Background: Vesical calculus means urolith in bladder. Cystolithotomy is the traditional treatment, but a percutaneous approach has been advocated. The objective was to compare open cystolithotomy with perurethral cystolithotripsy and suprapubic percutaneous cystolithotripsyused in the treatment of bladder stones.Methods: A retrospective study was conducted among 100 patients of bladder stone treated at a tertiary centre in Eastern Nepal from January 2014 to December 2019 who underwent open cystolithotomy and endoscopic procedures (perurethral cystolithotripsy and suprapubic percutaneous cystolithotripsy). Data were analysed using SPSS version 11.5 at p value less than 0.05 taken as significant.Results: Statistical significant difference was observed in operating time, duration of catheterization and duration of hospital stay in both open and endoscopic management of vesical calculus (p value=0.0001). General complications were observed in 90% cases of open cystolithotomy and 33.9% cases of endoscopic procedure respectively.Conclusions: Endoscopic procedure is safe and efficacious method of urinary bladder stone removal with low incidence of complications.
Background: This study is aimed to estimate descriptive statistics of socio-demographic and clinical profile of patients with urolithiasis visiting urology division, Department of Surgery of BPKIHS.Methods: This is a retrospective study. A total of 409 patients diagnosed with urolithiasis admitted to BPKIHS from January to December 2017 were included. The hospital medical records of patients were reviewed using a Pro forma to record the epidemiological data. The data was entered into the Microsoft Excel software and analyzed using statistical package for social studies (SPSS) software 23.0 version.Results: The peak age group of the high burden of urolithiasis observed was 20-30 years (27.1%) with the mean age plus standard deviation of the patients being 39.60±15.67 years. Among them, 54% were male and 46% were female with a ratio of 1.17:1. The most common site of urolithiasis was the ureter (44.1%) and kidney (39.3%). 11% of patients had stones on more than one site.Conclusions: It is concluded that the highest prevalence of urolithiasis is in the age group 20-30 years with male predominance and the common site being ureter. Further studies are needed as other factors affecting this disease are yet to be studied.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.