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Tactile litholapaxy--safe and efficient

H L Hadley, R W Barnes, R C Rosenquist

    Urology
    |March 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Tactile litholapaxy is a safe and effective procedure for bladder stones up to 5 cm. This technique offers advantages over visual litholapaxy and cystolithotomy, including shorter operating times and hospital stays.

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    Area of Science:

    • Urology
    • Surgical Procedures

    Background:

    • Bladder stones (cystolithiasis) pose a significant clinical challenge.
    • Existing treatments like visual litholapaxy and cystolithotomy have limitations.

    Purpose of the Study:

    • To evaluate the safety, efficacy, and learning curve of tactile litholapaxy.
    • To compare tactile litholapaxy with alternative surgical methods for bladder stones.

    Main Methods:

    • Tactile litholapaxy involves crushing bladder stones using a lithotrite.
    • Fragments are then removed via a resectoscope sheath.
    • The procedure requires bladder distention with irrigating fluid.

    Main Results:

    • Tactile litholapaxy is a safe and easily learned procedure.

    Related Experiment Videos

  • Effective for stones up to 5 cm, unless extremely hard.
  • Demonstrates improved efficiency regarding operating time and hospital stay compared to visual litholapaxy and cystolithotomy.

    • Conclusions:

    • Tactile litholapaxy is a viable and efficient alternative for bladder stone management.
    • Offers reduced complications and shorter hospital stays.
    • Recommended for stones amenable to crushing.