Shahid Beheshti University of Medical Sciences
  • Register
  • Login

Journal of Lasers in Medical Sciences

  • Issues
    • Current Issue
    • Archives
  • Journal Info
    • About the Journal
    • Editorial Team
    • Indexing/Abstracting
    • Contact Us
  • Author Guideline
    • Submission Guide
    • Author Statement Form
    • Peer Review Process
    • Publication Fee
  • Ethics & Policies
    • Ethical Requirements
    • Authorship Rules
    • Withdrawal Regulations
    • Retraction Considerations
    • Privacy Statement
  • Reviewer Guideline
  • New Submission
Advanced Search
  1. Home
  2. Archives
  3. Vol. 10 No. Supplement (2019): Autumn
  4. Original Article

Vol. 10 No. Supplement (2019)

December 2019

Retrograde-assisted Percutaneous Cystolitholapaxy versus Transurethral Cystolithotripsy with Holmium-YAG Laser, A Retrospective Study

  • Shahrokh Sakhaei
  • Morteza Fallahkarkan
  • Mohammadreza Razzaghi
  • Babak Kazemzadeh Azad
  • Fereshteh Aliakbari

Journal of Lasers in Medical Sciences, Vol. 10 No. Supplement (2019), 1 December 2019 , Page S54-S58
Published: 2019-12-01

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Introduction: The retrograde approach is a modification that makes the percutaneous cystolitholapaxy (PCCL) a more trendy method, especially in operating rooms with limited facilities. The transurethral approach for bladder calculi lithotripsy by a laser has become popular among urologists. In this study, we investigate the feasibility and safety of retrograde assisted access for PCCL in comparison with transurethral cystolithotripsy by the holmium-YAG laser (Ho:
YAG).

Methods: According to the type of intervention, the patients were stratified to two matched groups. In the retrograde-assisted percutaneous cystolitholapaxy (RPCCL) group, a Benique was conducted through the urethra into the bladder; palpating the suprapubic region, an about 1.5 cm incision was done over the tip, then an Amplatz sheath was placed over it, treading into the bladder; further cystolitholapaxy was done by a routine order. In transurethral Ho: YAG laser lithotripsy (TULL) via 200 μm fiber vaporize the stone.

Results: A total of 124 male patients with the mean age of 50.33 ± 9.64 years and the average stone burden of 3.35 ± 1.07 cm were included in the study. The most common cause of vesical calculi was spinal cord injury. Statistically significant differences were found in terms of the mean operation time in favor of the RPCCL group (P ≤ 0.05) and the mean hospital stay in favor of the TULL group (P ≤ 0.05). The stone-free rate (SFR) was 100% in both methods after a one month follow-up. None of the interventions changed to open surgery. There were not any major complications in both methods.

Conclusion: RPCCL is a safe and effective method in bladder stone treatment and is applicable in
medical centers without Ho: YAG equipment.

Keywords:
  • Bladder stone
  • Bladder calculi
  • Percutaneous cystolitholapaxy
  • Transurethral cystolitholapaxy
  • Holmium-YAG laser
  • PDF

How to Cite

Sakhaei, S., Fallahkarkan, M., Razzaghi, M., Kazemzadeh Azad, B., & Aliakbari, F. (2019). Retrograde-assisted Percutaneous Cystolitholapaxy versus Transurethral Cystolithotripsy with Holmium-YAG Laser, A Retrospective Study. Journal of Lasers in Medical Sciences, 10(Supplement), S54-S58. Retrieved from https://journals.sbmu.ac.ir/jlms/article/view/26782
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

References

Gupta DK, Mishra S. Percutaneous Cystolithotripsy as A Reliable Modality to Treat Pediatric Vesiculolithiasis. J Nep Med Col. 2017;14(1):18-20. doi:10.3126/jngmc.v14i1.17488

Kumar A, Dalela D, Goel A, Paul S, Sankhwar S. The twin amplatz sheath method: a modified technique of percutaneous cystolithotripsy for large bladder stones in female patients. J Surg tech Case Rep. 2013;5(2):109-11. doi: 10.4103/2006-8808.128757.

Razzaghi MR, Karkan MF, Ghiasy S, Javanmard B. Laser Application in Iran Urology: A Narrative Review. J Lasers Med Sci. 2018;9(1):1-6. doi: 10.15171/jlms.2018.01.

Ahmadnia H, Kamalati A, Younesi M, Imani MM, Moradi M, Esmaeili M. Percutaneous treatment of bladder stones in children: 10 years experience, is blind access safe? Pediatr Surg Int. 2013;29(7):725-8. doi:10.1007/s00383-013-3320-x

Javanmard B, Karkan MF, Razzaghi M, Ghiasy S, Ranjbar A, Rahavian A. Surgical Management of Vesical Stones in Children: A Comparison Between Open cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy with Holmium-YAG Laser. J Lasers Med Sci. 2018;9(3):183-7. doi: 10.15171/jlms.2018.33.

