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Percutaneous versus transurethral cystolithotripsy for the management of bladder calculi in the pre-school boys:

Ahmed Mahmoud Hasan1, Ahmed Abolyosr Mohammed1, Mohammad Sayed Abdel-Kader1

  • 1Urology Department, Faculty of Medicine, South Valley University, Qena, Egypt.

Journal of Pediatric Urology
|July 23, 2025
PubMed

Insights

Percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) show similar success and complication rates for bladder stones in young boys. Operative time was shorter with PCCL, and stone size impacts outcomes for both procedures.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Nephrology

Background:

  • Bladder calculi management in children presents unique challenges.
  • Percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) are common treatment options.
  • Comparative efficacy and safety data in preschool-aged boys are limited.

Purpose of the Study:

  • To compare the efficacy and safety of PCCL versus TUCL for bladder calculi in preschool-aged boys.
  • To identify factors influencing treatment success and complications.

Main Methods:

  • Randomized controlled trial involving 150 preschool-aged boys with single bladder calculi ≤20 mm.
  • Patients were allocated to either PCCL or TUCL groups (75 each).
  • Data collected included stone properties, operative parameters, and postoperative outcomes.

Main Results:

  • Both PCCL and TUCL demonstrated similar success rates and complication profiles.
  • Transurethral cystolithotripsy (TUCL) had a significantly longer operative time (p = 0.003).
  • Persistent postoperative hematuria was more frequent in the TUCL group (p = 0.003).
  • Stone size and operative time were identified as key factors affecting success and complications for both procedures.

Conclusions:

  • PCCL and TUCL offer comparable efficacy and safety for treating bladder stones in young boys.
  • PCCL may offer an advantage with a shorter operative time.
  • Stone characteristics and operative duration are critical determinants of outcomes, regardless of the technique used.
Abstract

Keywords:
Bladder calculiCystolithotripsyPercutaneousTransurethral

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