Percutaneous cystolithotomy for calculi in reconstructed bladders: initial UCLA experience
Alberto Breda1, Matthew Mossanen, John Leppert
1Division of Endourology, Department of Urology, University of California, Los Angeles, California, USA.
The Journal of Urology
|March 23, 2010
Summary
Endoscopic percutaneous cystolithotomy is a safe and effective minimally invasive treatment for bladder stones in patients with augmented bladders. This technique successfully removed stones in 95% of patients, with a low complication rate.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Pediatric Surgery
Background:
- Bladder augmentation surgery increases the risk of bladder calculi formation.
- Management of bladder calculi in augmented bladders presents unique challenges.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopically assisted percutaneous cystolithotomy for treating bladder calculi in patients with augmented bladders.
Main Methods:
- Retrospective review of 74 patients undergoing percutaneous cystolithotomy after bladder augmentation (2002-2009).
- Procedure involved percutaneous bladder access, sheath placement, and stone removal via cystoscopy, basketing, and ultrasonic lithotripsy.
- Postoperative assessment included imaging to confirm stone-free status.
Main Results:
- 95% of patients were stone-free post-procedure.
- Mean patient age was 20 months; mean time from augmentation to cystolithotomy was 4.8 years.
- Ultrasonic lithotripsy used in 66% of cases; 12% experienced minor complications.
Conclusions:
- Endoscopic percutaneous cystolithotomy is a safe and effective treatment for bladder calculi in reconstructed bladders.
- This minimally invasive approach is the preferred method for managing such cases at our institution.
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