Abstract
INTRODUCTION
In this study, we aimed to compare the success and complications rate of percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) techniques that was performed during simultaneous transurethral resection of the prostate ( TURP).
METHODS
Forty-four patient with benign prostate hyperplasia (BPH) and bladder stones were enrolled in the study between June 2011 and May 2015. In patients who had stone size ≥ 30 mm, TURP combined with PCCL (n = 28), while stone sizes <30 mm were performed TURP and TUCL (n = 16). In TUCL group, the stones were removed through a 23 F cystolithotripter after fragmentation with pneumatic lithotripsy. TURP was then performed. In PCCL group, suprapubic access was applied under cystoscopic guidance. A 30 F Amplantz sheath was inserted. All bladder stones fragmented via pneumatic lithotripter were removed. Next, TURP was performed.
RESULTS
Average age and prostate volume were similar in both groups. Mean stone size of the PCCL group was 46.67±6.59, in TUCL group was 22.87±3.64 (p< 0.001). In PCCL group cystolithotripsy time was 32.92±10.06 minutes, while in the TUCL group was 42.12±11.68 minutes (p=0.009). All patients was achieved stone-free in both groups. Urethral stricture developed in two patients in the TUCL group. Mean follow-up time was 6 months.
DISCUSSION AND CONCLUSION
TUCL and PCCL has similar success rates in the treatment of bladder stones. In PCCL the operation time is shorter than TUCL and A safer method with compared to TUCL in large bladder stones. In TUCL seen more complications such as urethral stricture.
Keywords: Bladder stone, Benign prostate hyperplasia, Percutaneous cystolithotripsy, Transurethral cystolithotripsy.
