91.14.603] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
In Europe and the United States urolithiasis is a very common clinical finding. In primary diagnostic and at follow up sonography plays a central part because of its high accuracy, its easy and noninvasive use as well as its availability and low costs. Although popular, the color Doppler examination is of minor importance in the evaluation of patients with stone disease. Apart from conservative management shock-wave lithotripsy is the first procedure of choice in the treatment of urinary stones. In the follow up of both patients with conservative and patients after interventional treatment sonography is the first line examination.
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87
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Westenberg A, Harper M, Zafirakis H, Shah PJ. Bladder and renal stones: management and treatment. HOSPITAL MEDICINE (LONDON, ENGLAND : 1998) 2002; 63:34-41. [PMID: 11828814 DOI: 10.12968/hosp.2002.63.1.1723] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
The prevalence of renal tract calculi in the population is such that patients may present acutely not only to urologists, but in the setting of any medical specialty. This article aims to enable all practitioners to be able to recognize the condition and instigate early investigation and management before referring to the urologist for definitive treatment.
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88
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Tröhler U. Commentary: 'Medical art' versus 'medical science': J Civiale's statistical research on conditions caused by calculi at the Paris Academy of Sciences in 1835. Int J Epidemiol 2001; 30:1252-3. [PMID: 11821320 DOI: 10.1093/ije/30.6.1252] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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90
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91
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Matthews JR. Commentary: The Paris Academy of Science report on Jean Civiale's statistical research and the 19th century background to evidence-based medicine. Int J Epidemiol 2001; 30:1249-50. [PMID: 11821318 DOI: 10.1093/ije/30.6.1249] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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92
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Vandenbroucke JP. Commentary: Treatment of bladder stones and probabilistic reasoning in medicine: an 1835 account and its lessons for the present. Int J Epidemiol 2001; 30:1253-8. [PMID: 11821321 DOI: 10.1093/ije/30.6.1253] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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93
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May KA, Pleasant RS, Howard RD, Moll HD, Duesterdieck KF, MacAllister CG, Bartels KE. Failure of holmium:yttrium-aluminum-garnet laser lithotripsy in two horses with calculi in the urinary bladder. J Am Vet Med Assoc 2001; 219:957-61, 939. [PMID: 11601793 DOI: 10.2460/javma.2001.219.957] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripsy was attempted in a mare and a gelding with calculi in the urinary bladder. The procedure was unsuccessful in producing adequate fragmentation of the calculi. In the gelding, pulsed dye laser lithotripsy was subsequently used to fragment the urolith. Manual removal of the urolith via the urethra was performed in the mare.
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94
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Chtourou M, Ben Younes A, Binous MY, Attyaoui F, Horchani A. Combination of ballistic lithotripsy and transurethral prostatectomy in bladder stones with benign prostatic hyperplasia: report of 120 cases. J Endourol 2001; 15:851-3. [PMID: 11724128 DOI: 10.1089/089277901753205889] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
PURPOSE We report our experience with the combination of ballistic lithotripsy (BL) and transurethral resection of the prostate (TURP) in 120 patients with benign prostatic hyperplasia (BPH) and bladder stone(s). PATIENTS AND METHODS The mean stone size, appreciated by measuring the greatest diameter, was 18.5 mm (range 10-80 mm). The mean prostate volume was 35.4 cc (26-62 cc). All procedures were monitored under direct endoscopic control with a videocamera. RESULTS Lithotripsy and evacuation of fragments was performed in an average time of 27.5 minutes (10-80 minutes). The only intraoperative complication was mild hematuria in 38 patients (32%), which did not affect vision for TURP. The mean resection time was 42 minutes (range 15-65 minutes). Four patients experienced mild postoperative bleeding, and one patient had clot retention. The mean hospital stay was 1.2 days (range 1-4 days). CONCLUSIONS Combined BL and TURP is effective, safe, and economical.
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95
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Anderson T. A recently discovered mediaeval bladder stone from Norwich, with a review of British archaeological bladder stones and documentary evidence for their treatment. BJU Int 2001; 88:351-4. [PMID: 11564020 DOI: 10.1046/j.1464-410x.2001.02298.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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96
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Millán Rodríguez F, Tornero Ruiz J, López Llauradó H, Rousaud Barón F, Martí Malet J, Izquierdo Latorre F, Rousaud Barón A. [Treatment of bladder lithiasis with shock-wave extracorporeal lithotripsy]. Actas Urol Esp 2001; 25:504-9. [PMID: 11534404 DOI: 10.1016/s0210-4806(01)72660-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE To evaluate the effectiveness and the prognostic factors of the bladder stones (BS) treatment by means of extracorporeal shock wave lythotripsy (ESWL). METHODS 183 patients with BS treated using ESWL were retrospectively analysed. Independent variables were: gender, age, obstruction, BS size, BS number and amount of waves. Dependent variable was total BS resolution. Statistical analysis was provided by Cox's regression multivariate analysis, Kaplan-Meier analysis and the t Student test. RESULTS Total effectiveness of the treatment was 73%. Initial BS size was the only prognostic factor on multivariate analysis (p = 0.0035) with smaller stones obtaining the best results (log rank p = 0.00001): 92% of effectiveness in BS smaller than 1 cm2, 73% in 1-2 cm2, 57% in 2-3 cm2 and 42% in larger than 3 cm2. BS mean size decreased 2 cm2 after the first ESWL (p = 0.00001). CONCLUSIONS Initial BS size was the only prognostic factor of resolution. Total effectiveness was 73% and it highly increased in BS smaller than 2 cm2.
