Endoscopic intact removal of medium-size- or multiple bladder stones with the use of transvesical laparoendoscopic single-site surgery

Roslan, Marek; Przudzik, Maciej; Borowik, Michał

doi:10.1007/s00345-018-2358-8

Cited by 9 publications

(6 citation statements)

References 21 publications

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“…Although being the gold standard for various urological pathologies, laparoscopic surgery has been rarely used for bladder lithiasis. Fortunately, improvements in conventional laparoscopy have broadened this concept to a novel singlesite technique conferring minimal invasiveness and morbidity [6,22,23]. As such, laparo-endoscopic single-site surgery (LESS) gained traction as a promising alternative to traditional laparoscopy, and, in 2019, Zhang et al presented their compelling experience with robot-assisted LESS in a 49-yearold male with multiple urinary tract calculi.…”

Section: Discussionmentioning

confidence: 99%

“…The authors successfully removed three bladder stones along with three renal and one ureteral calculi through a single-site port without major complications [6]. Moreover, an innovative, safe, and efficient transvesical LESS (T-LESS) for intact mediumsize or multiple stone removal was illustrated by Roslan et al with the aid of a single-port device (Tri-Port+, Olympus, Hamburg, Germany) [22]. As the number of urologists embracing LESS is expected to grow shortly, further studies assessing the method's reproducibility are certainly warranted.…”

Section: Discussionmentioning

confidence: 99%

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Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature

Symeonidis

Memmos

Anastasiadis

et al. 2022

AML

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Background: An uncommon type of urinary calculus, Jackstone was named after its distinct resemblance to the children’s game “Jacks.” It typically involves the bladder and, to a lesser extent, the upper urinary tract.Case Presentation: Herein, we report a case of Jackstone vesical calculus in a 75-year-old male undergoing elective open prostate surgery for benign prostate hyperplasia refractory to medical treatment. Preoperative clinical examination revealed intermittent gross hematuria and symptoms suggestive of bladder outlet obstruction, while radiological investigation confirmed the presence of a solitary star-shaped spike-like bladder stone along with an overly enlarged prostate. Following open simple prostatectomy and concomitant intact stone removal, our patient made an uneventful postoperative recovery.Conclusion: This case highlights an infrequent subtype of bladder lithiasis and further expands upon the importance of promptly treating the underlying cause once this rare entity is detected. A comprehensive review of the literature on Jackstone calculi is further presented.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature

Symeonidis

Memmos

Anastasiadis

et al. 2022

AML

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“…Furthermore, the modalities of surgical equipment also play an important role in therapeutic success [ 19 ]. Transurethral surgery has become commonly used due to its high efficacy and low morbidity following the development of newer endoscopic and fragmentation equipment [ 20 ]. On the one hand, many lithotripsy energy facilities for stone crushing, such as electrohydraulic lithotripsy, ultrasonic lithotripsy, pneumatic lithotripsy and holmium:yttrium aluminium-garnet laser, are used via the transurethral approach, and their own weakness and merit have been well studied in previous studies [ 21 – 24 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

et al. 2021

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Background A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscopy and cystoscopy in transurethral cystolithotripsy (TUCL) for bladder stones (BS). Methods The PubMed, Web of Science, Embase, EBSCO, and Cochrane Library databases were searched up to January 2021 for studies assessing the effect of different types of endoscopes among patients who underwent TUCL. The search strategy and study selection process were in accordance with the PRISMA statement. Results Five randomized controlled trials were included in the meta-analysis. The results showed no difference in stone-free rate (RR = 1.00, CI = 0.98–1.02, p = 1.00) between the two groups and nonsignificant heterogeneity (I2 = 0%, p = 1.00), and all patients were rendered stone free. Use of the nephroscope significantly shortened the operative time compared with the cystoscope group (RR= − 26.26, CI = − 35.84 to − 16.68, p < 0.00001), and there was significant heterogeneity (I2= 87%, p < 0.00001). There was no significant difference in mean urethral entries (RR = 0.66, CI = − 0.71 to − 2.04, p = 0.35), hospitalization (MD = 0.08, 95% CI = − 0.07 to 0.23, p = 0.31) or total complication rate (RR=1.37, 95% CI = 0.47–4.00, p = 0.56) between the two groups. Conclusions In conclusion, this systematic review demonstrates that both nephroscopy and cystoscopy have high stone clearance efficiency, low rates of complications and short hospitalizations. The mean urethral entries depend on the treatment method for large stone fragments. However, the use of nephroscopy can significantly reduce the operative time.

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“…Transurethral surgery has become commonly used due to its high efficacy and low morbidity following the development of newer endoscopic and fragmentation equipment [23]. Many lithotripsy energy facilities can be used for stone crushing such as electrohydraulic lithotripsy, ultrasonic lithotripsy, pneumatic lithotripsy and the holmium:yttrium aluminum-garnet laser can be used via the transurethral approach.…”

Section: Discussionmentioning

confidence: 99%

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

Gou

Wang

Zhou

et al. 2021

Preprint

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Background: A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscope and cystoscope in transurethral cystolithotripsy (TUCL) for bladder stones. Methods: PubMed, Web of Science, Embase, EBSCO, and the Cochrane library databases (updated January 2021) were searched for studies that assessed the efficacy of different types of endoscopes in TUCL cases. The search strategy and study selection process was managed according to the PRISMA statement. Results: Five randomized controlled trials were included in the meta-analysis. Our result showed no significant differences in the stone free rate (SFR) across the studies (RR= 1.00; CI 0.98–1.02, p = 1.00). The study heterogeneity (I2 = 0%, P = 1.00) was not significant as all patients were rendered stone free. Using nephroscope can significantly shorten operation times compared to the use of cystoscopy (RR= -26.26; CI -35.84 – -16.68, p < 0.00001) with significant heterogeneity (I2 =87%, p < 0.00001). There was no significant difference between mean urethral entries (RR= 0.66; CI -0.71 – -2.04, p = 0.35), hospitalization (MD = 0.08, 95% CI = -0.07-0.23; P=0.31) and the total complication rate (RR = 1.37, 95% CI = 0.47-4.00, p=0.56). Conclusions: This systematic review demonstrated that using are highly efficient approaches in the clearance of bladder stones and result in a low rate of complication and short hospitalization times. The mean urethral entries are dependent on the treatment method for large stone fragments. However, using nephroscope can significantly reduce operation times. Key words: bladder stones; transurethral; endoscopic treatments; cystoscope; nephroscope

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Endoscopic intact removal of medium-size- or multiple bladder stones with the use of transvesical laparoendoscopic single-site surgery

Abstract: The T-LESS technique is an efficient, safe and minimally invasive procedure for intact bladder stone removal in selected patients. The method avoids the risk of urethral injury. Nevertheless, further investigation is needed to assess the wider applicability of the procedure.

Cited by 9 publications

References 21 publications

Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature

Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature

Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

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