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Catheter-less suprapubic cystolithotomy in children
R B Sabnis1, R M Desai, D P Patil
1Department of Urology, Lokmanya Tilak Municipal General Hospital and Medical College, Bombay, India.
British Journal of Urology
|May 1, 1991
Summary
Meticulous two-layer bladder closure after suprapubic cystolithotomy for pediatric bladder stones can eliminate the need for post-operative catheter drainage, simplifying recovery.
Area of Science:
- Pediatric Urology
- Surgical Procedures
- Stone Disease Management
Background:
- Bladder stones in children are prevalent in developing nations.
- Suprapubic cystolithotomy is the standard surgical approach for pediatric bladder stones.
- Post-operative bladder drainage via catheter is conventional to prevent urinary leakage.
Purpose of the Study:
- To evaluate the efficacy of omitting post-operative bladder catheterization in children undergoing suprapubic cystolithotomy.
- To determine if meticulous two-layer bladder closure negates the need for urinary drainage.
Main Methods:
- Analysis of 86 pediatric patients treated with suprapubic cystolithotomy without post-operative catheterization.
- Detailed recording of stone size and intra-operative findings.
- Assessment of patient outcomes based on the surgical technique.
Main Results:
- Excellent outcomes were achieved in 85% of patients.
- Satisfactory results were reported in 10% of cases.
- Unsatisfactory results were observed in 4.7% of patients.
Conclusions:
- Meticulous two-layer closure of the bladder during suprapubic cystolithotomy allows for the safe omission of post-operative catheter drainage in pediatric patients.
- This approach simplifies post-operative care and potentially reduces complications associated with catheter use.
- The study highlights the importance of surgical technique in optimizing outcomes for pediatric bladder stone removal.