Treatment of Bladder Stones in Adults and Children: A Systematic Review and Meta-analysis on Behalf of the European Association of Urology Urolithiasis Guideline Panel

Donaldson, James F.; Ruhayel, Yasir; Skolarikos, Andreas; MacLennan, Steven; Yuan, Yuhong; Shepherd, Robert P.; Thomas, Kay; Seitz, Christian; Petřík, Aleš; Türk, Christian; Neisius, Andreas

doi:10.1016/j.eururo.2019.06.018

Cited by 62 publications

(50 citation statements)

References 38 publications

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“…All of the included patients achieved stone-free status by one session in all type of endoscope (cystoscope and nephroscope) and fragmentation equipment (ultrasonic, pneumatic or both) used during surgery. Donaldson et al reported that the SFR of TUCL was the same with OC, PCCL and higher than ESWL [10].…”

Section: Discussionmentioning

confidence: 94%

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

Gou

Wang

Zhou

et al. 2021

Preprint

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Background: A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscope and cystoscope in transurethral cystolithotripsy (TUCL) for bladder stones. Methods: PubMed, Web of Science, Embase, EBSCO, and the Cochrane library databases (updated January 2021) were searched for studies that assessed the efficacy of different types of endoscopes in TUCL cases. The search strategy and study selection process was managed according to the PRISMA statement. Results: Five randomized controlled trials were included in the meta-analysis. Our result showed no significant differences in the stone free rate (SFR) across the studies (RR= 1.00; CI 0.98–1.02, p = 1.00). The study heterogeneity (I2 = 0%, P = 1.00) was not significant as all patients were rendered stone free. Using nephroscope can significantly shorten operation times compared to the use of cystoscopy (RR= -26.26; CI -35.84 – -16.68, p < 0.00001) with significant heterogeneity (I2 =87%, p < 0.00001). There was no significant difference between mean urethral entries (RR= 0.66; CI -0.71 – -2.04, p = 0.35), hospitalization (MD = 0.08, 95% CI = -0.07-0.23; P=0.31) and the total complication rate (RR = 1.37, 95% CI = 0.47-4.00, p=0.56). Conclusions: This systematic review demonstrated that using are highly efficient approaches in the clearance of bladder stones and result in a low rate of complication and short hospitalization times. The mean urethral entries are dependent on the treatment method for large stone fragments. However, using nephroscope can significantly reduce operation times. Key words: bladder stones; transurethral; endoscopic treatments; cystoscope; nephroscope

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Section: Discussionmentioning

confidence: 94%

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

Gou

Wang

Zhou

et al. 2021

Preprint

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“…Transurethral cystolithotripsy (TUCL) is the choice of current interventions for bladder stones in adults and children [1,2]. Although it has the same e cacy as percutaneous cystolithotripsy (PCCL) and shorter hospital stay than PCCL, complications could occur [1,[3][4][5]. A rare complication of bladder rupture with stone slipping out would be encountered.…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal Bladder Stones Following Transurethral Cystolithotripsy: A Case Report

Hsiao

Lien

2020

Preprint

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Background:Bladder stones are common diseases, constituting 5% of urinary stones. However, iatrogenic bladder rupture with intraperitoneal bladder stones is a rare complication after a transurethral cystolithotripsy (TUCL).Case presentation:A 73-year-old male was sent to the emergency department (ED) with presentations of dyspnea and hematuria after receiving a transurethral cystolithotripsy(TUCL) with laser. Upon arrival, his vital signs were relatively stable. An abdominal X-ray showed a radiopaque lesion within the pelvis. Physical examinations showed diffuse abdominal tenderness with muscle guarding. The initial focused assessment of sonography for trauma (FAST) was positive. Computed tomography (CT) revealed bladder rupture with intraperitoneal bladder stones. The patient received conservative supportive care with antibiotics and foley drainage and was discharged 3 weeks later smoothly.Conclusion:For emergency physicians, bladder rupture should be taken into consideration in patients with intraperitoneal bladder stones following TUCL. Computed tomography remains a standard of diagnosis although ultrasonography is a convenient screening tool for ascites.

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“…Alrededor de 1 millón de personas con sospecha de litiasis urinaria acuden a los servicios de emergencia cada año en los Estados Unidos de Norteamérica (4) , los hombres experimentan cólicos renales en una proporción de 2:1 en comparación con las mujeres (3) . El dolor es el principal motivo de admisión en estos pacientes, una vez formado el cálculo, el tamaño y la ubicación del cálculo tiene el mayor efecto sobre los síntomas y el manejo del paciente (6)(7)(8) .…”

Section: Introductionunclassified

Characteristics and evolution of patients with urinary lithiasis in a tertiary hospital emergency

Taype-Huamaní¹,

Ayala-Garcia

Rodríguez-Gonzales³

et al. 2020

RFMH

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Treatment of Bladder Stones in Adults and Children: A Systematic Review and Meta-analysis on Behalf of the European Association of Urology Urolithiasis Guideline Panel

Abstract: Bladder stones (BS) constitute 5% of urinary stones. Currently, there is no systematic review on their treatment. Objective: To assess the efficacy (primary outcome: stone-free rate; SFR) and morbidity of BS treatments.

Cited by 62 publications

References 38 publications

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

Intraperitoneal Bladder Stones Following Transurethral Cystolithotripsy: A Case Report

Characteristics and evolution of patients with urinary lithiasis in a tertiary hospital emergency

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