<i>In-Situ</i> Holmium Laser Lithotripsy for Impacted Urethral Calculi

Maheshwari, Pankaj N; Shah, Hemendra N.

doi:10.1089/end.2005.19.1009

Cited by 17 publications

(16 citation statements)

References 7 publications

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“…These infections can occur with recurrent episodes of cystitis or urethritis and can cause life-threatening clinical conditions such as sepsis and penile gangrene [ 9 ]. In many clinical trials, the most common complaint of urethra stones was reported to be acute urinary system retention in accordance with our results [ 4 ]. On the other hand, urinary tract infection was detected in 58.1% of our cases.…”

Section: Discussionsupporting

confidence: 92%

“…Urethral stones are the rarest among all urinary tract stones and their clinical reflections vary widely. Patients can present to clinics with many different symptoms such as acute urinary retention, weak stream, frequent urination, hematuria, urethrorrhagia, dysuria, a mass in the penis and pain in the penile, rectal or perineal region [ 4 , 9 ]. Another reflection of urethral stones is urinary tract infections.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment approaches in urethral stones vary depending on many factors such as the clinician’s experience, the stone’s size and location, the anatomic structure of the urethra and the patient’s clinical condition. Many different methods are used in the treatment such as delivery with lidocaine, meatotomy, extracorporeal shock waves and transurethral lithotripsy However, there is no detailed information about the diagnosis and treatment algorithms compared with other urinary stone disease [ 4 ]. We have observed that holmium laser lithotripsy (HLL) use under local anesthesia in the treatment of urethral stones in elderly male patients has not been analyzed previously in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients

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Fırat³

et al. 2020

Healthcare

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The elderly population has been increasing significantly in our century. In our study, it was aimed to analyze the treatment results of elderly male patients who underwent holmium laser lithotripsy (HLL) for urethral stones under local anesthesia. We evaluated a total of 31 male patients, aged ≥65 years, diagnosed with urethral stones and treated with HLL under local anesthesia. We noted the demographic data and visual pain scores (VAS) of the patients and the duration of the operation and hospital stay. Our analysis involved both the success rates of the surgical procedure and the complication rates according to the modified Clavien classification. In addition. we determined the patients’ preoperative clinical status using the Charlson comorbidity index (CCI). The mean age of the patients was 71.65 ± 8.19 years. Acute urinary retention was the most common complaint (45.2%). Their mean scores were 7.68 ± 2.53 according to CCI. The average operation time was 15.48 ± 5.22 min and the VAS was 2.03 ± 1.08. All patients were stone-free and there was a marked improvement in their symptoms None of them stayed in the hospital for more than one day. We did not observe any Grade 3 or higher complications. In light of the data obtained in our study, we concluded that HLL is an effective and reliable method to treat urethral stones under local anesthesia in elderly male patients.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients

Atılgan

Kölükçü

Fırat³

et al. 2020

Healthcare

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“…Stones in the posterior urethra may be manipulated into the urinary bladder followed by cystolithopaxy. When one fails to push the stone back into the urinary bladder in situ fragmentation by holmium laser is also a feasible option if the facility is available 5. US lithotripsy for removal of UC in urethral diverticulum has also been described 6.…”

Section: Discussionmentioning

confidence: 99%

Large anterior urethral calculus masquerading as periurethral abscess

et al. 2018

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Urethral calculus causes variety of symptoms from simple dysuria to acute urinary retention. The diagnosis is many times not easy. A plain X-ray of the pelvis may aid in diagnosis. Due to variety of symptomatic presentations sometimes it is not the first diagnosis that comes to one’s mind. Management is by removal of the calculus via various methods ranging from endoscopic to open surgery. We present the case of an adult male, who was initially thought to have periurethral abscess due to stricture urethra but during investigations was found to have urethral calculus as the cause for his symptoms.

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“…Intracorporeal intraurethral Holmium:YAG laserlithotripsy has shown to be a feasible, safe and effective minimally invasive treatment for impacted male urethral and seminal-vesicle stones [36,37].…”

Section: Introductionmentioning

confidence: 99%