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[Percutaneous suprapubic bladder lithotripsy]

A Garcia1, J Borrego, A Zazo

  • 1Hospital Gral, la Mancha-Centro, Alcazar de San Juan, Espagné.

Annales D'Urologie
|November 25, 1998
PubMed
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This study details a minimally invasive percutaneous suprapubic procedure for removing multiple bladder stones in a patient with severe lower extremity ankylosis. The technique proved effective and safe, avoiding urethral trauma.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Nephrolithiasis Management

Background:

  • Management of bladder stones (vesical calculus) can be challenging in patients with limited mobility.
  • Severe ankylosis of lower extremities presents unique surgical access difficulties.

Observation:

  • A case of multiple bladder stones in a patient with severe lower extremity ankylosis was treated.
  • A percutaneous suprapubic approach was utilized for stone removal.

Findings:

  • The suprapubic tract was created using Teflon-coated dilators and an Amplatz tube.
  • Bladder stones were fragmented using a nephroscope and a pneumatic lithotriptor.
  • The procedure was simple, facilitating rapid stone fragmentation and minimizing urethral trauma.

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Implications:

  • Percutaneous suprapubic cystolitholapaxy is a viable and effective treatment for bladder stones in patients with severe ankylosis.
  • This approach offers a safe alternative to traditional methods, reducing patient morbidity.