[PERCUTANEOUS CYSTOLITHOTRIPSY: THE FIRST CLINICAL EXPERIENCE].

Area of Science:

• Urology
• Surgical Innovation

Context:

• Benign prostatic hyperplasia (BPH) and infravesical obstruction present significant challenges, particularly in elderly patients with comorbidities.
• Management often requires careful surgical planning to mitigate risks associated with advanced age and multiple health issues.

Purpose:

• To evaluate the efficacy of a combined two-stage procedure for treating benign prostatic hyperplasia (BPH) and bladder stones.
• To assess the safety and effectiveness of percutaneous cystolithotripsy followed by transurethral resection of the prostate (TURP) in a single session.

Summary:

• Sixteen patients with BPH and infravesical obstruction underwent a two-stage treatment: percutaneous cystolithotripsy followed by transurethral resection of the prostate (TURP).
• This minimally invasive combined approach successfully restored lower urinary tract urodynamics and eliminated bladder stones in all patients.
• The strategy proved effective even in elderly patients with significant comorbidities, requiring meticulous surgical planning.

Impact:

• The combined percutaneous and TURP approach offers a minimally invasive and effective strategy for managing complex BPH and bladder stone cases.
• This treatment combination demonstrates promise for improving outcomes in urological patients with coexisting conditions.
• Highlights the importance of tailored treatment strategies for elderly patients with multiple comorbidities in urology.