DOI: https://dx.doi.org/10.18203/2349-2902.isj20222645
Published: 2022-10-29

An institutional review of endoscopic and open technique in the management of vesical calculus: a retrospective study

Rikesh Jung Karkee, Samir Chaudhary, Awaj Kafle, Deependra Prasad Sarraf

Abstract


Background: Vesical calculus means urolith in bladder. Cystolithotomy is the traditional treatment, but a percutaneous approach has been advocated. The objective was to compare open cystolithotomy with perurethral cystolithotripsy and suprapubic percutaneous cystolithotripsyused in the treatment of bladder stones.

Methods: A retrospective study was conducted among 100 patients of bladder stone treated at a tertiary centre in Eastern Nepal from January 2014 to December 2019 who underwent open cystolithotomy and endoscopic procedures (perurethral cystolithotripsy and suprapubic percutaneous cystolithotripsy). Data were analysed using SPSS version 11.5 at p value less than 0.05 taken as significant.

Results: Statistical significant difference was observed in operating time, duration of catheterization and duration of hospital stay in both open and endoscopic management of vesical calculus (p value=0.0001). General complications were observed in 90% cases of open cystolithotomy and 33.9% cases of endoscopic procedure respectively.

Conclusions: Endoscopic procedure is safe and efficacious method of urinary bladder stone removal with low incidence of complications.


Keywords


Open cystolithotomy, Perurethral cystolithotripsy, Suprapubic percutaneous cystolithotripy, Vesical calculus

Full Text:

PDF

References


Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017;35(9):1301-20.

Arunkajohnsak N, Taweemonkongsap T, Leewansangtong S, Srinualnad S, Jongjitaree K, Chotikawanich E. The correlation between demographic factors and upper urinary tract stone composition in the Thai population. Heliyon. 2020;6(8):e04649.

Moe OW. Kidney stones: pathophysiology and medical management. Lancet. 2006;367(9507):333-44.

Schwartz BF, Stoller ML. The vesical calculus. Urol Clin North Am. 2000;27(2):333-46.

Leslie SW, Sajjad H, Murphy PB. Bladder Stones. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

Torricelli FC, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev Col Bras Cir. 2013;40(3):227-33.

Kittanamongkolchai W, Vaughan LE, Enders FT, Dhondup T, Mehta RA, Krambeck AE et al. The changing incidence and presentation of urinary stones over 3 decades. Mayo Clin Proc. 2018;93(3):291-9.

Papatsoris AG, Varkarakis I, Dellis A, Deliveliotis C. Bladder lithiasis: from open surgery to lithotripsy. Urol Res. 2006;34(3):163-7.

Strope SA, Wolf JS Jr, Hollenbeck BK. Changes in gender distribution of urinary stone disease. Urology. 2010;75(3):543-6.

Otnes B. Correlation between causes and composition of urinary stones. Scand J Urol Nephrol. 1983;17(1):93-8.

Halalsheh O, Sahawneh F, Altopajee K, Almanasra A. Single large bladder stone in a young male adult with primary hyperparathyroidism. Urol Case Rep. 2017;13:162-4.

Bhatia V, Biyani CS. Vesical lithiasis: open surgery versus cystolithotripsy versus extracorporeal shock wave therapy. J Urol. 1994;151(3):660-2.

Al-Marhoon MS, Sarhan OM, Awad BA, Helmy T, Ghali A, Dawaba MS. Comparison of endourological and open cystolithotomy in the management of bladder stones in children. J Urol. 2009;181(6):2684-7.

Shalaby EA. Assess the safety and effectiveness of a novel approach during transurethral pneumatic cystolithotripsy in large urinary bladder stone: quasi-clinical trial. Urolithiasis. 2022;50(2):189-97.

Ali AI, Fathelbab TK, Abdelhamid AM, Elbadry M, Alshara L, Anwar AZ et al. Transurethral pneumatic cystolithotripsy: a novel approach. J Endourol. 2016;30(6):671-3.