Posted in Volume 15 - Number 4
RAJAB ALI DEGNARI, MALIK HUSSAIN JALBANI, MUKHTIAR AHMED ABRO
ABSTRACT | Full Text PDF
OBJECTIVE: To evaluate the effectiveness and safety of transurethral cystolithotripsy (pneumatic) in children with urinary bladder stones as a day care procedure.
Type of Study: Prospective
PATIENTS AND METHODS: Management of vesical calculi in children poses challenge to the urologists of developing countries due to their huge burden of these stones. This prospective study was conducted in the department of urology Chandka Medical College and Larkana Medical centre (pvt) Larkana between January 2006 to December 2008. After initial routine investigations, children diagnosed with bladder calculi were admitted two hours before surgery. Stones were fragmented with Swiss lithoclast under general anesthesia using 8.5 FR semi rigid Ureteroscope. Fragments were evacuated with 10.5 FR Cystoscope and Ellick’s evacuator. Foleys catheter was retained for 24 hours.
RESULTS: Of the 100 children with bladder calculi (M: F ratio 7.3:1) treated with cystolithotripsy using swiss lithoclast, 99% became stones free after one session.95% children were discharged eight to twenty four hours of procedure; however, 5% had minor complications.
CONCLUSION : An endemic calculus constitutes 20% of all paediatric workload. Excellent stone free rate with cystolithoclast as daycare procedures with minimal complications make it a preferred treatment for bladder calculi 0.5-2.0 cms size.
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