Are the Complication Rates for the Open Approach in the Surgical Treatment of Bladder Stones Higher Than Rates for Endoscopic Approaches? A Comparative Multivariate Analysis Study

Demirdağ, Çetin; Özman, Oktay; Çitgez, Sinharib; Selçuk, Berin; Önal, Bülent; Talat, Zübeyr

doi:10.4274/jus.2046

Cited by 1 publication

(1 citation statement)

References 12 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In another more recent study, success rates of endoscopic and open surgical techniques were reported as 92.5% and 100%, respectively. Again in the same study, authors concluded that open surgery presents higher complication rates than the endoscopic approach (19). Currently, it is well known that open surgery is the technique of choice for limited indications such as cases with oversized bladder stones or those, who are scheduled to undergo simultaneous prostatectomy or diverticulotomy (20).…”

Section: Resultsmentioning

confidence: 93%

Our experience of laser lithotripsy under local anesthesia in the treatment of bladder stones in obese male patients

Kölükçü

Parlaktaş

Kölükçü

et al. 2021

Journal of Health Sciences and Medicine

View full text Add to dashboard Cite

Introduction: Our century has witnessed a significant increase in obesity, which in its turn, bears several major risks in management of systemic anesthesia. In this context, use of this treatment without general or regional anesthesia is of critical importance for patients under this group. Aim: In present study, it was aimed to analyze the efficacy and safety of holmium laser lithotripsy (HLL) under local anesthesia in obese male patients with bladder stones. Material and Method: In our study, we evaluated a total of 64 obese male patients with body mass index (BMI) ≥30 kg/m2, diagnosed with bladder stones and treated HLL under local anesthesia. Demographic data, stone size, operative time, urethral catheterization time and length of hospital stay of the patients were analyzed. Visual Analogue Scale (VAS) scores was calculated for each patient during the procedure. Complications were graded according to modified Clavien classification system. Results: The mean age of patients was 50.58±13.04 years and BMI was 33.46±2.59 kg/m2. Mean stone size was 2.51±1.04 cm and operative time was 43.91±15.92 minutes. None of the patients had severe pain and the mean VAS score was calculated as 2.31±1.02. Mean length of hospital stay was 1.25±1.04 days. Grade 3 or higher complications were not observed according to modified Clavien classification system. Mean urethral catheterization time was 1.56±1.45 days, although varying due to underlying etiological factor. All patients were stone-free and there was a marked improvement in clinical findings. Conclusion: Use of HLL under local anesthesia is a safe and efficacious approach in obese male patients with bladder stone.

show abstract

Section: Resultsmentioning

confidence: 93%

Our experience of laser lithotripsy under local anesthesia in the treatment of bladder stones in obese male patients

Kölükçü

Parlaktaş

Kölükçü

et al. 2021

Journal of Health Sciences and Medicine

View full text Add to dashboard Cite

show abstract

Are the Complication Rates for the Open Approach in the Surgical Treatment of Bladder Stones Higher Than Rates for Endoscopic Approaches? A Comparative Multivariate Analysis Study

Abstract: What's known on the subject? and What does the study add? The complication rates for open surgical approaches are significantly higher than the rates for endoscopic approaches in the management of bladder stone disease.

Cited by 1 publication

References 12 publications

Our experience of laser lithotripsy under local anesthesia in the treatment of bladder stones in obese male patients

Our experience of laser lithotripsy under local anesthesia in the treatment of bladder stones in obese male patients

Contact Info

Product

Resources

About