Cargando…

Comparison of three different endoscopic approaches in the treatment of bladder calculi

BACKGROUND: This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast. METHODS: Between January 2013 and May...

Descripción completa

Detalles Bibliográficos
Autores principales: Jang, Jae Youn, Ko, Young Hwii, Song, Phil Hyun, Choi, Jae Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yeungnam University College of Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784616/
https://www.ncbi.nlm.nih.gov/pubmed/31620607
http://dx.doi.org/10.12701/yujm.2019.00045
_version_ 1783457776563912704
author Jang, Jae Youn
Ko, Young Hwii
Song, Phil Hyun
Choi, Jae Young
author_facet Jang, Jae Youn
Ko, Young Hwii
Song, Phil Hyun
Choi, Jae Young
author_sort Jang, Jae Youn
collection PubMed
description BACKGROUND: This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast. METHODS: Between January 2013 and May 2016, 107 patients with bladder stones underwent endoscopic treatment. Patients were classified into three groups based on the endoscopic techniques and energy modalities used in each group as: group 1 (transurethral stone removal using a cystoscope with pneumatic lithoclast), group 2 (transurethral stone removal using a nephroscope with pneumatic lithoclast), and group 3 (transurethral stone removal using a nephroscope with ultrasonic lithoclast). Baseline and perioperative data were retrospectively compared between three groups. RESULTS: No statistically significant intergroup differences were observed in age, sex ratio, and stone size. A statistically significant intergroup difference was observed in the operation time—group 1, 71.3±46.6 min; group 2, 33.0±13.7 min; and group 3, 24.6±8.0 min. All patients showed complete stone clearance. The number of urethral entries was higher in group 1 than in the other groups. Significant complications did not occur in any patient. CONCLUSION: Nephroscopy scores over cystoscopy for the removal of bladder stones with respect to operation time. Ultrasonic lithoclast is a safe and efficacious modality that scores over a pneumatic lithoclast with respect to the operation time.
format Online
Article
Text
id pubmed-6784616
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Yeungnam University College of Medicine
record_format MEDLINE/PubMed
spelling pubmed-67846162019-10-16 Comparison of three different endoscopic approaches in the treatment of bladder calculi Jang, Jae Youn Ko, Young Hwii Song, Phil Hyun Choi, Jae Young Yeungnam Univ J Med Original Article BACKGROUND: This study compared the following three endoscopic techniques used to treat bladder stones: transurethral cystoscope used with a pneumatic lithoclast or nephroscope used with a pneumatic lithoclast and nephroscope used with an ultrasonic lithoclast. METHODS: Between January 2013 and May 2016, 107 patients with bladder stones underwent endoscopic treatment. Patients were classified into three groups based on the endoscopic techniques and energy modalities used in each group as: group 1 (transurethral stone removal using a cystoscope with pneumatic lithoclast), group 2 (transurethral stone removal using a nephroscope with pneumatic lithoclast), and group 3 (transurethral stone removal using a nephroscope with ultrasonic lithoclast). Baseline and perioperative data were retrospectively compared between three groups. RESULTS: No statistically significant intergroup differences were observed in age, sex ratio, and stone size. A statistically significant intergroup difference was observed in the operation time—group 1, 71.3±46.6 min; group 2, 33.0±13.7 min; and group 3, 24.6±8.0 min. All patients showed complete stone clearance. The number of urethral entries was higher in group 1 than in the other groups. Significant complications did not occur in any patient. CONCLUSION: Nephroscopy scores over cystoscopy for the removal of bladder stones with respect to operation time. Ultrasonic lithoclast is a safe and efficacious modality that scores over a pneumatic lithoclast with respect to the operation time. Yeungnam University College of Medicine 2018-12-19 /pmc/articles/PMC6784616/ /pubmed/31620607 http://dx.doi.org/10.12701/yujm.2019.00045 Text en Copyright © 2019 Yeungnam University College of Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jang, Jae Youn
Ko, Young Hwii
Song, Phil Hyun
Choi, Jae Young
Comparison of three different endoscopic approaches in the treatment of bladder calculi
title Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_full Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_fullStr Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_full_unstemmed Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_short Comparison of three different endoscopic approaches in the treatment of bladder calculi
title_sort comparison of three different endoscopic approaches in the treatment of bladder calculi
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784616/
https://www.ncbi.nlm.nih.gov/pubmed/31620607
http://dx.doi.org/10.12701/yujm.2019.00045
work_keys_str_mv AT jangjaeyoun comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi
AT koyounghwii comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi
AT songphilhyun comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi
AT choijaeyoung comparisonofthreedifferentendoscopicapproachesinthetreatmentofbladdercalculi