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Laser Resectoscope Versus Cystoscope in Transurethral Management of Bladder Stones: A Comparative Study
Urologia Internationalis
|June 25, 2026
Summary
The laser resectoscope offers improved visualization and shorter operative times during transurethral cystolithotripsy (TUC) compared to the cystoscope. Both methods achieve comparable stone-free rates and safety outcomes for bladder stone surgery.
Area of Science:
- Urology
- Endourology
- Surgical Technology
Background:
- Transurethral cystolithotripsy (TUC) is a common procedure for bladder stones.
- Comparing endoscopic instruments is crucial for optimizing surgical outcomes.
Purpose of the Study:
- To compare clinical outcomes of cystoscopy versus laser resectoscope in TUC.
- To evaluate the efficacy and reliability of these instruments for bladder stone removal.
Main Methods:
- A comparative study of 80 patients undergoing TUC between 2022-2025.
- Patients were divided into cystoscope and laser resectoscope groups.
- Holmium laser lithotripsy was used in all cases; outcomes were statistically analyzed.
Main Results:
- Laser resectoscope group showed significantly shorter operation (29 vs. 45 min) and lithotripsy times (18 vs. 23 min).
- Improved stone visualization and reduced mucosal bleeding were noted with the laser resectoscope (p=0.014).
- No significant differences in hospital stay, catheterization, or complication rates were observed.
Conclusions:
- Both cystoscope and laser resectoscope yield comparable stone-free and safety results in TUC.
- The laser resectoscope is an effective alternative due to enhanced visualization and reduced operative time.
- Further research may explore long-term benefits of laser resectoscope in TUC.
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