S Mehrabi , N Azarbargoon , N Roustaei ,
Volume 29, Issue 6 (12-2024)
Abstract
Abstract
Background & aim: Bladder stones are rare in men and women and constitute approximately 5% of all urinary tract stones. Many treatment methods for bladder stones have been mentioned, including open suprapubic cystolithotomy, which was the method of choice in the past. Although open surgery is most effective, it as well has more complications which have restricted the use of this method. Transurethral cystolitholapaxy or lithotripsy is probably the most common method for managing bladder stones, on the other hand, transurethral methods still have serious drawbacks due to the long duration of the procedure and the possibility of damage to the bladder mucosa. Given the disagreement in the treatment of bladder stones, the aim of the present study was to determine and compare the efficacy and complications of transurethral lithotripsy with cystolitholapaxy in the treatment of stones less than 20 mm in the bladder in adult patients.
Methods: The present study was a randomized, single-blind clinical trial research. The statistical population included 75 patients over 18 years of age with bladder stones referred to the operating room of Shahid Beheshti and Shohaday-e-Gomnam Hospital in Yasuj, who were randomly divided into two groups. The surgery was performed in the two groups: cystolitholapaxy and transurethral lithotripsy (TUL). Patients were compared in terms of complications, duration of surgery, length of hospital stay, and efficiency of the procedure. The collected data were analyzed using SPSS 23 software and descriptive statistical tests of frequency and mean, and independent t-tests of chi-square and t-test.
Results: 75 patients with bladder stones were included in the study; 35 of them were in the mechanical ductal breaking group (cystolitholapaxy) and 40 in the ductal lithotripsy group, of which 97.1% in the cystolitholapaxy group and 70% in the ductal lithotripsy group were male. The length of stay in the cystolitholapaxy group was 2.4 days and in the ductal lithotripsy group was 1.8 days. There was a statistically significant difference between the two groups in terms of gender (p=0.002), efficiency of the procedure (p=0.012), and stone size (p=0.001).
Conclusion: Removal of bladder stones smaller than 20 mm by cystolitholapaxy is a safe and effective treatment method compared to transurethral lithotripsy or TUL, and is more efficient than TUL.
