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A randomised trial comparing transurethral to percutaneous cystolithotripsy in boys

Ahmed A Shahat1, Ahmed A Kamel1, Taha M Taha1

  • 1Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt.

BJU International
|January 19, 2022
PubMed

Insights

Percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) are effective for pediatric bladder stones. PCCL offers a shorter operative time and reduced need for stone fragmentation compared to TUCL.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Urolithiasis Management

Background:

  • Bladder stones in children require effective management.
  • Transurethral cystolithotripsy (TUCL) and percutaneous cystolithotripsy (PCCL) are surgical options.

Purpose of the Study:

  • To compare the efficacy and morbidity of TUCL versus PCCL for bladder stones in male children.
  • To evaluate operative time, success rates, and complications.

Main Methods:

  • A randomized controlled trial involving 100 boys under 14 years with bladder or urethral stones (<30 mm).
  • Patients were randomized into TUCL (Group A) or PCCL (Group B) groups.
  • Outcomes assessed included preoperative criteria, intraoperative details, and postoperative results.

Main Results:

  • Both TUCL and PCCL demonstrated high success rates (96% and 98%, respectively).
  • PCCL showed a significantly shorter operative time (median 13 min vs. 21.5 min for TUCL).
  • Fewer stones required disintegration with PCCL (44% vs. 94% for TUCL).

Conclusions:

  • TUCL and PCCL have comparable success and complication rates for pediatric bladder stones.
  • PCCL is associated with a reduced operative time and less need for stone fragmentation.
  • PCCL may be a more efficient approach in select pediatric cases.
Abstract

Keywords:
Bladderboyspercutaneousstonestransurethral

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