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PERCUTANEOUS VESICOLITHOTOMY: AN ALTERNATIVE TO OPEN BLADDER SURGERY IN PATIENTS WITH AN IMPASSABLE OR SURGICALLY ABLATED URETHRA

1999; Lippincott Williams & Wilkins; Volume: 162; Issue: 3 Part 1 Linguagem: Inglês

10.1097/00005392-199909010-00042

1527-3792

DAVID F. FRANZONI, Ross M. Decter,

Pediatric Urology and Nephrology Studies

No AccessJournal of UrologyClinical Urology: Urologists at Work1 Sep 1999PERCUTANEOUS VESICOLITHOTOMY: AN ALTERNATIVE TO OPEN BLADDER SURGERY IN PATIENTS WITH AN IMPASSABLE OR SURGICALLY ABLATED URETHRA DAVID F. FRANZONI and ROSS M. DECTER DAVID F. FRANZONIDAVID F. FRANZONI More articles by this author and ROSS M. DECTERROSS M. DECTER More articles by this author View All Author Informationhttps://doi.org/10.1097/00005392-199909010-00042AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Although vesical calculi are routinely treated transurethrally, open vesicolithotomy is generally performed in patients with an impassable or surgically ablated urethra. We describe a technique of percutaneous vesicolithotomy which we used in patients who had undergone urethral ablation and concomitant continent diversion by appendicovesicostomy. Materials and Methods: Bladder stones were detected in 3 patients with neurogenic bladder who had undergone continent urinary diversion with bladder neck closure and appendicovesicostomy. To treat the stones access to the bladder was achieved percutaneously and the tract was enlarged using a balloon dilator. An Amplatz sheath was slipped over the inflated balloon and after the dilator was removed the sheath provided a working channel through which stones were fragmented and removed using a nephroscope. Results: Each patient was rendered stone-free and discharged home the same day as the procedure. Conclusions: Percutaneous vesicolithotomy provides an alternative approach for bladder stone removal in patients with an impassable urethra with decreased morbidity compared to open procedures. References 1 : Urolithiasis in children following augmentation cystoplasty. J. Urol.1993; 150: 726. Link, Google Scholar 2 : Suprapubic lithotripsy. Brit. J. Urol.1988; 62: 389. Google Scholar 3 : Percutaneous vacuum vesicolithotomy under direct vision: a new technique. J. Urol.1996; 156: 706. Link, Google Scholar 4 : Percutaneous treatment of bladder stones. J. Urol.1993; 149: 1499. Link, Google Scholar 5 : Percutaneous cystolithotomy with endotracheal tube tract dilation after urinary tract reconstruction. J. Urol.1997; 157: 2298. Link, Google Scholar 6 : Percutaneous bladder procedures. Urol. Clin. N. Amer.1990; 17: 67. Google Scholar From the Department of Surgery, Section of Urology, Milton S. Hershey Medical Center, Penn State Geisinger Health System, Hershey, Pennsylvania© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCain M, Casale A, Kaefer M, Yerkes E and Rink R (2018) Percutaneous Cystolithotomy in the Pediatric Augmented BladderJournal of Urology, VOL. 168, NO. 4 Part 2, (1881-1882), Online publication date: 1-Oct-2002. Volume 162Issue 3 Part 1September 1999Page: 777-778 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information DAVID F. FRANZONI More articles by this author ROSS M. DECTER More articles by this author Expand All Advertisement PDF downloadLoading ...