Percutaneous Cystolithotomy for Pediatric Bladder Stone

Abstract

Abstract:

Objective: To evaluate the application of percutaneous cystolithotomy in pediatric bladder stone. Methods: Fifteen boys with a mean age of 4-9（6.6±1.57）years and mean stone diameter at 1.3-3.7（2.6±0.92）cm underwent percutaneous cystolithotomy. Patients were punctureed into the bladder above suprapubic for establish the percutaneous bladder channel, then the bladder stones were smashed with the methods of holmium laser lithotripsy or pneumatic ballistic lithotripsy. The indwelling catheter was implanted according to intraoperative situation. Total 15 cases of clinical data were conducted with retrospective analysis. Results: All 15 patients were operated successfully and the mean procedure time was 20~45（32.5±6.43）min. Five cases felt pain because of indwelling catheter but there were no severe complications occurred. During 6~12 months follow-up, there were no difficulties in urinating, no urethral stricture, and no stone recurrence. Conclusion: Percutaneous cystolithotomy is an effective therapy in the treatment of pediatric bladder stones, which is with less trauma, high stone removal rate. The therapy can avoid the risks induced by transurethral technique such as urethral mucosal damage, postoperative residual stones and urethral stricture.

Key words: pediatric bladder stone, microchannel, percutaneous cystolithotomy

CLC Number:

R694.4

YANG Li, XIAO Zhi-Song, ZHENG Bao-Shou, WEN Gui-Cheng. Percutaneous Cystolithotomy for Pediatric Bladder Stone[J]. J4, 2013, 12(3): 42-44.

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