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Cystolitholapaxy versus cystolithotomy in children
1Urology and Nephrology Center, Mansoura University, Egypt.
Journal of Endourology
|August 25, 2000
Summary
Open surgery for pediatric bladder stones is still preferred despite advancements in endoscopic techniques. While endourologic procedures offer shorter hospital stays, open cystolithotomy demonstrates fewer complications in boys.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Bladder Stone Management
Background:
- Primary vesical stones are prevalent in children in developing nations.
- Traditional treatment involves cystolithotomy, but percutaneous methods are gaining traction.
Purpose of the Study:
- To compare the outcomes of open cystolithotomy versus endourologic procedures for primary vesical stones in male children.
- To evaluate operative time, hospital stay, and complication rates between the two treatment modalities.
Main Methods:
- Retrospective analysis of 52 male children with primary vesical stones treated between 1992 and 1997.
- Group I: 25 patients underwent open cystolithotomy.
- Group II: 27 patients received endourologic treatment (transurethral or suprapubic).
Main Results:
- Successful stone removal in all cases; operative times were comparable.
- Endourologic procedures resulted in significantly shorter hospital stays (P < 0.05).
- Open surgery had no early or late complications, while endourologic treatment had a 15% complication rate, including urethral rupture and urine leakage.
Conclusions:
- Open surgical removal of primary bladder stones in boys remains the primary therapeutic approach.
- Despite advancements in endourologic instruments, open cystolithotomy offers a safer profile for this patient group.
- Further research may be needed to refine endourologic techniques and minimize associated morbidities.
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