Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia
Objectives: To compare the efficacy and reliability of Ho:YAG laser lithotripsy (HLL) and pneumatic lithotripsy (PL) in the treatment of bladder stones in patients with benign prostatic hyperplasia and stones ≥ 20 mm who were transurethrally treated in the same surgical session. Methods: We studied...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-10-01
|
| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958415000457 |
| _version_ | 1811339236527308800 |
|---|---|
| author | Hakan Ercil Adem Altunkol Ergun Alma Mehmet Resit Goren Nevzat Can Sener Faruk Kuyucu Ahmet Nihat Karakoyunlu Ediz Vuruskan Ferhat Ortoglu Zafer Gokhan Gurbuz |
| author_facet | Hakan Ercil Adem Altunkol Ergun Alma Mehmet Resit Goren Nevzat Can Sener Faruk Kuyucu Ahmet Nihat Karakoyunlu Ediz Vuruskan Ferhat Ortoglu Zafer Gokhan Gurbuz |
| author_sort | Hakan Ercil |
| collection | DOAJ |
| description | Objectives: To compare the efficacy and reliability of Ho:YAG laser lithotripsy (HLL) and pneumatic lithotripsy (PL) in the treatment of bladder stones in patients with benign prostatic hyperplasia and stones ≥ 20 mm who were transurethrally treated in the same surgical session.
Methods: We studied the data of patients with benign prostatic hyperplasia and ≥20 mm bladder stones who were treated with transurethral resection of the prostate and cystolithotripsy in the same session, obtained between January 2010 and February 2014 from three urology clinics. All patients underwent bipolar plasmakinetic (PK) transurethral resection of the prostate. For treatment of the bladder stone, either HLL or PL was applied. A total of 62 patients were divided into two groups: PK-PL (Group 1, n = 29) and PK-HLL (Group 2, n = 33). The data of both groups were analyzed for stone dimensions, stone fragmentation time, total operating time, hospitalization duration, prostate dimensions, success rates, and complications.
Results: Group 1 included 29 patients with a mean age of 70 ± 7.6 (range, 57–85) years, whereas Group 2 included 33 patients with a mean age of 67.5 ± 10.5 (range, 45–84) years. In Group 1, five patients had mucosa injury, one patient had residual stone, and one patient had bladder perforation. In Group 2, three patients had mucosa injury, three patients had postoperative fever, and one patient had residual stone. Total operation time and stone fragmentation time were significantly lower in Group 2 (p < 0.05). The remaining analyzed data were similar (p > 0.05).
Conclusion: PK-HLL using a single shaft without the need for repeated access has the advantages of shorter fragmentation and operation time. |
| first_indexed | 2024-04-13T18:23:18Z |
| format | Article |
| id | doaj.art-1f6f029c6e174f99a0f0c8e996d9527b |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-04-13T18:23:18Z |
| publishDate | 2016-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-1f6f029c6e174f99a0f0c8e996d9527b2022-12-22T02:35:20ZengElsevierAsian Journal of Surgery1015-95842016-10-0139423824210.1016/j.asjsur.2015.03.010Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasiaHakan Ercil0Adem Altunkol1Ergun Alma2Mehmet Resit Goren3Nevzat Can Sener4Faruk Kuyucu5Ahmet Nihat Karakoyunlu6Ediz Vuruskan7Ferhat Ortoglu8Zafer Gokhan Gurbuz9Department of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Urology, Ministry of Health, Dr. Askım Tufekci Government Hospital, Adana, TurkeyDepartment of Urology, Baskent University Adana Training and Research Center, Adana, TurkeyDepartment of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Urology, Ministry of Health, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, TurkeyDepartment of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Adana, TurkeyDepartment of Urology, Ministry of Health, Haseki Training and Research Hospital, Istanbul, TurkeyObjectives: To compare the efficacy and reliability of Ho:YAG laser lithotripsy (HLL) and pneumatic lithotripsy (PL) in the treatment of bladder stones in patients with benign prostatic hyperplasia and stones ≥ 20 mm who were transurethrally treated in the same surgical session. Methods: We studied the data of patients with benign prostatic hyperplasia and ≥20 mm bladder stones who were treated with transurethral resection of the prostate and cystolithotripsy in the same session, obtained between January 2010 and February 2014 from three urology clinics. All patients underwent bipolar plasmakinetic (PK) transurethral resection of the prostate. For treatment of the bladder stone, either HLL or PL was applied. A total of 62 patients were divided into two groups: PK-PL (Group 1, n = 29) and PK-HLL (Group 2, n = 33). The data of both groups were analyzed for stone dimensions, stone fragmentation time, total operating time, hospitalization duration, prostate dimensions, success rates, and complications. Results: Group 1 included 29 patients with a mean age of 70 ± 7.6 (range, 57–85) years, whereas Group 2 included 33 patients with a mean age of 67.5 ± 10.5 (range, 45–84) years. In Group 1, five patients had mucosa injury, one patient had residual stone, and one patient had bladder perforation. In Group 2, three patients had mucosa injury, three patients had postoperative fever, and one patient had residual stone. Total operation time and stone fragmentation time were significantly lower in Group 2 (p < 0.05). The remaining analyzed data were similar (p > 0.05). Conclusion: PK-HLL using a single shaft without the need for repeated access has the advantages of shorter fragmentation and operation time.http://www.sciencedirect.com/science/article/pii/S1015958415000457bladder stoneslaser lithotripsypneumatic lithotripsybenign prostatic hyperplasia |
| spellingShingle | Hakan Ercil Adem Altunkol Ergun Alma Mehmet Resit Goren Nevzat Can Sener Faruk Kuyucu Ahmet Nihat Karakoyunlu Ediz Vuruskan Ferhat Ortoglu Zafer Gokhan Gurbuz Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia Asian Journal of Surgery bladder stones laser lithotripsy pneumatic lithotripsy benign prostatic hyperplasia |
| title | Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia |
| title_full | Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia |
| title_fullStr | Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia |
| title_full_unstemmed | Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia |
| title_short | Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia |
| title_sort | comparison of ho yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia |
| topic | bladder stones laser lithotripsy pneumatic lithotripsy benign prostatic hyperplasia |
| url | http://www.sciencedirect.com/science/article/pii/S1015958415000457 |
| work_keys_str_mv | AT hakanercil comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT ademaltunkol comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT ergunalma comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT mehmetresitgoren comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT nevzatcansener comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT farukkuyucu comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT ahmetnihatkarakoyunlu comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT edizvuruskan comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT ferhatortoglu comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia AT zafergokhangurbuz comparisonofhoyaglaserandpneumaticlithotripsycombinedwithtransurethralprostatectomyinhighburdenbladderstoneswithbenignprostatichyperplasia |