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Management of bladder stones with transurethral pneumatic cystolithotripsy


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MANAGEMENT OF BLADDER STONES WITH TRANSURETHRAL PNEUMATIC CYSTOLITHOTRIPSY
PURPOSE: The  treatment  options  currently  available  include  open  surgery ,transurethral  pneumatic  cystolithotripsy,  percutaneous  suprapubiccystolithotomy ,  ESWL  or  laser  cystolithotripsy  as  e  new  minimally  invasivemodality .  The  aim  of  this  study  is  to  evaluate  the  effectiveness  oftransurethral  pneumatic  cystolithotripsy  in  treatment  of  bladder  stones  inour ptts.Twenty  one  patients  presenting  with  bladder  stones  underwenttransurethral cystolithotripsy .  The indication for cystolithotripsy was stonessize < or = 3 cm. Access  was  obtained  with  an  18  ch  Wolf  urethroscope  and  pneumaticenergy was applied through a fibre under video guidance.
From  January  2013  to  February  2014  we  treated  21  ptt.with vesical stones. 18  ptts.  were  stone-free  at  2  weeks  postoperatively .In  3ptts.  with  multiple  stones  (3-10  stones)  when  secondprocedure  was  failure,  we  performed  opencystolithotripsy .The mean age was 38 years (range 26-52 years).The  operating  time  was  35  minutes  (range  30  -50minutes). The  mean  length  of  hospital  stay  was  2.2  (range  2-3)days. An 18-20 ch tripling urinary  catheter was placed  forone night in all patients for lavage.