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97
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Yeh CC, Lin HC, Chen CC, Wu HC. Ureteral fibroepithelial polyp prolapsed into the bladder cavity suspending a bladder stone. J Urol 2001; 165:1627-8. [PMID: 11342937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
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98
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Tański Z, Noll D, Leszczyński D. [Complications caused by nonabsorbable surgical sutures]. Ginekol Pol 2001; 72:241-3. [PMID: 11444182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023] Open
Abstract
The author presents the case of complication caused by nonabsorbable silk surgical sutures which occurred two years and seven month after cesarean section and next hysterectomy performed at the same time. The sutures caused the formation of big vesical stone as well the appearance of acute recurrent pyelonephritis and stricture of the urethra. After lithotripsy, the patient completely recovered.
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Salah MA, Holman E, Tóth C. Percutaneous suprapubic cystolithotripsy for pediatric bladder stones in a developing country. Eur Urol 2001; 39:466-70. [PMID: 11306888 DOI: 10.1159/000052487] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To evaluate our experience with percutaneous suprapubic cystolithotripsy (PCCL) in Yemeni children with endemic urinary bladder stones. PATIENTS AND METHODS Between January 1993 and December 1998, 117 children underwent percutaneous suprapubic lithotripsy in Arabia Felix Modern Hospital, Sana'a Republic of Yemen. The patients' ages ranged from 8 months to 14 years (average 3.7 years). Ninety patients (77%) were under 5 years old; 20 patients (16%) were between 6 and 10 years old, and 7 patients (6%) were between 11 and 14 years old. There were 116 boys and 1 girl. The stone size ranged from 0.7 to 4 (average 2.3) cm. Five patients had coexisting urinary bilharziasis and another 5 patients had coexisting renal stone. In 10 patients, the stone was in the urethra. The procedure was done under general anesthesia. Dilation of the tract was made under fluoroscopy. The instrument was an adult 26-french nephroscope, the same as that used for percutaneous nephrolithotripsy. Ultrasound disintegration was needed for stones of > 1 cm. A suprapubic catheter was left for 24 h, and a urethral catheter was kept for 48 h. RESULTS All patients became stone free. The average operating time was 15 (5-50) min. The average hospital stay was 2.7 (2-5) days. No severe intra- or postoperative complication was observed. The nucleus and/or the main component of the stones were ammonium acid urate in 109 patients (93%). CONCLUSION Based on our experience we can conclude that percutaneous suprapubic lithotripsy is a safe and effective method for the treatment of bladder stones in children. It reduces morbidity and hospital stay and thus the cost of treatment. Our series proves the nutritional etiology of endemic pediatric bladder stones. To our knowledge, this is the largest series reported on percutaneous suprapubic management of endemic bladder stones in children.
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100
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Trapeznikova MF, Urenkov SB, Kulachkov SM, Bazaev VV, Morozov AP. [Extracorporeal shock-wave lithotripsy of bladder stones in patients with benign prostatic hyperplasia]. UROLOGIIA (MOSCOW, RUSSIA : 1999) 2001:20-2. [PMID: 11233225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
In urological department of Moscow Regional Research Clinical Institute, extracorporeal shock-wave lithotripsy (ECSWL) or bladder stones in patients with benign prostatic hyperplasia (BPH) has been made prior to TUR from 1991. This treatment was given to 52 patients aged 54-79 years with prostatic volume 40-120 cm3. Complete or partial fragmentation of the vesical calculi was achieved after 1 to 3 ECSWL sessions (a total of 105 sessions, 2000-3000 impulses a session). Pretreatment with ECSWL of bladder stones significantly facilitates TUR in BPH patients with vesical calculi of big size (2.5 cm and more in diameter). Extracorporeal fragmentation of large stones prior to TUR makes surgery of such patients less traumatic and reduces the risk of intraoperative complications compared to endoscopic cystolithotripsy or cystolithotomy. ECSWL of cystolithes expands indications for drug therapy or thermal non-endoscopic BPH treatment in aged patients with poor somatic status and in young sexually active males rejecting surgery.
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