Year: 2006
Type: article
Abstract: INTRODUCTION: We sought to evaluate the safety and efficacy of percutaneous cystolithotripsy in children. MATERIALS AND METHODS: Thirty children (27 boys and 3 girls; mean age, 6.06 +/- 2.64 years; range, 1.5 to 12 years) with bladder calculi underwent percutaneous stone removal. The mean size of the largest diameters of the calculi was 24.8 +/- 8.47 mm (range, 13 mm to 50 mm). Under general anesthesia, a 1-cm incision was made 1 to 2 cm above the pubic symphysis. A 26-F nephroscope was introduced into the bladder following tract dilation, and the calculi were removed. If the calculi were larger than 1 cm, fragmentation was performed. The procedure was done without fluoroscopy. Finally, a urethral catheter was placed for 48 hours. RESULTS: All patients became stone free. The mean operative time was 23.13 +/- 8.38 minutes (range, 12 to 40 minutes). All patients were discharged 24 hours after operation, except 1, who was hospitalized 2 more days for suprapubic pain and severe irritating symptoms. No significant intraoperative or postoperative complications were seen. CONCLUSION: Percutaneous suprapubic cystolithotripsy is an efficient and safe technique for treating bladder calculi in children. We recommend this technique for treating large bladder calculi (larger than 1 cm) in children.
Source: Urology journal./Urology jornal.
Authors: Hassan Ahmadnia, Mehdi Younesi Rostami, Ali Asghar Yarmohammadi, Seyed Mohammad Javad Parizadeh, Mohammad Esmaeili, Mohammad Movarekh
Institutions: Mashhad University of Medical Sciences, Ghaem Hospital
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2122002201