1- Faculty of Medicine,Yasuj University of Medical Sciences,Yasuj,Iran , sadrollahm@yahoo.com
Abstract: (64 Views)
Background: Bladder stones are rare in men and women and account for approximately 5% of all urinary tract stones. There are many treatment methods for bladder stones. In the past, open suprapubic cystolithotomy was the method of choice. Open surgery is the most effective but has more complications that limit the use of this method. Transurethral cystolithopaxy is probably the most common way to manage bladder stones. However transurethral methods still have serious defects due to the long operation time and injury to the bladder mucosa. Considering the difference of opinion in the treatment of bladder stones, this study was conducted to compare transurethral lithotripsy and cystolitolapaxy in the treatment of bladder stones less than 20 mm in the bladder. Materials and Methods: In this unblinded randomized clinical trial, 75 patients over 18 years of age with bladder stones referred to the operating room of Shahid Beheshti Hospital of Yasouj were included in the study. Surgery was performed in two groups, Cystolitholapaxy and TUL. Patients were compared in terms of complications, duration of operation, duration of hospital stay, and operation efficiency. The results were analyzed using spss-18 software and analytical Q square and t-test. Results: 75 patients with bladder stones were examined. Of these, 35 patients were in the Cystolitholapaxy group and 40 were in the TUL group. Of these, 97.1% were men in the Cystolitholapaxy group and 70% were in the TUL group(p=0.0002). The length of hospitalization in the Cystolitholapaxy group was 1.41 days and in the TUL group was 0.82 days(p=0.093). In terms of age, gender, operation efficiency, and stone size, a statistically significant difference was observed between the two groups. Conclusion: Treatment of bladder stones less than 20 mm by cystolitholapaxy method is a safe and effective treatment compared to transurethral lithotripsy( TUL), and can be used instead of TUL or with lithotripsy for better efficacy.
Mehrabi S. Comparison efficacy and complications of transurethral lithotripsy with cystolapaxy in the treatment of bladder stones less than 20 mm in adult patients. armaghanj 2024; 29 (6) URL: http://armaghanj.yums.ac.ir/article-1-3717-en.html