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Transurethral cystolitholapaxy in children

¹Urology & Nephrology Center, Mansoura University, Egypt.

Journal of Endourology

|April 1, 1994

Summary

Transurethral cystolitholapaxy using the Swiss Lithoclast effectively treated pediatric bladder stones in five boys. This minimally invasive procedure resulted in a short hospital stay and no complications during follow-up.

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Area of Science:

Pediatric Urology
Minimally Invasive Surgery
Endourology

Background:

Bladder stones (vesical stones) are relatively uncommon in children.
Traditional treatments like cystolithotomy can be invasive.
There is a need for effective and safe minimally invasive options for pediatric bladder stones.

Purpose of the Study:

To evaluate the safety and efficacy of transurethral cystolitholapaxy using the Swiss Lithoclast for primary vesical stones in pediatric patients.
To assess the feasibility of using pediatric cystoscopes and the Swiss Lithoclast system for stone disintegration and removal.

Main Methods:

Transurethral cystolitholapaxy was performed on five boys aged 5 to 9 years with primary bladder stones.
A 3F metal probe of the Swiss Lithoclast was used to disintegrate stones via pediatric cystoscopes (10F and 12F).
Stone fragments were removed using a 13F sheath; outcomes and follow-up were monitored.

Main Results:

All bladder stones were successfully disintegrated and removed.
The mean stone diameter was 1.1 cm, with a mean operative time of 15 minutes.
Patients experienced a 1-day hospital stay, with no morbidity and normal uroflowmetry findings at a mean 7-month follow-up.

Conclusions:

Transurethral cystolitholapaxy with the Swiss Lithoclast is a safe and effective treatment for pediatric bladder stones.
This technique offers a potential alternative to open cystolithotomy in selected pediatric cases.
The procedure demonstrates good outcomes with no long-term complications in the studied cohort.

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