Use of Amplatz sheath in male urethra during cystolitholapaxy of large bladder calculi

Okeke, Zephaniah; Shabsigh, Ahmad; Gupta, Mantu

doi:10.1016/j.urology.2004.07.022

Cited by 33 publications

(13 citation statements)

References 13 publications

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“…Transurethral cystolithotripsy (TUCL) using various lithotripters with different energy sources and the introduction of an Amplatz sheath and nephroscope facilitate the disintegration of stones and evacuation of larger stones fragments [2,3,4]. However, the time- and labor-consuming process and the increased risk of collateral injury of the urethra and bladder restrict the application of TUCL for bulky bladder stones, particularly in association with an enlarged prostate [5,6].…”

Section: Introductionmentioning

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: Introductionmentioning

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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show abstract

“…This approach seemed feasible, safe and effective in management of large bladder calculi 15. However, use of such access has never been described in case of giant prostatic calculi.…”

Section: Discussionmentioning

confidence: 97%

Large prostatic stones with staghorn renal calculus in a 61-year-old man: an unusual presentation of uncommon disease

Hajji¹,

Lmezguidi

Janane

et al. 2017

BMJ Case Reports

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Prostatic parenchymal calculi are common in ageing men who are evaluated for benign prostatic hyperplasia or prostate cancer. Giant prostatic calculi are very rare, usually associated with local predisposing factors for urinary stasis and infections, and traditionally managed by open surgery. We present the first case of its kind to be associated with a concurrent staghorn nephrolithiasis, and removed successfully by endoscopic approach using an access sheath through the urethra.

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“…In their study including 14 patients with BPH and large bladder stones, Aron et al [19] demonstrated PCCL and TUR-P was more advantageous than TUCL and TUR-P in terms of operation time and morbidity. However, the percutaneous approach needs an incision, a suprapubic tube which should be inserted directly or under ultrasonographic view, and have a risk of bowel perforation and vascular injury [20]. TUCL is probably the most common way to manage bladder stones.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Transurethral use of Nephroscope with Cystoscope in Transurethral Cystolithotripsy

Özdemır¹

2014

Ann Clin Anal Med

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Aim: Our aim was to compare the efficacy and safety of transurethral use of a nephroscope via Amplatz sheet with the transurethral use of cystoscope for the treatment of large bladder stones. Material and Method: A total of 46 male patients with a bladder stone ≥3 cm were included. Patients were randomized into two groups. Group 1 consisted of 24 patients whom bladder stone was fragmented by the transurethral use of a nephroscope via 26F Amplatz sheath and Group 2 consisted of 22 patients who were treated by the transurethral use of a cystoscope. Stone clearance was assessed by the KUB film at the second postoperative day. At the postoperative third month, retrograde urethrogram and uroflowmetry was done on all patients to evaluate the possible postoperative urethral stricture. Thereafter, all patients were followed up by the KUB film and ultrasonography for every 6 months. Results: All stone fragments were removed completely in every patient. Access number within the Amplatz sheath in group 1 was significantly lower than the transurethral access number in group 2. The mean operative time for stone removal in group 1 and 2 was 42.00 ± 7.30 min and 59.14 ± 10.62 min, respectively (P ≤0.0001). The mean operative time for stone removal was significantly shorter in group 1. During the follow-up period, none of the patients developed urethral stricture nor recurred. Discussion: Treatment of large bladder stones by a nephroscope via transurethrally placed Amplatz sheath is a fast and effective treatment modality compared to endoscopic treatment via cystoscope.

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Use of Amplatz sheath in male urethra during cystolitholapaxy of large bladder calculi

Cited by 33 publications

References 13 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

Large prostatic stones with staghorn renal calculus in a 61-year-old man: an unusual presentation of uncommon disease

Comparison of Transurethral use of Nephroscope with Cystoscope in Transurethral Cystolithotripsy

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