Author/Authors :
Ahmadnia, Hassan Department of Urology - Ghaem Hospital - Mashhad University of Medical Sciences, Mashhad , Younesi Rostami, Mehdi Department of Urology - Ghaem Hospital - Mashhad University of Medical Sciences, Mashhad , Yarmohammadi, Ali Asghar Department of Urology - Ghaem Hospital - Mashhad University of Medical Sciences, Mashhad , Parizadeh, Mohammad Javad Department of Pediatrics - Ghaem Hospital - Mashhad University of Medical Sciences, Mashhad , Esmaeili, Mohammad Department of Pediatrics - Ghaem Hospital - Mashhad University of Medical Sciences, Mashhad , Movarekh, Mohammad Department of Urology - Ghaem Hospital - Mashhad University of Medical Sciences, Mashhad
Abstract :
Introduction: We sought to evaluate the safety and efficacy of percutaneous cystolithotripsy in children.
Materials and Methods: Thirty children (27 boys and 3 girls; mean age, 6.06 ± 2.64
years; range, 1.5 to 12 years) with bladder calculi underwent percutaneous stone
removal. The mean size of the largest diameters of the calculi was 24.8 ± 8.47 mm
(range, 13 mm to 50 mm). Under general anesthesia, a 1-cm incision was made 1 to
2 cm above the pubic symphysis. A 26-F nephroscope was introduced into the bladder
following tract dilation, and the calculi were removed. If the calculi were larger than
1 cm, fragmentation was performed. The procedure was done without fluoroscopy.
Finally, a urethral catheter was placed for 48 hours.
Results: All patients became stone free. The mean operative time was 23.13 ± 8.38
minutes (range, 12 to 40 minutes). All patients were discharged 24 hours after operation, except 1, who was hospitalized 2 more days for suprapubic pain and severe irritating symptoms. No significant intraoperative or postoperative complications were seen.
Conclusion: Percutaneous suprapubic cystolithotripsy is an efficient and safe technique for treating bladder calculi in children. We recommend this technique for treating large bladder calculi (larger than 1 cm) in children.
