Novel technique of cytolithotripsy for large bladder stones.


INTRODUCTION We evaluated a minimally invasive surgical technique involving a single percutaneous access with a laparoscopic trocar under video-cystoscopic vision for managing large bladder stones. All patients were candidates for open surgery. MATERIALS AND SURGICAL TECHNIQUE Fourteen patients with bladder stones larger than 3 cm in diameter or multiple stones were treated with this technique. The procedure involved the percutaneous placement of a laparoscopic trocar under cystoscopic control and the introduction of a rigid nephroscope into the bladder. Stones were cleansed via fragmentation or direct removal. DISCUSSION The technique was successful in all cases, resulting in controlled, stone-free bladders; there were no surgical complications. The mean operation time was comparable to that of standard management. All patients discharged uneventfully. None reported urethral stricture during the 24-month follow-up period. Percutaneous cystolithotripsy under endoscopic control is easy to perform and should be considered as an alternative for large or multiple bladder stones as it decreases the risk of urethral stricture.

DOI: 10.1111/ases.12029

Cite this paper

@article{Toktas2013NovelTO, title={Novel technique of cytolithotripsy for large bladder stones.}, author={Gokhan Toktas and Vural Sacak and Erkan Erkan and Ramazan Kocaaslan and Murat Demiray and Erdinc Unluer and Mehmet Emin Ozyalvacli}, journal={Asian journal of endoscopic surgery}, year={2013}, volume={6 3}, pages={245-8} }