Percutaneous Suprapubic Cystolitholapaxy in Adult Patients with Previous Mitrofanoff Repair: Considerations for the Interventional Radiologist

Retrograde-Assisted Percutaneous Cystolitholapaxy Versus Transurethral Cystolithotripsy With Holmium-YAG Laser: A Retrospective Study

“…14,15 The percutaneous technique is the preferred modality due to superior cosmetic results, less morbidity and a shorter hospital stay compared to the open procedure; in addition, there is not any stone size limitation in this technique versus the transurethral procedures. 12,16,17 However, there are some challenges with the classic (antegrade) cystolitholapaxy. On the one hand, operative time in the management of bladder calculi is an important point because most of the patients in this field is aged (comprising prostatic enlargement) and in elderly people lengthened anesthesia is risky; furthermore, by rising the operation time, the irrigation and consequently the volume of liquid absorption would increase.…”

“…11 Also, PCCL Can be accompanied by complications such as hematuria easily treated with non-surgical measures. 12 In this study, we evaluate the safety and efficacy of a new modification in access to the bladder in percutaneous cystolithotomy for treatment of adult vesical stones in comparison with transurethral cystolithotripsy with the Ho: YAG laser.…”

Letter to the editor re: Percutaneous cystolitholapaxy: A safe and effective alternative to open stone surgery for the management of complex bladder stones in patients with no urethral access. Goldsmith et al., J Clin Urol, 4 March 2019

“…Separately, in the UK literature, a further modification called the Salisbury technique, which involves a mini percutaneous nephrolithotomy set, has been described in a spinal injury patient with a Mitrofanoff, 8 and which also avoids a suprapubic puncture and additionally permits a concomitant bladder biopsy. In paediatric urological practice, a series of 14 cases has also been described by Thomas et al 9 Salati et al have described an innovative percutaneous suprapubic technique for stone clearance in a Mitrofanoff bladder, 10 which has been debated in the literature. separate uroradiological technique involving a transpsoas method of minimally invasive access has also been described for this patient cohort.…”

Letter to the Editor re: Giant pouch calculus: a surgical challenge

“…11 Salati et al have recently described a percutaneous radiological technique for dealing with stones in a mitrofanoff bladder that has also allowed removal of a renal calculus. 12,13,14 The case described by Singh et al is notable for employing a modified technique to protect the pouch wall during stone removal as stone size required open pouchlithotomy. 1 The authors are to be congratulated on this novel technique using the Deavers retractor.…”

“…11 Salati et al have recently described a percutaneous radiological technique for dealing with stones in a mitrofanoff bladder that has also allowed removal of a renal calculus. 12,13,14…”