Percutaneous cystolithotomy for pediatric endemic bladder stone: experience with 155 cases from 2 developing countries

Salah, Morshed Ali; Holman, E.; Khan, Azhar; Tóth, Csaba

doi:10.1016/j.jpedsurg.2005.06.039

Cited by 64 publications

(36 citation statements)

References 12 publications

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“…High male to female ratio not exactly known but is similar to 5,7 other studies . Clinical presentations are similar to other 1 4 studies where vesiculolithissis was studied .…”

Section: Discussionsupporting

confidence: 88%

“…With percutaneous suprapubic approach, 26 Fr or if needed 30 Fr to 32 Fr Amplatz sheath can be introduced into the bladder without urethral injury. In this manner, the large and hard stones can be disintegrated and removed in big fragments, so 7 the intervention can be fast . Here, in our series also only one minor complication of mucosal injury was noted which did not have any unfavorable outcome.…”

Section: Discussionmentioning

confidence: 99%

“…The role of SWL is restricted due to high retreatment rate and difficulty in the voiding of fragments. A percutaneous suprapubic approach to the bladder circumvents the problem 7 of the narrow urethra in these situations .…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Gupta

Mishra

2017

J. Nepalgunj Med. College

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Background: Primary vesical stones are common in children in underdeveloped and developing countries. The treatment options available for managing bladder calculi include transurethral cystolithotripsy, open cystolithotomy and shock wave lithotripsy (SWL). Although the majority of vesical calculi in adults can be treated by transurethral lithotripsy, this procedure is restricted in children due to the narrow caliber of the urethra. For this reason, percutaneous cystolithotripsy (PCCL) is a good choice as a safe and effective method for the treatment of bladder stones in children. Aim of the Study: The study was aimed to evaluate outcome of PCCL in pediatric population coming with vesiculolithiasis in our center. Materials and Methods: Pediatric age group patients diagnosed as vesical calculus were undertaken for PCCL. Ten patients who presented between November 2014 to December 2015, were included. The procedure was done under general anesthesia. After performing cystoscopy, suprapubic puncture was made and tract dilated upto 26 Fr. Nephroscope was used for visualization and pneumatic lithotripsy for fragmentation of the stone followed by removal of st nd all fragments. Perurethral and suprapubic catheters were placed at the end to be removed on 1 and 2 post operative day, respectively. Results: Median age of the patients was 5.5 (3-13) years. Majority were male patients from hilly region of western Nepal. Mean stone size was 15 mm. All patients were rendered stone free with average operative time of 32.2 minutes. Except one minor complication of mucosal injury patients were discharged after mean hospital stay of 3.9 days. Conclusion: Percutaneous suprapubic lithotripsy is a safe and effective method for the treatment of bladder stones in children. It is fast and associated with negligible complications.

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“…High male to female ratio not exactly known but is similar to 5,7 other studies . Clinical presentations are similar to other 1 4 studies where vesiculolithissis was studied .…”

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Gupta

Mishra

2017

J. Nepalgunj Med. College

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“…Tzortzis et al [16] performed PCCL in 31 patients with bladder stones larger than 2 cm and concluded that PCCL was a safe and effective technique to remove bladder stones. In another study, the effectivity of PCCL was evaluated in 155 children with bladder stones and the authors decided that PCCL was safe and effective [17]. Sofer et al [18] presented a combined technique of percutaneous suprapubic and transurethral route in 12 patients with bladder stone larger than 4 cm.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Transurethral use of Nephroscope with Cystoscope in Transurethral Cystolithotripsy

Özdemır¹

2014

Ann Clin Anal Med

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Aim: Our aim was to compare the efficacy and safety of transurethral use of a nephroscope via Amplatz sheet with the transurethral use of cystoscope for the treatment of large bladder stones. Material and Method: A total of 46 male patients with a bladder stone ≥3 cm were included. Patients were randomized into two groups. Group 1 consisted of 24 patients whom bladder stone was fragmented by the transurethral use of a nephroscope via 26F Amplatz sheath and Group 2 consisted of 22 patients who were treated by the transurethral use of a cystoscope. Stone clearance was assessed by the KUB film at the second postoperative day. At the postoperative third month, retrograde urethrogram and uroflowmetry was done on all patients to evaluate the possible postoperative urethral stricture. Thereafter, all patients were followed up by the KUB film and ultrasonography for every 6 months. Results: All stone fragments were removed completely in every patient. Access number within the Amplatz sheath in group 1 was significantly lower than the transurethral access number in group 2. The mean operative time for stone removal in group 1 and 2 was 42.00 ± 7.30 min and 59.14 ± 10.62 min, respectively (P ≤0.0001). The mean operative time for stone removal was significantly shorter in group 1. During the follow-up period, none of the patients developed urethral stricture nor recurred. Discussion: Treatment of large bladder stones by a nephroscope via transurethrally placed Amplatz sheath is a fast and effective treatment modality compared to endoscopic treatment via cystoscope.

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“…Twenty-three patients with stones smaller than 4 cm (average size 2.7 cm) were treated with 100% success, without major complications and without recurrence in mean follow-up of 42 months. Salah et al 35 percutaneously approached 155 children younger than 14 years old with calculi measuring between 0.7 and 4.0 cm (mean 2.3 cm). All patients were free of calculi without major complications, with mean operative time of 20 minutes (5-60 minutes) and mean hospital stay was 2.7 days (2-5 days).…”

Section: Methods Methods Methods Methodsmentioning

confidence: 99%

Tratamento cirúrgico da litíase vesical: revisão de literatura

Torricelli

Mazzucchi

Danilovic

et al. 2013

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACT Bladder stones are rare and in most cases occur in adult men with bladder outlet obstruction. Currently, there are few data on the best treatment of this disease. The aim of this review is to discuss some aspects of pathogenesis and treatment approaches for bladder lithiasis. A comprehensive search of the database of the "National Library of Medicine" / pubmed was conducted with the following key words and descriptors: "bladder" or "vesical" associated with "calculus", "stone" or "lithiasis", and "cystolithotripsy ". One hundred and seventy-one articles were identified. The articles were independently assessed by two reviewers with expertise in urolithiasis. They were included in the study when the results, complications and follow-up were clearly reported. In the end, 32 studies met the inclusion criteria. Several options for the treatment of bladder lithiasis are available, but no randomized trials comparing them. Different rates of calculus-free patients are described in each of them, as follows: extracorporeal shock wave lithotripsy (75-100%), transurethral cystolithotripsy (63-100%), percutaneous cystolithotripsy (89-100%) and open surgery (100 %). The percutaneous approach has lower morbidity, with similar results to the transurethral treatment, while extracorporeal lithotripsy has the lowest rate of elimination of calculi and is reserved for patients at high surgical risk.

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Percutaneous cystolithotomy for pediatric endemic bladder stone: experience with 155 cases from 2 developing countries

Cited by 64 publications

References 12 publications

Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Comparison of Transurethral use of Nephroscope with Cystoscope in Transurethral Cystolithotripsy

Tratamento cirúrgico da litíase vesical: revisão de literatura

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