Percutaneous Suprapubic Cystolithotripsy for Vesical Calculi in Children

Agrawal, Mukul; Aron, Monish; Goyal, Jitendra; Elhence, I P; Asopa, Hari S.

doi:10.1089/end.1999.13.173

Cited by 50 publications

(34 citation statements)

References 14 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: 82%

“…However, urethral injury is a strong possibility in few instances specially in larger 5,12 stones . Similarly, in children, narrow caliber of the urethra 13 precludes the use of this procedure .…”

Section: Discussionmentioning

confidence: 99%

“…Hospital stay is far shorter and chances of 5 wound infection is negligible . Our result is consistent with the 12,15 successful and encouraging results of other authors .…”

Section: Discussionmentioning

confidence: 99%

“…The majority of vesical calculi in adults can now be treated perurethrally with the use of lithotripsy. However, the use of these devices is restricted in pediatric 5,6 patients because of the narrow caliber of the urethra . The role of SWL is restricted due to high retreatment rate and difficulty in the voiding of fragments.…”

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: 82%

Section: Discussionmentioning

confidence: 99%

“…Hospital stay is far shorter and chances of 5 wound infection is negligible . Our result is consistent with the 12,15 successful and encouraging results of other authors .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Gupta

Mishra

2017

J. Nepalgunj Med. College

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“…Boys are more commonly affected than in girls at a ratio of 8:1 [4], common age of occurrence is 2 -5 years. Our review concerning about giant bladder stones leading to renal insufficiency showed only three cases in children; all them were boys, mean age 9.66 years old, corresponding to 9.67% of the subjects reported.…”

Section: Discussion and Future Perspectivesmentioning

confidence: 99%

Giant Bladder Stone and Renal Failure: A Case Report, Literature Review and Future Perspectives

Diniz¹,

Vieiralves²,

Souza³

et al. 2017

OALib

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We present a male patient, 52 years old, with acute renal failure due to giant bladder stone. In first presentation with acute renal failure, tomography has shown a bladder stone with 10 cm in its largest diameter associated with bilateral ureterohydronephrosis. It was initially treated by bladder catheterization and indicated emergency dialysis and subsequently submitted to surgical treatment through open cistolitotomy. During the procedure it was possible to observe the giant calculus, adhered to the trigone of the bladder, occluding his neck. After the vesical catheter was deployed, the patient had clinical and laboratory improvement during hospitalization. The association between giant bladder stones and urologic kidney failure is a rare condition and once removed the causative factor, we expect the return to normal limits. Studies with higher levels of evidence are needed to increase knowledge about the subject.

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Laparoscopic‐Assisted Cystoscopy for Urolith Removal and Mass Resection

Wormser¹,

Runge²,

Rawlings³

2015

Small Animal Laparoscopy and Thoracoscopy

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Percutaneous Suprapubic Cystolithotripsy for Vesical Calculi in Children

Abstract: Extension of endourologic procedures to the lower tract reduces morbidity and hospital stay and thus the cost of treatment. Percutaneous suprapubic cystolithotripsy, in our experience, is a safe and cost-effective alternative to open surgery in children.

Cited by 50 publications

References 14 publications

Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Percutaneous Cystolithotripsy As A Reliable Modality To Treat Pediatric Vesiculolithiasis

Giant Bladder Stone and Renal Failure: A Case Report, Literature Review and Future Perspectives

Laparoscopic‐Assisted Cystoscopy for Urolith Removal and Mass Resection

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