Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study
Introduction: Vesical calculus accounts for nearly 5% of urinary system calculi and is commonly seen in patients with Bladder Outlet Obstruction (BOO), chronic infection, and neurogenic bladder. Open cystolithotomy is an invasive surgery with a long postoperative period and with a high wound infecti...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17605/60502_CE[Ra1]_F[SK]_PF1(DA_KM_OM)_PN(SS).pdf |
| _version_ | 1797859592736079872 |
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| author | Ashish Ghanghoria Vivek Sharma Musheer Ahmed Pushpendra Kumar Shukla Brijesh Tiwari |
| author_facet | Ashish Ghanghoria Vivek Sharma Musheer Ahmed Pushpendra Kumar Shukla Brijesh Tiwari |
| author_sort | Ashish Ghanghoria |
| collection | DOAJ |
| description | Introduction: Vesical calculus accounts for nearly 5% of urinary system calculi and is commonly seen in patients with Bladder Outlet Obstruction (BOO), chronic infection, and neurogenic bladder. Open cystolithotomy is an invasive surgery with a long postoperative period and with a high wound infection rate, so only best recommended for large stones. With recent advancements in endourological instruments, cystolithotripsy either by Percutaneous Cystolithotripsy (PCCL) or Transurethral Cystolithotripsy (TUCL) approach has become a safer treatment for medium size stone (2-4 cm).
Aim: To compare the outcome of PCCL and TUCL for medium size bladder stones in adult patients.
Materials and Methods: This retrospective study was conducted between January 2019 to December 2021 in the Department of Urology, Superspeciality Hospital, Shyam Shah Medical College, Rewa, Madhya Pradesh, India. Group I was PCCL (n=32) and group II was TUCL (n=30). PCCL group was compared with TUCL group II for age, stone size, number of stones, operative time, mean urethral entries, postoperative hospital stays, peri and postoperative complications. Statistical analysis was performed using Chi-square and t-test. Differences were accepted to be statistically significant at p-value≤0.05.
Results: A total of 168 were treated for bladder stones in the Institute and 62 patients were included in the study. No residual stone was observed in any of the two groups. Complete stone clearance was achieved in both groups of patients. Mean operative time and the number of urethral entries were 46.75±2.45 min and 1.06±0.25 min in in the PCCL group, and 59.67±3.84 min and 2.87±0.82 min in in the TUCL group. (p-value-<0.001).
Conclusion: PCCL appears to be a better technique and preferable over TUCL in bladder stones of size between 2-4 cm. |
| first_indexed | 2024-04-09T21:33:07Z |
| format | Article |
| id | doaj.art-f5f4f48c881b453f877131779045c466 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-09T21:33:07Z |
| publishDate | 2023-03-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-f5f4f48c881b453f877131779045c4662023-03-27T08:23:38ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-03-01173PC09PC1210.7860/JCDR/2023/60502.17605Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective StudyAshish Ghanghoria0Vivek Sharma1Musheer Ahmed2Pushpendra Kumar Shukla3Brijesh Tiwari4Assistant Professor, Department of Urology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.Associate Professor, Department of Urology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.Senior Resident, Department of Urology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.Assistant Professor, Department of Urology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.Assistant Professor, Department of Urology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.Introduction: Vesical calculus accounts for nearly 5% of urinary system calculi and is commonly seen in patients with Bladder Outlet Obstruction (BOO), chronic infection, and neurogenic bladder. Open cystolithotomy is an invasive surgery with a long postoperative period and with a high wound infection rate, so only best recommended for large stones. With recent advancements in endourological instruments, cystolithotripsy either by Percutaneous Cystolithotripsy (PCCL) or Transurethral Cystolithotripsy (TUCL) approach has become a safer treatment for medium size stone (2-4 cm). Aim: To compare the outcome of PCCL and TUCL for medium size bladder stones in adult patients. Materials and Methods: This retrospective study was conducted between January 2019 to December 2021 in the Department of Urology, Superspeciality Hospital, Shyam Shah Medical College, Rewa, Madhya Pradesh, India. Group I was PCCL (n=32) and group II was TUCL (n=30). PCCL group was compared with TUCL group II for age, stone size, number of stones, operative time, mean urethral entries, postoperative hospital stays, peri and postoperative complications. Statistical analysis was performed using Chi-square and t-test. Differences were accepted to be statistically significant at p-value≤0.05. Results: A total of 168 were treated for bladder stones in the Institute and 62 patients were included in the study. No residual stone was observed in any of the two groups. Complete stone clearance was achieved in both groups of patients. Mean operative time and the number of urethral entries were 46.75±2.45 min and 1.06±0.25 min in in the PCCL group, and 59.67±3.84 min and 2.87±0.82 min in in the TUCL group. (p-value-<0.001). Conclusion: PCCL appears to be a better technique and preferable over TUCL in bladder stones of size between 2-4 cm.https://www.jcdr.net/articles/PDF/17605/60502_CE[Ra1]_F[SK]_PF1(DA_KM_OM)_PN(SS).pdfbladder outlet obstructionendourological instrumentshaematuriaopen cystolithotomy |
| spellingShingle | Ashish Ghanghoria Vivek Sharma Musheer Ahmed Pushpendra Kumar Shukla Brijesh Tiwari Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study Journal of Clinical and Diagnostic Research bladder outlet obstruction endourological instruments haematuria open cystolithotomy |
| title | Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study |
| title_full | Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study |
| title_fullStr | Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study |
| title_full_unstemmed | Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study |
| title_short | Comparison of Percutaneous Cystolithotripsy and Transurethral Cystolithotripsy for Treatment of Medium Size Bladder Stone: A Retrospective Study |
| title_sort | comparison of percutaneous cystolithotripsy and transurethral cystolithotripsy for treatment of medium size bladder stone a retrospective study |
| topic | bladder outlet obstruction endourological instruments haematuria open cystolithotomy |
| url | https://www.jcdr.net/articles/PDF/17605/60502_CE[Ra1]_F[SK]_PF1(DA_KM_OM)_PN(SS).pdf |
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