Teichman JM, Rogenes VJ, McIver BJ, Harris JM. Holmium: yttrium-aluminum-garnet laser cystolithotripsy of large bladder calculi. Urol. 1997;50(1):44-8. doi: 10.1016/S0090-4295(97)00201-X

Karami H, Razaghi MR, Javanmard B, Yaghoob M, Hadad AH, Amani M, et al. Outpatient transurethral cystolithotripsy of large bladder stones by holmium laser. J Lasers Med Sci. 2016;7(1):12-15. doi: 10.15171/jlms.2016.03.

Bodakci MN, Sancaktutar AA, Dağgulli M, Hatipoglu NK, Söylemez H, Penbegul N, et al. Micropercutaneous cystolithotomy in children: our experience with the transillumination technique. J endourol. 2014;28(6):693-8. doi: 10.1089/end.2013.0636.

Tzortzis V, Aravantinos E, Karatzas A, Mitsogiannis IC, Moutzouris G, Melekos MD. Percutaneous suprapubic cystolithotripsy under local anesthesia. Urol. 2006;68(1):38-41. doi: 10.1016/j.urology.2006.01.073

Liu G, Deng Y, Zhang S, Zhao X, Yao D, Zhang Q, et al. Minimally invasive percutaneous suprapubic cystolithotripsy: an effective treatment for bladder stones with urethral strictures. Int J Clin Exp Med. 2016;9(10):19907-12.

Torricelli FCM, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev Col Bras Cir. 2013;40(3):227-33.

Salati U, Lundeen C, Chew B, Buckley J. Percutaneous suprapubic cystolitholapaxy in adult patients with previous Mitrofanoff repair: considerations for the interventional radiologist. J Vasc Interv Radiol. 2017;28(9):1316-9. doi: 10.1016/j.jvir.2017.05.013.

Papatsoris AG, Varkarakis I, Dellis A, Deliveliotis C. Bladder lithiasis: from open surgery to lithotripsy. Urol Res. 2006;34(3):163. doi: 10.1007/s00240-006-0045-5

Bansal A, Kumar M, Sankhwar S, Goel S, Patodia M, Aeron R, et al. Prospective randomized comparison of three endoscopic modalities used in treatment of bladder stones. Urologia. 2016;83(2):87-92. doi: 10.5301/uro.5000171

Kara C, Resorlu B, Cicekbilek I, Unsal A. Transurethral cystolithotripsy with holmium laser under local anesthesia in selected patients. Urology. 2009;74(5):1000-3. doi: 10.1016/j.urology.2009.05.095

Obaid AT. A Comparative Study of Percutaneous Suprapubic Cystolitholapaxy versus Open Cystolithotomy in Adults. Med J Babylon. 2013;10(1):11-24.

Wollin T, Singal R, Whelan T, Dicecco R, Razvi H, Denstedt J. Percutaneous suprapubic cystolithotripsy for treatment of large bladder calculi. J endourol. 1999;13(10):739-44. doi: 10.1089/end.1999.13.739

Vasudevan V, Strine AC, Kaefer M. A novel technique for endoscopic management of stones in a continent urinary reservoir. Urology. 2014;83(6):1398-400. doi: 10.1016/j.urology.2014.02.012

Metwally AH, Sherief MH, Elkoushy MA. Safety and efficacy of cystoscopically guided percutaneous suprapubic cystolitholapaxy without fluoroscopic guidance. Arab J Urol. 2016;14(3):211-5. doi: 10.1016/j.aju.2016.05.001

Abedi AR, Razzaghi MR, Allameh F, Aliakbari F, Fallahkarkan M, Ranjbar A. Pneumatic Lithotripsy Versus Laser Lithotripsy for Ureteral Stones. J Lasers Med Sci. 2018;9(4): 233–236. doi:10.15171/jlms.2018.42

Gan W, Guo H, Yang R, Lian H, Yao L. Minimally invasive percutaneous cystolithotomy: an effective treatment for bladder stones in infants aged< 1 year. BJU international. 2010;106(2):275-7. doi:10.1111/j.1464-410X.2009.08995.x

Paez E, Reay E, Murthy L, Pickard RS, Thomas DJ. Percutaneous treatment of calculi in reconstructed bladder. J endourol. 2007;21(3):334-6. doi: 10.1089/end.2006.0251

  • Abstract Viewed: 505 times
  • PDF Downloaded: 259 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Make a Submission

Make a Submission

Information

  • For Readers
  • For Authors
  • For Librarians

Developed By

Open Journal Systems
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

Iranian Medical Laser Association 

                                        

 

This journal is distributed under the terms of CC BY-NC 3.0.
Design and publishing by SBMU journals. All credits and honors to PKP for their OJS. 

Powered by OJSPlus