Combination of transurethral pneumatic and ultrasonic cystolithotripsy: a clinical analysis of 30cases
10.3760/cma.j.issn.1671-7368.2013.03.029
- VernacularTitle:经尿道超声联合气压弹道治疗膀胱结石30例临床分析
- Author:
Senxin WEI
;
Xianan CAI
;
Jizheng WANG
;
Yi CAI
;
Qingjun MENG
;
Jing WANG
- Publication Type:Journal Article
- Keywords:
Bladder calculi;
Lithotripsy
- From:
Chinese Journal of General Practitioners
2013;(3):224-225
- CountryChina
- Language:Chinese
-
Abstract:
The clinical data of 30 patients with vesical calculus of 1.5 cm to 4 cm in diameter,who underwent combination of transurethral pneumatic and ultrasonic cystolithotripsy,were retrospectively analyzed.During the procedure the resectoscopic sheath was inserted into bladder through urethra,then the nephroscope was placed through the sheath.When the stone was located,the ultrasonic and pneumatic devices were used for lithotripsy and the fragments were cleared out.The procedures lasted from 10 to 25 min,all operations were successful.Transurethral resection of prostates (TURP) was performed simultaneously in 28 patients.No serious bleeding,bladder injury or transurethral resection syndrome occurred.One patient with simultaneous TURP developed bladder neck contracture one month after surgery and was later cured by endoresection.No residual chip or stone recurrence was detected.This procedure appears to be safe and highly efficient with low rate of urethrostenosis and is suitable for simotaneous prostate surgery.