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Percutaneous cystolithotomy after augmentation cystoplasty: comparison with open procedures
S G Docimo1, C R Orth, P G Schulam
1The James Buchanan Brady Urological Institute and The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
Techniques in Urology
|May 6, 1998
Summary
Percutaneous cystolithotomy offers a shorter hospital stay and reduced narcotic use compared to open surgery for removing bladder stones from augmented bladders. This minimally invasive approach is safe and effective for stone removal.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrology
Background:
- Reconstructed bladders present unique challenges for calculus removal.
- Comparison between percutaneous and open methods in a single institution is lacking.
Purpose of the Study:
- To compare percutaneous cystolithotomy with traditional open surgery for calculus removal from augmented bladders.
- To evaluate operative time, hospitalization, complications, stone burden, and recurrence rates.
Main Methods:
- Retrospective review of 7 percutaneous and 6 open procedures for augmented bladder calculus removal.
- Comparison of key outcomes including operative time, hospital stay, complications, and stone recurrence.
Main Results:
- All patients achieved stone-free status post-procedure.
- Recurrence rates were similar (4/6 in both groups) over a 30-month follow-up.
- Percutaneous procedures resulted in significantly shorter hospital stays (1.1 vs. 3.7 days) and lower narcotic use.
Conclusions:
- Percutaneous cystolithotomy is a safe and effective alternative for augmented bladder stone removal.
- It offers advantages in reduced hospital stay and narcotic requirement over open surgery.
- Percutaneous cystolithotomy is the preferred method for managing stones in augmented bladders.