A COMPARISON BETWEEN TRANSURETHRAL CYSTOLITHOCLASTY AND VESICOLITHOTOMY IN PEDIATRIC MALE PATIENTS

  • Muhammed khalid Associate Professor, HOD Urology, D.G Khan Medical College, Dera Ghazi Khan.
  • Muhammad Faizan Medical Officer, THQ Hospital Kot Chutta, Dera Ghazi Khan.
  • Muhammad Asif Gurmani Assistant Professor, Department of Urology, D.G Khan Medical College, Dera Ghazi Khan.
  • Amjad Ali Siddiqui District Consultant, Department of Urology, D.G Khan Medical College, Dera Ghazi Khan.
  • Qadeer Ahmed Choudhary Associate Professor, Department of Urology Sahiwal Medical College, Sahiwal. District
  • Zulfiqar Anjum Associate Professor, Department of Pediatric Surgery, D.G Khan Medical College, Dera Ghazi Khan.
Keywords: Bladder Calculus, Comparison, Cystolithoclasty, Ureteroscope, Pneumatic Lithoclast, Dormia basket, Vesicolithotomy

Abstract

ABSTRACT

BACKGROUND & OBJECTIVE: To compare transurethral cystolithoclasty with ureteroscope over open vesicolithotomy in pediatric male patients.

METHODOLOGY: Study comprises of hundred pediatric male patients, divided into two equal groups of 50 each, labeled as Group-A and Group-B. All the patients having stones less than 20mm size (average 14mm) were included. Group-A patients were treated with transurethral cystolithoclasty by using ureteroscope and pneumatic lithoclast assisted with the help of Dormia basket. Group-B patients were treated with open vesicolithotomy.
RESULTS: All hundred male pediatric patients were between the ages of 1-15 years (mean age 8 years). Hospital stay was 2-3 days (average 2.5 days) in Group-A patients and 3-5 days (average 4 days) in Group-B patients. In Group-A3 (6%) patients had urinary tract infection, 1(2%) had urethral injury and 2(4%) had residual stone post-operatively. While Group-B4 (8%) suffered from urinary tract infection, 1(2%) had wound infection, 1(2%) had hematuria, and 2(4%) had fever. Retention of urine was 1(2%) in each Group.

CONCLUSION: Transurethral cystolithoclasty is a much better way of treating vesical calculus in pediatric male patients because it is a procedure with short hospital stay, minimal invasion, no scar and less complication. KEYWORDS: Bladder Calculus, Comparison, Cystolithoclasty, Ureteroscope, Pneumatic Lithoclast, Dormia basket, Vesicolithotomy.

Published
2020-03-18
How to Cite
Muhammed khalid, Muhammad Faizan, Muhammad Asif Gurmani, Amjad Ali Siddiqui, Qadeer Ahmed Choudhary, & Zulfiqar Anjum. (2020). A COMPARISON BETWEEN TRANSURETHRAL CYSTOLITHOCLASTY AND VESICOLITHOTOMY IN PEDIATRIC MALE PATIENTS. Journal of University Medical & Dental College, 11(1), 31-38. https://doi.org/10.37723/jumdc.v11i1.163
Section
Original Articles