Treatment of bladder stones without associated prostate surgery: Results of a prospective study

Millán-Rodríguez, F.; Izquierdo-Latorre, F.; Montlleó-González, M.; Rousaud-Barón, F.; Rousaud-Baron, A.; Villavicencio-Mavrich, H.

doi:10.1016/j.urology.2005.03.072

Cited by 29 publications

(16 citation statements)

References 20 publications

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“…However, whether bladder lithiasis is an absolute indication for prostate surgery has been disputed by some authors. Millán-Rodríguez et al [12] showed in their prospective study that bladder lithiasis smaller than 4 cm 2 can be successfully eliminated in 93% of the patients with extracorporeal shock wave lithotripsy; only 8% of the patients that needed subsequent prostate surgery for their IPSS had increased to 20 points or more. There have also been studies that argued that many patients with bladder calculi can be treated with transurethral stone removal and medical management of BPH [13].…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Zhao¹,

Shi²,

Gao³

et al. 2013

Urol Int

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Objective: To determine the efficacy and safety of a novel minimally invasive design for treating bulky vesical calculi and large benign prostatic hyperplasia (BPH) simultaneously. Methods: 76 patients with large bladder stones (>4 cm) and large BPH (≥50 cm³) were treated from August 2008 to January 2011. 38 patients (group 1) underwent transurethral cystolithotripsy followed by transurethral resection of the prostate (TURP), 38 patients (group 2) received percutaneous cystolithotripsy within a laparoscopic entrapment bag and TURP by two surgeons simultaneously. 72 patients were followed up for 1 year. Patient demographics, perioperative parameters and follow-up data were compared. Results: Patient baseline characteristics were comparable in the two groups. In group 1, 3 patients converted to open surgery and received blood transfusion, 4 patients had postoperative fever, 2 had residual stones and 1 developed urethral stricture postoperatively. In group 2, the mean total operative and the operative times for stone management were 71.6 and 30.1 min, respectively, the mean hemoglobin decrease was 0.80 g/dl, no patients received blood transfusion and no complications occurred, signiﬁcantly superior to group 1. Conclusions: Percutaneous cystolithotripsy using a laparoscopic entrapment bag associated with TURP by two surgeons simultaneously is a highly effective, safe and minimally invasive method for managing large vesical calculi and large BPH.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Zhao¹,

Shi²,

Gao³

et al. 2013

Urol Int

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“…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].…”

Section: Resultsmentioning

confidence: 99%

“…After a mean follow‐up of 22.3 months, 12 patients (24%) needed pharmacotherapy for BPH. Of these, 8% failed medical management and needed prostatic surgery and 4% had recurrence of bladder lithiasis [19]. Similarly Tzortzis et al [18] treated 16 patients with BOO and associated bladder stone using percutaneous suprapubic CL under local anaesthesia, and medical management of BOO.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2007

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peri-operative and follow-up data were analysed. Complications during and after surgery were identified to assess the morbidity of procedure. RESULTSThe mean (range) size of bladder calculi was 34.6 (12-70) mm and the preoperative weight of the prostate was 51.9 (11-172) g. Combined HoLEP with transurethral HLC was technically feasible in all patients, and all were stone-free after surgery. The mean operative duration was 97.7 (40-230) min, the weight of prostate tissue removed 34.6 (5-88) g, and the duration of catheterization and hospital stay 29.3 h and 34.8 h, respectively. Complications during and after surgery occurred in 12.5% and 15.6% of patients, respectively; all complication were minor and none caused any residual disability to the patient. No patient required a blood transfusion or developed clot retention. CONCLUSIONSManaging bladder stones and BOO with simultaneous transurethral HLC and HoLEP should be considered the treatment of choice for such cases. Stones of any size and composition, and prostates of practically any size can be treated endoscopically using the holmium laser, with acceptable morbidity once the technique is mastered. The review of previous reports suggested a need for a prospective study comparing endoscopic management of BOO and associated bladder stones, with medical management of BOO and extracorporeal shock wave lithotripsy/endoscopic lithotripsy for bladder stone.

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“…Andere retrospectieve studies lieten een wisselend recidiefpercentage zien van 0-17 % bij een follow-upduur van 10-30 maanden. De studies met de kortste follow-up rapporteerden de laagste recidiefpercentages [6][7][8][9].…”

Section: Discussieunclassified

“…Bij circa 2 % van alle patiënten die prostaatdesobstructie ondergaan vanwege BPH is Artikel een blaassteen een toevalsbevinding [3]. Het percentage recidieven na het optreden van een blaassteen is klein [6][7][8][9][10]. Toch blijft het een terugkerend urologisch dilemma of er een indicatie bestaat voor een transurethrale resectie van de prostaat (TURP) bij mannen met een blaassteen om een blaassteenrecidief te voorkomen en steenlozing te faciliteren [2,4,5].…”

Section: Introductieunclassified

TURP ten tijde van cystolithotripsie? Een urologisch dilemma onder de loep

et al. 2020

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Samenvatting Een terugkerend urologisch dilemma is of bij mannen een cystolithotripsie gecombineerd moet worden met een transurethrale resectie van de prostaat (TURP), om een blaassteenrecidief te voorkomen en steenlozing te faciliteren. Er zijn aanwijzingen dat ook zonder gelijktijdige TURP het percentage recidieven klein is. In dit retrospectieve multicenteronderzoek is nagegaan wat de waarde is van een TURP in deze context. In totaal werden in vijf centra 127 patiënten geïncludeerd. TURP ten tijde van de cystolithotripsie lijkt een bescheiden beschermend effect te hebben op de middellange termijn (NNT = 7). Van de patiënten die niet gelijktijdig een TURP ondergingen, bleef 81 % op middellange termijn vrij van een recidief. Wat ons betreft geldt gezamenlijke besluitvorming als het nieuwe adagium bij mannen met blaasstenen. Trefwoorden blaassteen • blaassteenlithotripsie • cystolithotripsie • TURP drs. S. Mekke • dr. H. Roshani • dr. T. Buddingh () afdeling Urologie,

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Treatment of bladder stones without associated prostate surgery: Results of a prospective study

Cited by 29 publications

References 20 publications

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

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

TURP ten tijde van cystolithotripsie? Een urologisch dilemma onder de loep

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