Comparative Study between Percutaneous Approach and Transurethral Approach for Treatment of Urinary Bladder Stones.

Taema, Khaled; El Awady, Hossam Mohammed; El Shahawy, Mahmoud Mohammed

Purpose: The aim of this study is to compare outcome of percutaneous cystolithotripsy approach (pccl) vs transurethral cystolithotripsy approach (tucl) in treatment of large urinary bladder stones regarding efficacy, safety and peri-operative complications. Methods: This study included 60 patients who had urinary bladder stone, treated at Ain Shams University hospitals in Egypt from March 2019 to March 2020 and randomly assigned into two groups: group A: percutaneous cystolithotripsy (PCCL) and group B: transurethral using nephroscope combined with meurmayer stone punch (tucl). Baseline and perioperative data were recorded and compared between two groups. Results: Baseline parameters and the peri-operative complications (fever, transient haematuria, urinary bladder perforation, suprapubic wound infection and persistent leakage from suprapubic site) were compared between the two groups. Complete stone clearance was achieved in all the patients. The mean operative time in pccl group and tucl group was (3067 min and 3267 min) respectively. Urinary catheter duration in Pccl group was significantly more than Tucl group. Till the last follow-up, 6.6% patients (n ¼ 2) developed urethral stricture in Tucl group. Conclusions: PCCL is a safe procedure with acceptable morbidity and can be used as an alternative to tucl in treating (2-4 cm) urinary bladder stones.

EGYPT; BLADDER stones; URINARY calculi; BLADDER; URETHRA stricture; URINARY catheters

QJM: An International Journal of Medicine, 2021, Vol 114, pi372

1460-2725

Academic Journal

10.1093/qjmed/hcab110.007