Per-Urethral Endoscopic Management of Bladder Stones: Does Size Matter?

Sathaye, Ulhas

doi:10.1089/089277903769013694

Cited by 14 publications

(9 citation statements)

References 5 publications

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“…[14][15][16] In male, the commonest location of urethral calculi is the posterior urethra and if it occurs in anterior urethra it is usually associated with urethral diseases (strictures, diverticulum, or urethrocele). [17][18][19] In female development of urethral calculi is very rare due to their short urethra and a lower incidence of bladder calculi. The main lines of management of urethral calculi are;…”

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confidence: 99%

Evaluation and management of urethral calculi

Ameen¹,

Kegham²,

Abid³

2017

Int Surg J

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INTRODUCTIONUrolithiasis represents a major problem met within urological practice.1 it affects 10-12% of the populations, the incidence of calculus diseases is quite variable in relation to age, sex, occupation, geographical locations, season, climate, social class, dietary fluid intake and racial differences are also noted (black people appears to suffer less frequently than white). 2,3 Urinary calculi are the third most common affliction of the urinary tract, exceeded only by UTI and pathological conditions of prostate. 3Renal and ureteral calculi account for more than 87% of the total calculi and 10% in the urinary bladder while ureteral calculi account for about 1.7-3% of all urinary calculi. 5-7Male urethra about 20 cm in length and extends from the neck of the bladder to the external meatus on the glans penis, Male urethra is divided into posterior and anterior urethra, posterior urethra is further divided into 3 parts:• Preprostatic portion; measure up to 1 cm in length and it runs from the bladder neck to the prostate ABSTRACT Background: To evaluate the presentation, management and outcome of patient with urethral calculi in addition to determine the most common type of calculi encountered in those patients and the chemical composition of those calculi to prevent their recurrence. Methods: Sixty-nine patients with urethral calculi, 63 males and six females were included in this study at AlYarmouk teaching hospital, Bagdad, Iraq from April 2016 to April 2017. The diagnosis of urethral calculi was based mainly on the clinical presentation and cystoscopy evaluation in addition to the history, examination and investigations.Results: All together Sixty-nine patients were recruited in this study [63 male (91.3%) and 6 females (8.6%)], regarding sex distributions of patients the largest number of patients with urethral calculi were found in male between 21-40 years old, the most common presenting symptom was dysuria (60.8%), the presentation of pediatric urethral calculi was different (any suspicion of urethral mass on palpation gave high index of suspicion of urethral calculi). Conclusions: Nephrolithiasis especially renal calculi represent a widespread problem, recurrent UTI is one of the leading risk factor in urinary calculi and should be vigorously treated and any case should be in investigated carefully and chemically analysed to prevent further attacks and recurrence in future. Unbalanced diet with poor hygiene especially for the urethral calculi plays an additional role in the pathogenesis of urethra calculi.

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confidence: 99%

Evaluation and management of urethral calculi

Ameen¹,

Kegham²,

Abid³

2017

Int Surg J

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“…3 Aside from traditional open surgeries, other common techniques have been used. The transurethral approach has become the most common clinical treatment method because of its high efficacy and reduced complications.…”

Section: Discussionmentioning

confidence: 99%

Novel Urethral Sheath to Manage Bladder Calculi

Jia

Wang

Jin

et al. 2015

Journal of Endourology

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“…The use of the nephroscope has been supported for use in larger stones in the literature, correlating with shorter operating times without increased incidence of urethral stricture. [9][10][11] The majority of patients were discharged on either the first or second post-operative day. The increased propensity for comorbidities in this population group can complicate any procedure and subsequent discharge planning.…”

Section: Discussionmentioning

confidence: 99%

Cystolithotripsy using the Holmium laser: Evolving uses for the laser lithotrite

Mains

Carrera

Ramsay

et al. 2014

Journal of Clinical Urology

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Objective: The optimal management of bladder stones remains unclear, with a range of approaches described. We aim to describe our results using Holmium:YAG laser lithotripsy for the management of bladder stones. Patients and methods: Data were collected prospectively on 20 (19 male, one female) patients undergoing laser lithotripsy for bladder calculi at a single centre from February 2013 to February 2014. The mean patient age was 69.75 years (range 51-87). Patient demographics, stone size, operative details and post-operative events and hospital stay were recorded. A 365 or 550 micron Holmium:YAG laser fibre, with a power setting of 1.0J and a frequency of 10Hz was used in all cases. Results: The mean stone size was 2.2cm (1-4cm). The mean operative time was 32.85 min (15-70 min). Operative time correlated positively with stone size (r=0.74). Three patients underwent laser stone fragmentation followed by transurethral resection of the prostate (TURP) during the same anaesthetic. Visibility remained clear in all these patients during lithotripsy, allowing complete fragmentation and stone clearance. Intra-operative bleeding was noted during the TURP procedure as expected. There were two episodes of self-limiting post-operative pyrexia but no reported cases of post-operative sepsis. Apart from the three patients undergoing TURP, there were no cases of post-operative bleeding and no cases required blood transfusion. Stone clearance was complete after a single procedure in 100% of cases. The mean hospital stay was 2.5 days (1-7 days), with a mean post-operative stay of 1.8 days. Conclusion: Laser lithotripsy offers a safe and effective management option for bladder stones, including those which are large and hard. It offers the key benefit of lithotripsy under direct vision, with no recorded mucosal injury in our series and thus no intra-operative or post-operative haematuria (outside of the TURP group).

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Per-Urethral Endoscopic Management of Bladder Stones: Does Size Matter?

Cited by 14 publications

References 5 publications

Evaluation and management of urethral calculi

Evaluation and management of urethral calculi

Novel Urethral Sheath to Manage Bladder Calculi

Cystolithotripsy using the Holmium laser: Evolving uses for the laser lithotrite

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