Prospective Comparative Study of Endoscopic Management of Bladder Lithiasis: Is Prostate Surgery a Necessary Adjunct?

Philippou, Prodromos; Volanis, D.; Kariotis, Ioannis; Serafetinidis, Efraim; Delakas, Dimitrios

doi:10.1016/j.urology.2010.10.035

Cited by 22 publications

(20 citation statements)

References 30 publications

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“…Two small studies 18,19 identified PVR urine volume and IPSS as significant factors, whereas we found prostate volume to be a preoperative independent predicator of conservative treatment failure. Further large cohort prospective studies are required to accurately determine these predictive factors because they remain uncertain.…”

Section: Commentcontrasting

confidence: 67%

Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones

Yoshida

Kinoshita

Nakamoto

et al. 2015

Urology

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Section: Commentcontrasting

confidence: 67%

Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones

Yoshida

Kinoshita

Nakamoto

et al. 2015

Urology

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“…Transurethral lithotripsy can be safely combined with TURP, with one study showing slightly higher complication rate from hematuria when compared with TURP alone. Combined TURP and percutaneous cystolithotripsy is safer, more effective, and much faster alternative to combined TURP and transurethral cystolithotripsy in patients with large bladder stones and BPH (21)(22)(23). On the other hand, nephroscope has distinct advantage over the cystoscope as it has a wider lumen, which facilitates easy removal of the stone fragments.…”

Section: Discussionmentioning

confidence: 99%

The treatment of larger bladder stones using of nephroscope via transurethrally

Dursun¹,

Beşiroğlu²,

Ötünçtemur³

et al. 2019

Kocaeli Med J

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GİRİŞ ve AMAÇ:Mesane taşlarının tedavisinde minimum travma oldukça önemlidir. Bu çalışmada da, transüretral yolla nefroskop kullanılarak mesane taşlarının endoskopik tedavisi hakkında deneyimlerimizi sunduk ve bu yöntemi sistoskop kullanılarak yapılan yöntemle karşılaştırdık. YÖNTEM ve GEREÇLER: Mesane taşı olan 26 erkek hasta transüretral nefroskop kullanılarak ve 24 hasta sistoskop kullanılarak endoskopik tedavi edildi. Taş boyutu ve prostat hacmi, direk grafi veya suprapubik ultrasonografi ile ölçüldü. Operasyon süreleri de her iki grupta ölçüldü. BULGULAR: 26 hastada ortalama taş boyutu ve toplam taş sayısı sırasıyla 36.48±16.7 mm ve 31 taş olarak belirlendi. 26 hastanın yaş ortalaması 59.3±17.6 idi. İntravenöz sedoanaljezi başlangıcından üretral foley kateter yerleştirilmesine kadar geçen ortalama ameliyat süresi 33.2±18.9 dakika ve ortalama prostat hacmi 50.7±20.4 ml olarak ölçüldü. İki grup arasında operasyon süreleri açısından istatistiksel anlamlı fark saptanmadı.Hastaların hiçbirinde erken (postoperatif üçüncü ay) dönemde üretral striktür gelişmedi. TARTIŞMA ve SONUÇ: Nefroskopun, taş parçalarının kolayca çıkarılmasını kolaylaştıran daha geniş bir lümene sahip olması sistoskop kullanımına göre belirgin bir avantaj sağlamkatadır. Nefroskop kullanarak transüretral yoldan taş tedavisi, hastaların morbiditesini arttırmadan güvenli ve etkili bir yöntemdir. Anahtar Kelimeler: nefroskop, mesane taşı, kalkül, transüretral ABSTRACT INTRODUCTION:It is essential that the bladder stone be removed with a minimum of trauma and damage applied to the bladder. In this context, we present our experience removal of bladder stone endoscopically with using nephroscope via transurethrally and compared this method with using cystoscope. METHODS:Twenty six male patients who had bladder stones treated with endoscopically with using nephroscope via transurethrally and 24 patients were treated with using cystoscope. The maximum diameter of stones in milimeters and prostate volume were measured on plain KUB Xray or suprapubic ultrasonography. Also, operation time was measured. RESULTS:The mean stone diameter and total number of stones in the 26 patients was 36.48±16.7 mm and 31 stones, respectively. The average age of the 26 patients was 59.3±17.6 years. Mean operative time from begining of intravenous sedoanalgesia until urethral foley catheter insertion was 33.2±18.9 minutes and mean prostate volume was measured to be 50.7±20.4 ml. No statistical difference was found for operation time between groups. None of the patients developed urethral stricture disease in the early (postoperative third month) follow-up. DISCUSSION and CONCLUSION:Nephroscope has distinct advantage over the cystoscope as it has a wider lumen, which facilitates easy removal of the stone fragments. Transurethral stone removal using a nephroscope is safe and efficacious method of stone removal without increasing the morbidity of the patients. B Bü üy yü ük k M Me es sa an ne e T Ta aş şl la ar rı ın nı ın n T Tr ra an ns sü ür re et tr ra al l N Ne ef fr ro os ...

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“…Er zijn maar zeer beperkt patiëntenseries gerapporteerd over het beschermende effect van TURP op een blaassteenrecidief. Prodromos Phillopou et al [10] is de enige prospectieve maar echter niet gerandomiseerde studie die cystolithotripsie plus TURP, heeft vergeleken met cystolithotripsie plus medicamenteuze behandeling van BPH. In totaal deden 64 patiënten mee aan de studie.…”

Section: Discussieunclassified

“…Bij circa 2 % van alle patiënten die prostaatdesobstructie ondergaan vanwege BPH is Artikel een blaassteen een toevalsbevinding [3]. Het percentage recidieven na het optreden van een blaassteen is klein [6][7][8][9][10]. Toch blijft het een terugkerend urologisch dilemma of er een indicatie bestaat voor een transurethrale resectie van de prostaat (TURP) bij mannen met een blaassteen om een blaassteenrecidief te voorkomen en steenlozing te faciliteren [2,4,5].…”

Section: Introductieunclassified

TURP ten tijde van cystolithotripsie? Een urologisch dilemma onder de loep

et al. 2020

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Samenvatting Een terugkerend urologisch dilemma is of bij mannen een cystolithotripsie gecombineerd moet worden met een transurethrale resectie van de prostaat (TURP), om een blaassteenrecidief te voorkomen en steenlozing te faciliteren. Er zijn aanwijzingen dat ook zonder gelijktijdige TURP het percentage recidieven klein is. In dit retrospectieve multicenteronderzoek is nagegaan wat de waarde is van een TURP in deze context. In totaal werden in vijf centra 127 patiënten geïncludeerd. TURP ten tijde van de cystolithotripsie lijkt een bescheiden beschermend effect te hebben op de middellange termijn (NNT = 7). Van de patiënten die niet gelijktijdig een TURP ondergingen, bleef 81 % op middellange termijn vrij van een recidief. Wat ons betreft geldt gezamenlijke besluitvorming als het nieuwe adagium bij mannen met blaasstenen. Trefwoorden blaassteen • blaassteenlithotripsie • cystolithotripsie • TURP drs. S. Mekke • dr. H. Roshani • dr. T. Buddingh () afdeling Urologie,

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Prospective Comparative Study of Endoscopic Management of Bladder Lithiasis: Is Prostate Surgery a Necessary Adjunct?

Cited by 22 publications

References 30 publications

Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones

Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones

The treatment of larger bladder stones using of nephroscope via transurethrally

TURP ten tijde van cystolithotripsie? Een urologisch dilemma onder de loep

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