Comparison of three different endoscopic approaches in the treatment of bladder calculi

Background This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast. Methods Between January 2013 and May 20...

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Main Authors: Jae Youn Jang, Young Hwii Ko, Phil Hyun Song, Jae Young Choi
Format: Article
Language:English
Published: Yeungnam University College of Medicine 2019-01-01
Series:Yeungnam University Journal of Medicine
Subjects:
Online Access:http://yujm.yu.ac.kr/upload/pdf/yujm-2019-00045.pdf
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author Jae Youn Jang
Young Hwii Ko
Phil Hyun Song
Jae Young Choi
author_facet Jae Youn Jang
Young Hwii Ko
Phil Hyun Song
Jae Young Choi
author_sort Jae Youn Jang
collection DOAJ
description Background This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast. Methods Between January 2013 and May 2016, 107 patients with bladder stones underwent endoscopic treatment. Patients were classified into three groups based on the endoscopic techniques and energy modalities used in each group as: group 1 (transurethral stone removal using a cystoscope with pneumatic lithoclast), group 2 (transurethral stone removal using a nephroscope with pneumatic lithoclast), and group 3 (transurethral stone removal using a nephroscope with ultrasonic lithoclast). Baseline and perioperative data were retrospectively compared between three groups. Results No statistically significant intergroup differences were observed in age, sex ratio, and stone size. A statistically significant intergroup difference was observed in the operation time—group 1, 71.3±46.6 min; group 2, 33.0±13.7 min; and group 3, 24.6±8.0 min. All patients showed complete stone clearance. The number of urethral entries was higher in group 1 than in the other groups. Significant complications did not occur in any patient. Conclusion Nephroscopy scores over cystoscopy for the removal of bladder stones with respect to operation time. Ultrasonic lithoclast is a safe and efficacious modality that scores over a pneumatic lithoclast with respect to the operation time.
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spelling doaj.art-4e1186d4f3b14603bea5c424449a97102022-12-21T18:59:14ZengYeungnam University College of MedicineYeungnam University Journal of Medicine2384-02932019-01-01361161910.12701/yujm.2019.000452392Comparison of three different endoscopic approaches in the treatment of bladder calculiJae Youn JangYoung Hwii KoPhil Hyun SongJae Young ChoiBackground This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast. Methods Between January 2013 and May 2016, 107 patients with bladder stones underwent endoscopic treatment. Patients were classified into three groups based on the endoscopic techniques and energy modalities used in each group as: group 1 (transurethral stone removal using a cystoscope with pneumatic lithoclast), group 2 (transurethral stone removal using a nephroscope with pneumatic lithoclast), and group 3 (transurethral stone removal using a nephroscope with ultrasonic lithoclast). Baseline and perioperative data were retrospectively compared between three groups. Results No statistically significant intergroup differences were observed in age, sex ratio, and stone size. A statistically significant intergroup difference was observed in the operation time—group 1, 71.3±46.6 min; group 2, 33.0±13.7 min; and group 3, 24.6±8.0 min. All patients showed complete stone clearance. The number of urethral entries was higher in group 1 than in the other groups. Significant complications did not occur in any patient. Conclusion Nephroscopy scores over cystoscopy for the removal of bladder stones with respect to operation time. Ultrasonic lithoclast is a safe and efficacious modality that scores over a pneumatic lithoclast with respect to the operation time.http://yujm.yu.ac.kr/upload/pdf/yujm-2019-00045.pdfBladder stoneCystoscopyNephroscope
spellingShingle Jae Youn Jang
Young Hwii Ko
Phil Hyun Song
Jae Young Choi
Comparison of three different endoscopic approaches in the treatment of bladder calculi
Yeungnam University Journal of Medicine
Bladder stone
Cystoscopy
Nephroscope
title Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_full Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_fullStr Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_full_unstemmed Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_short Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_sort comparison of three different endoscopic approaches in the treatment of bladder calculi
topic Bladder stone
Cystoscopy
Nephroscope
url http://yujm.yu.ac.kr/upload/pdf/yujm-2019-00045.pdf
work_keys_str_mv AT jaeyounjang comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi
AT younghwiiko comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi
AT philhyunsong comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi
AT jaeyoungchoi comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi