Percutaneous suprapubic cystolithotripsy under local anesthesia

Tzortzis, Vassilios; Aravantinos, Evangelos; Karatzas, Anastasios; Mitsogiannis, Iraklis; Moutzouris, G.; Melekos, Michael D.

doi:10.1016/j.urology.2006.01.073

Cited by 39 publications

(35 citation statements)

References 13 publications

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“…However, the time- and labor-consuming process and the increased risk of collateral injury of the urethra and bladder restrict the application of TUCL for bulky bladder stones, particularly in association with an enlarged prostate [5,6]. Percutaneous cystolithotripsy (PCCL) has been reported to be much more efficient than transurethral calculi removal [6,7,8]. A few reports have recently described simultaneous transurethral and/or percutaneous cystolithotripsy associated with TURP for treating large vesical calculi and BPH [9,10], but these procedures are all performed in a false simultaneous manner, actually a sequential style, performing the cystolithotripsy in the first instance with a longer total operation time.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Zhao¹,

Shi²,

Gao³

et al. 2013

Urol Int

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Objective: To determine the efficacy and safety of a novel minimally invasive design for treating bulky vesical calculi and large benign prostatic hyperplasia (BPH) simultaneously. Methods: 76 patients with large bladder stones (>4 cm) and large BPH (≥50 cm³) were treated from August 2008 to January 2011. 38 patients (group 1) underwent transurethral cystolithotripsy followed by transurethral resection of the prostate (TURP), 38 patients (group 2) received percutaneous cystolithotripsy within a laparoscopic entrapment bag and TURP by two surgeons simultaneously. 72 patients were followed up for 1 year. Patient demographics, perioperative parameters and follow-up data were compared. Results: Patient baseline characteristics were comparable in the two groups. In group 1, 3 patients converted to open surgery and received blood transfusion, 4 patients had postoperative fever, 2 had residual stones and 1 developed urethral stricture postoperatively. In group 2, the mean total operative and the operative times for stone management were 71.6 and 30.1 min, respectively, the mean hemoglobin decrease was 0.80 g/dl, no patients received blood transfusion and no complications occurred, signiﬁcantly superior to group 1. Conclusions: Percutaneous cystolithotripsy using a laparoscopic entrapment bag associated with TURP by two surgeons simultaneously is a highly effective, safe and minimally invasive method for managing large vesical calculi and large BPH.

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Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Zhao¹,

Shi²,

Gao³

et al. 2013

Urol Int

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“…No major intraoperative complication occurred. Results of percutaneous approach to bladder stone have similarly been reported with good tolerability and high stone free rate (Tzortzis et al 2006).…”

Section: Cystolithotripsymentioning

confidence: 89%

Urological Surgical Procedures Under Local Anesthesia

Ather¹,

Mushtaq²,

Sulaiman³

2012

Clinical Use of Local Anesthetics

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“…Percutaneous cystolithotripsy (PCCL) is effective and feasible, but its application is limited in patients with previous abdominal surgery, also it is contraindicated in the presence of urothelial malignancies. 2,[6][7][8] Transurethral lithotripsy can be performed by Swiss, ultrasonic, pneumatic and other types of lithotripter. Laser fibers are also used for lithotripsy.…”

Section: Discussionmentioning

confidence: 99%

“…Bladder carcinoma and history of abdominal surgery are the main limitations for percutaneous lithotripsy. 2,[6][7][8] Holmium laser lithotripsy has been a great revolution in the treatment of urinary lithiasis. [9][10][11] Application of holmium laser in the management of stones of urinary tract is well established.…”

Section: Introductionmentioning

confidence: 99%

Outpatient Transurethral Cystolithotripsy of Large Bladder Stones by Holmium Laser

et al. 2016

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Introduction: To assessment of the efficacy and safety of transurethral cystolithotripsy of large bladder stones by holmium laser in the outpatient setting. Methods: In a prospective study, 48 consecutive adult patients with large bladder stones, were enrolled for transurethral cystolithotripsy. Patients older than 18 years, with bladder stones larger than 2 cm were enrolled. Urethral stricture, active urinary infection, and any anesthetic contraindications for operation, were the exclusion criteria. Demographic characteristics of patients, outcomes and complications related to operation and post operation period, were recorded. Results: Patients mean age was 46 ± 7.3 years. Male to female ratio was 45/3. Mean body mass index of patients was 28.5 ± 3.5. Mean stone size was 3.7 ± 1.6 cm. Mean operation time was 43.5 ± 15.5 minutes. Nearly complete stone clearance (98.5%) was achieved in all patients. Mean hospital stay was 6.5 ± 1.3 hours. No major complications were seen. Mean visual analog pain score (VAS) was 4.2 ± 2.1 and 1.4 ± 0.6, during and 1 hour after operation, respectively. During follow up of 22.4 ± 12.5 months, recurrence of bladder stone was not seen. No case of urethral stricture was detected. Conclusion: Transurethral holmium laser lithotripsy is an effective and safe alternative in selected patients with large bladder stones. This procedure can be easily performed in the outpatient setting.

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Percutaneous suprapubic cystolithotripsy under local anesthesia

Cited by 39 publications

References 13 publications

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Urological Surgical Procedures Under Local Anesthesia

Outpatient Transurethral Cystolithotripsy of Large Bladder Stones by Holmium Laser

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