The management of vesical calculi with combined optical mechanical cystolithotripsy and transurethral prostatectomy: is it safe and effective?

Abstract

Objectives To investigate the eCectiveness and reliabilityResults The mean duration of surgery, hospital stay and urethral catheterization were significantly longer with of the combination of optical mechanical cystolithotripsy (OMC) and transurethral prostatectomy (TURP) combined OMC and TURP than with OMC alone (P<0.05). Stone-free rates were 94% after OMC alone for the treatment of bladder calculi and obstructive benign prostatic enlargement (BPE).and 93% after combined OMC and TURP. The postoperative mean peak flow rates were 14.3 mL/s after Patients and methods From December 1990 to December 1996, 61 patients who had bladder stones the combined procedure and 15.2 mL/s after TURP alone. The complication rates were 21% for the comand BPE or bladder neck contracture were treated with combined OMC and TURP; 32 patients who had bined procedure and 13% for OMC alone. The complication rate of TURP was 5%, significantly lower than bladder stones with no infravesical obstruction were treated with OMC alone. The records of a random that for the combined procedure (P<0.05). Conclusion Bladder stones were associated with infravselection of 97 patients with obstructive BPE who were treated with TURP only in the same period were esical obstruction in two-thirds of patients. Simultaneous treatment with OMC and TURP did not used as the control. The operative duration time, the length of hospital stay, the duration of urethral cathchange the eCectiveness of these procedures, but caused additional morbidity. eterization, outcome and complications of the procedures for each patients were reviewed. The MannKeywords Bladder calculi, lithotripsy, transurethral prostatectomy Whitney U-test and chi-square tests were used for statistical analysis.posing condition for vesical calculous disease. Although

Simultaneous transurethral cystolithotripsy with holmium laser enucleation of the prostate: a prospective feasibility study and review of literature

“…The AUA symptom score, peak urinary flow rate (Q max ) and PVR was significantly improved at 1 month after surgery (Table 2) and these immediate improvements persisted for a year (Table 1 and 2), being significant for each variable ( P < 0.001). A review of previously reported cases managing vesical calculi with associated BOO is presented in Table 2[1,6–21].…”

Giant Vesical Calculus

“…It has an added advantage as it can be combined with a corrective procedure for bladder outlet obstruction. [11] Electrohydraulic shockwave lithotripsy (EHSWL) is preferably to be avoided in hard, large vesical calculi and if the stone is in a diverticulum or stuck to the mucosa. [12] Conclusion A giant vesical calculus more than 100 gm is rare entity.…”

Giant Pelvic Cocoon with Intra Prostatic Extension (Intravesical Tortoise!!!!!!!)

“…Surgical treatment of vesical calculus has evolved over years from blind insertion of crushing forceps into the bladder, to open surgical removal or extra corporeal fragmentation, cystolithotripsy and percutaneous cystolithotripsy out of whichopen surgery has been the best recommended modality for large stones 6 . In small or moderate calculus endourological procedures such as cystolithotripsy has an added advantages as it can be combined with corrective procedure for bladder outlet obstruction 7 . Zhaowll et al have recommended that electrohydraulic shock wave lithotripsy preferably to be avoided in the large hard vesical calculus and if the stone is in the diverticulum or stuck to the mucosa as chances of bladder perforation is high 8 .…”