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[Vesico-prostatic calculi treated by microexplosion lithotripsy: a case report].

K Yoneda1, M Uchida, Y Nakagawa

  • 1Department of Urology, Kyoto Prefectural University of Medicine.

Hinyokika Kiyo. Acta Urologica Japonica
|February 1, 1990
PubMed
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This study details the successful removal of large bladder and prostate stones in a patient with neurogenic bladder secondary to spinal injury. Microexplosion lithotripsy effectively fragmented and cleared the calculi, resolving macrohematuria.

Area of Science:

  • Urology
  • Neurosurgery
  • Medical Device Technology

Background:

  • Neurogenic bladder, often resulting from spinal cord injury, can lead to complications such as calculus formation.
  • Large bladder and prostate calculi pose significant treatment challenges, particularly in patients with impaired bladder function.

Observation:

  • A 48-year-old male with neurogenic bladder presented with macrohematuria.
  • Imaging confirmed significant calculi in both the bladder (65 x 55 mm) and prostate (29 x 23 mm).

Findings:

  • The patient underwent successful microexplosion lithotripsy for both prostatic and vesical calculi.
  • Calculi were fragmented and completely removed via transurethral and suprapubic cystostomy approaches.

Implications:

Related Experiment Videos

  • Microexplosion lithotripsy is an effective treatment for large bladder and prostate calculi in neurogenic bladder patients.
  • This minimally invasive approach can resolve hematuria and improve quality of life in spinal cord injury survivors.