Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Gupta, Dipesh Kumar; Mishra, S. M.

doi:10.3126/jngmc.v14i1.17488

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…In addition, an infectious stone does not suggest a recurrent infectious stone, and no known clinical variables appear to be associated with stone composition, suggesting that there is a possible metabolic component in stone formation after bladder augmentation. 13 The conventional approach for treating bladder stones is open cystolithotomy. Transurethral cystolithotripsy is an option, but in pediatric patients, it is not optimal.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Suprapubic Cystolithotripsy in a 2 Year Old Boy with Large Urinary Bladder Stone: Case Report

Reddy,

Raja

2023

Int J Health Sci Res

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Urinary calculus is more commonly known in infants, and the urinary bladder is the most common location in the lower urinary tract for stone formation. There are three basic types of bladder calculus: Primary idiopathic/endemic, secondary, and migrant. Bladder stones account for approximately 5% of all urinary system stones and are prevalent among children living in poor or rural regions. The symptoms and findings in children with bladder stones are usually urgency, frequency, incontinence, dysuria, pyuria, difficulty voiding, and fever, small caliber of urinary stream, lower abdominal pain and urinary intermittency. Most bladder stones are composed of calcium oxalate, followed by calcium phosphate, and they are usually larger than 2.0 cm in diameter. The standard treatment of bladder calculus is open cystolithotomy or transurethral cystolitholapaxy However, the use of a percutaneous approach has been promoted. We performed percutaneous cystolithotripsy in 2 years boy with single large bladder stone. The procedure was done without any ultrasound or fluoroscopic guidance. The diagnosis was made based on anamnesis, ultrasonography, physical examination, and X-ray imaging. The operation was successful, and intraoperative results showed a single large stone in urinary bladder. This report aims to define the surgical challenges presented by bladder stones and the multidisciplinary approach needed to deal with them. Under general anesthesisa, we performed percutaneous suprapubic cystolithotripsy in 2years boy. A Foley catheter was inserted in the urethra and left for a period of 5 days. The rectus fascia defect was closed using the 2-0 vicryl suture. Percutaneous suprapubic cystolithotripsy is a safe and successful procedure for treating bladder stones in children. It is fast and linked to negligible complications. Key words: bladder stone, percutaneous suprapubic cystolithotripsy

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Section: Discussionmentioning

confidence: 99%

Percutaneous Suprapubic Cystolithotripsy in a 2 Year Old Boy with Large Urinary Bladder Stone: Case Report

Reddy,

Raja

2023

Int J Health Sci Res

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show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous cystolithotripsy of bladder stones in children: A case series, an experience from a tertiary hospital

et al. 2022

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Urinary calculus is more commonly known in infants, and the urinary bladder is the most common location in the lower urinary tract for stone formation. There are three basic types of bladder calculus: Primary idiopathic/endemic, secondary, and migrant. The standard treatment of bladder calculus is open cystolithotomy or transurethral cystolitholapaxy. However, the use of a percutaneous approach has been promoted. We performed percutaneous cystolithotripsy with urethrocystoscopy guidance in children with bladder stones. The procedure was done without any ultrasound or fluoroscopic guidance. In children who required percutaneous cystolithotripsy with urethrocystoscopy guidance, we documented four cases of bladder stones. The diagnoses were made based on anamnesis, ultrasonography, physical examination, and X-ray imaging. In all patients, the operation was successful, and intraoperative results showed a single stone in each of the three patients and two stones in the same patient. This report aims to define the surgical challenges presented by bladder stones and the multidisciplinary approach needed to deal with them. Under ultrasound or fluoroscopic guidance, we performed percutaneous cystolithotripsy in children. The percutaneous cystolithotripsy was the most frequent outpatient treatment. The bladder was first filled with contrast material or water. A Foley catheter was inserted in the urethra and left for a period of 3–5 days. The rectus fascia defect was closed using the 2-0 vicryl suture. Percutaneous suprapubic lithotripsy is a safe and successful procedure for treating bladder stones in children. It is fast and linked to negligible complications.

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“…[5,8] Percutaneous cystolithotomy is a safe and effective alternative for the treatment of bladder stones in children. [12,13] Although this modality has have some benefits over conventional open cystolithotomy, but requires prolonged postoperative catheterization, with added risk of wound infection or fistula formation due to suprapubic incision. The standard treatment of pediatric bladder stones in developed world is transurethral LASER lithotripsy with 100% success rate and negligible morbidity.…”

Section: Discussionmentioning

confidence: 99%

Transurethral fragmentation of bladder stone in children: Our experience

Zafar

Javed

Humayun

et al. 2020

J Pediatr Adolesc Surg

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Background: This study is performed to find the outcome of transurethral fragmentation and clearance of bladder stones in children as well as assessment of stone recurrence after the procedure. Methods: It was a retrospective analysis of the medical record of 365 patients with bladder stones, treated with transurethral fragmentation at the Department of Pediatric Urology, The Children’s Hospital and the Institute of Child Health, Lahore, over a period of 5 years. Bladder stones were fragmented by using ureterorenoscope (URS) and pneumatic Lithotripsy under general anesthesia. Patients were asked to void next day for spontaneous passage of stone fragments. Duration of procedure, hospital stay, peroperative, and postoperative complications were recorded on a self-structured proforma. The collected data was analyzed with SPSS, version 22. Results: The mean age of the patients was 4.7 ±2.31 years, and male to female ratio was 6:1. Clinical presentation was painful micturition with milking of penis (55%), followed by straining during micturition (17.5%), urinary retention (10%), increased frequency of urine (8%), febrile UTI (7.5%), and hematuria (2%). The mean stone size on ultrasound was 17.2 ±3.8 mm (Range 7-25 mm). The average operating time was 18 minutes (Range: 12-35 minutes). The transurethral fragmentation was successfully done in all (100%) patients. Average hospital stay was 24 hours. Most patients (98.5%) passed all stone fragments in urine & were stone free at one week, confirmed by ultrasound and X-Ray Kidney, Ureter, and Bladder (KUB). Postoperative minor complications were found in (6%) patients including hematuria (3%), dysuria (2%), febrile UTI (1%), failure to void (0.5%). Stone recurrence was 0.27% and no urethral stricture was noted up to one year follow up. Conclusion: Endoscopic treatment of bladder stone in children appears effective and safe by fragmenting the stone into multiple small pieces, which passed out spontaneously without any need for extraction of stone. The associated complications and recurrence rate are very negligible.

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Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Cited by 4 publications

References 8 publications

Percutaneous Suprapubic Cystolithotripsy in a 2 Year Old Boy with Large Urinary Bladder Stone: Case Report

Percutaneous Suprapubic Cystolithotripsy in a 2 Year Old Boy with Large Urinary Bladder Stone: Case Report

Percutaneous cystolithotripsy of bladder stones in children: A case series, an experience from a tertiary hospital

Transurethral fragmentation of bladder stone in children: Our experience

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