Transurethral Cystolithotripsy of Large Bladder Stones by Holmium Laser As a Day Care Procedure

Overview

Journal J Clin Diagn Res

Specialty General Medicine

Date 2017 Feb 18

PMID 28208921

Citations 2

Authors

Shantajit Nameirakpam

Salinita Naorem

M S Faridi

Kaku Singh Akoijam

Rajendra Singh Sinam

Affiliations

Soon will be listed here.

Abstract

Introduction: Bladder stones constitute around 5% of bladder stones in the developed countries. Holmium laser lithotripsy has revolutionised the treatment of urinary lithiasis.

Aim: The aim of this study was to report the outcome of transurethral cystolithotripsy with Holmium Laser under Local Anaesthesia (LA) as a day care procedure in patients with bladder stones.

Materials And Methods: Patients with bladder stone greater than 1.5cm attending urology Outpatient Department underwent transurethral cystolithotripsy with Holmium Laser under LA as day care procedure. The results were analysed on aspects of peri-operative pain, completion of procedure, stone clearance, hospital stay, complications and patient compliance.

Results: A total of 85 patients with bladder stone ≥1.5cm underwent transurethral cystolithotripsy LA. The mean age of the patient was 52±7 years. There were 80 males. The mean size of stone was 3±1.2cm. Mean operation time was 40±10 minutes. Complete stone clearance was achieved in all the patients. None of the patients required hospital stay following the procedure.

Conclusion: Transurethral holmium laser lithotripsy is an effective and safe procedure for large bladder stones. This procedure can be easily performed as a day care procedure.

Citing Articles

Big bladder stone accompanied by big posterior urethral stone: A management of rare case report.

Wirjopranoto S, Azmi Y, Sugianto R, Soetanto K Int J Surg Case Rep. 2024; 120:109853.

PMID: 38878727 PMC: 11226951. DOI: 10.1016/j.ijscr.2024.109853.

Surgical Management of Vesical Stones in Children: A Comparison Between Open Cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy With Holmium-YAG Laser.

Javanmard B, Fallah Karkan M, Razzaghi M, Ghiasy S, Ranjbar A, Rahavian A J Lasers Med Sci. 2019; 9(3):183-187.

PMID: 30809329 PMC: 6378362. DOI: 10.15171/jlms.2018.33.

References

Dsouza N, Verma A . Holmium laser cystolithotripsy under local anaesthesia: Our experience. Arab J Urol. 2016; 14(3):203-6. PMC: 4983162. DOI: 10.1016/j.aju.2016.06.002. View

Gould D . Holmium:YAG laser and its use in the treatment of urolithiasis: our first 160 cases. J Endourol. 1998; 12(1):23-6. DOI: 10.1089/end.1998.12.23. View

Miller D, Park J . Percutaneous cystolithotomy using a laparoscopic entrapment sac. Urology. 2003; 62(2):333-6; discussion 336. DOI: 10.1016/s0090-4295(03)00456-4. View

Sofer M, Kaver I, Greenstein A, Bar Yosef Y, Mabjeesh N, Chen J . Refinements in treatment of large bladder calculi: simultaneous percutaneous suprapubic and transurethral cystolithotripsy. Urology. 2004; 64(4):651-4. DOI: 10.1016/j.urology.2004.04.067. View

Wollin T, Singal R, Whelan T, Dicecco R, Razvi H, Denstedt J . Percutaneous suprapubic cystolithotripsy for treatment of large bladder calculi. J Endourol. 2000; 13(10):739-44. DOI: 10.1089/end.1999.13.739. View

Teichman J, Rogenes V, McIver B, Harris J . Holmium:yttrium-aluminum-garnet laser cystolithotripsy of large bladder calculi. Urology. 1997; 50(1):44-8. DOI: 10.1016/S0090-4295(97)00201-X. View

Ashworth M . Endemic bladder stones. BMJ. 1990; 301(6756):826-7. PMC: 1663964. DOI: 10.1136/bmj.301.6756.826. View

Karami H, Razaghi M, Javanmard B, Yaghoob M, Hasanzadeh Hadad A, Amani M . Outpatient Transurethral Cystolithotripsy of Large Bladder Stones by Holmium Laser. J Lasers Med Sci. 2016; 7(1):12-5. PMC: 4908987. DOI: 10.15171/jlms.2016.03. View

Tzortzis V, Aravantinos E, Karatzas A, Mitsogiannis I, Moutzouris G, Melekos M . Percutaneous suprapubic cystolithotripsy under local anesthesia. Urology. 2006; 68(1):38-41. DOI: 10.1016/j.urology.2006.01.073. View

10.

Philippou P, Moraitis K, Masood J, Junaid I, Buchholz N . The management of bladder lithiasis in the modern era of endourology. Urology. 2011; 79(5):980-6. DOI: 10.1016/j.urology.2011.09.014. View

11.

Papatsoris A, Varkarakis I, Dellis A, Deliveliotis C . Bladder lithiasis: from open surgery to lithotripsy. Urol Res. 2006; 34(3):163-7. DOI: 10.1007/s00240-006-0045-5. View

12.

Kara C, Resorlu B, Cicekbilek I, Unsal A . Transurethral cystolithotripsy with holmium laser under local anesthesia in selected patients. Urology. 2009; 74(5):1000-3. DOI: 10.1016/j.urology.2009.05.095. View

13.

Schwartz B, Stoller M . The vesical calculus. Urol Clin North Am. 2000; 27(2):333-46. DOI: 10.1016/s0094-0143(05)70262-7. View

14.

Douenias R, Rich M, Badlani G, Mazor D, Smith A . Predisposing factors in bladder calculi. Review of 100 cases. Urology. 1991; 37(3):240-3. DOI: 10.1016/0090-4295(91)80293-g. View