Endoscopic Removal of Vesical Calculus Through Suprapubic Route: A Case Report

Bhuyian, Md. Akbar Hossain; Huq, Md. Ashraf Ul; Kabir, Mahfuzul; Chowdhury, Shafquat Haider

doi:10.3329/jpsb.v1i1.19469

Cited by 1 publication

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“…In developing countries endemic bladder calculi are still the most common disease in [11] childhood .Open vesicolithotomy has been considered as the gold standard treatment for the patients of bladder calculi with high success rates. With the advancement in new techniques and practical experiences of endourologists, endoscopic approach with minimally invasive and non-invasive procedures are becoming more common in dealing pediatric male [12] patients with vesicle calculus . Different studies showed that vesical calculi w e r e m o r e c o m m o n i n m a l e [6,11,13,14,15,16,17] patients…”

Section: Discussionmentioning

confidence: 99%

A Comparison Between Transurethral Cystolithoclasty and Vesicolithotomy in Pediatric Male Patients

khalid

Faizan²,

Gurmani

et al. 2020

jumdc

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ABSTRACT BACKGROUND & OBJECTIVE: To compare transurethral cystolithoclasty with ureteroscope over open vesicolithotomy in pediatric male patients. METHODOLOGY: Study comprises of hundred pediatric male patients, divided into two equal groups of 50 each, labeled as Group-A and Group-B. All the patients having stones less than 20mm size (average 14mm) were included. Group-A patients were treated with transurethral cystolithoclasty by using ureteroscope and pneumatic lithoclast assisted with the help of Dormia basket. Group-B patients were treated with open vesicolithotomy.RESULTS: All hundred male pediatric patients were between the ages of 1-15 years (mean age 8 years). Hospital stay was 2-3 days (average 2.5 days) in Group-A patients and 3-5 days (average 4 days) in Group-B patients. In Group-A3 (6%) patients had urinary tract infection, 1(2%) had urethral injury and 2(4%) had residual stone post-operatively. While Group-B4 (8%) suﬀered from urinary tract infection, 1(2%) had wound infection, 1(2%) had hematuria, and 2(4%) had fever. Retention of urine was 1(2%) in each Group. CONCLUSION: Transurethral cystolithoclasty is a much better way of treating vesical calculus in pediatric male patients because it is a procedure with short hospital stay, minimal invasion, no scar and less complication. KEYWORDS: Bladder Calculus, Comparison, Cystolithoclasty, Ureteroscope, Pneumatic Lithoclast, Dormia basket, Vesicolithotomy.

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Section: Discussionmentioning

confidence: 99%