[Percutaneous suprapubic bladder lithotripsy]

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.

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.