Suprapubic Lithotripsy

Study Type – Therapy (case series) Level of Evidence 4 OBJECTIVE To present our experience with minimally invasive percutaneous cystolithotomy (MPCCL) for the treatment of bladder stones in infants aged <1 year. PATIENTS AND METHODS From 1 January 2003 to 31 October 2008, 15 boys with a mean (range) age of 8.2 (3.0–11.5) months underwent MPCCL. The mean (range) stone diameter was 1.4 (0.9–2.2) cm. Ten infants had a solitary stone while five had more than one stone. MPCCLs were performed under general anaesthesia. A 16 F peel‐away sheath was introduced as a working tract after dilatation with percutaneous nephrolithotomy dilators (8–16 F) under fluoroscopic control. After dilatation, an 8–9.8 F ureteroscope was introduced into the bladder, and the stones were fragmented with a shock wave lithotriptor. After the MPCCL, a 14 F suprapubic catheter was left in situ and fixed to the skin, and removed 1 or 2 days after MPCCL. The urethral catheter was removed 2 or 3 days after MPCCL. The absence of stone fragments on plain X‐ray/ultrasonography was considered as a ‘stone‐free’ status. RESULTS All infants were stone‐free after one MPCCL; no recurrent stones developed. The mean MPCCL procedure time was 25 min and intraoperative blood loss was scant. Perioperative complications were few. The mean hospital stay was 2.8 days. CONCLUSION MPCCL is a safe and effective treatment option for bladder stones in infants, reducing postoperative complications and shortening hospital stay.

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“…Gopalakrishnan et al. [21] first introduced MPCCL to treat a bladder stone in a 12‐year‐old child in 1988. Holman et al.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive percutaneous cystolithotomy: an effective treatment for bladder stones in infants aged <1 year

et al. 2010

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“…In addition, the risk of fibrosis and urethral stricture will also increase, leading to impairment of urethral perfusion. As a result, in late 1980s, percutaneous cystolithotripsy practices began to be an alternative to open surgery (10,11,12). The absence of urethral injury and no injury to mucosal unit, short operative duration and low complication rates have made the method popular (5).…”

Section: Discussionmentioning

confidence: 99%

Are the Complication Rates for the Open Approach in the Surgical Treatment of Bladder Stones Higher Than Rates for Endoscopic Approaches? A Comparative Multivariate Analysis Study

Demirdağ¹,

Özman²,

Çitgez³

et al. 2018

jus

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“…Although the transurethral route retains its popularity because of the short duration of catheterization and scarless healing, the risk of long‐term urethral stricture requires minimally invasive methods that shorten the operative time and avoid these risks. Thus, since the late 1980s, percutaneous cystolithotomy has been performed in cases where the transurethral route is not preferred or found to be risky . These initial experiences were mostly in pediatric patients because of the lack of fine‐caliber transurethral instruments, but they offered promising results.…”

Section: Discussionmentioning

confidence: 99%

Novel technique of cytolithotripsy for large bladder stones

Toktaş

Sacak

Erkan

et al. 2013

Asian J Endoscop Surgery

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The technique was successful in all cases, resulting in controlled, stone-free bladders; there were no surgical complications. The mean operation time was comparable to that of standard management. All patients discharged uneventfully. None reported urethral stricture during the 24-month follow-up period. Percutaneous cystolithotripsy under endoscopic control is easy to perform and should be considered as an alternative for large or multiple bladder stones as it decreases the risk of urethral stricture.

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Suprapubic Lithotripsy

Cited by 28 publications

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Minimally invasive percutaneous cystolithotomy: an effective treatment for bladder stones in infants aged <1 year

Minimally invasive percutaneous cystolithotomy: an effective treatment for bladder stones in infants aged <1 year

Are the Complication Rates for the Open Approach in the Surgical Treatment of Bladder Stones Higher Than Rates for Endoscopic Approaches? A Comparative Multivariate Analysis Study

Novel technique of cytolithotripsy for large bladder stones

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