Percutaneous Cystolithotripsy; Is it Safe and Successful in All Age Groups?

Abstract

Objective: To evaluate the success and safety of percutaneous cystolithotripsy in all age groups. Study Design: Prospective descriptive. Setting: Department of Urology & Renal Transplantation Punjab Medical College, Allied Hospital Faisalabad. Period: from January 2016 to October 2016. Methodology: 19 patients were included in the study, all were male. All patients were submitted for percutaneous suprapubic cystolithotripsy. Procedure was done under general anesthesia in pediatric age group and under spinal anesthesia in adults. Nephroscope and pneumatic lithoclast was used for stone fragmentation. Results: Good results were achieved with total stone clearance in all the cases. There was 100% stone clearance in 100% patients. Minor complications were observed including suprapubic leakage, pre-vesical extravasation, minor hematuria and post-operative infection. Procedure was cost effective regarding procedure time and post-operative hospital stay. Post-operative per-urethral catheter was kept for three days. Conclusion: Percutaneous suprapubic cystolithotripsy can be used safely with good results and minimal complications in all age groups.