Surgical Management of Vesical Stones in Children: A Comparison Between Open Cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy With Holmium-YAG Laser.

Cystolithotomy is a very old operation that has been practiced for thousands of years.

If it is symptomatic and diagnosed during the antenatal period, then cystolithotomy is preferred, [1,7] whereby, caesarean section may be avoided.

An 18-year-old Afghan man with a history of cystolithotomy seven years ago in Kabul, Afghanistan, was admitted to Shohada-e-Tajrish Hospital with the complaint of 1-year intermittent total gross painless hematuria with amorphous clots.

% % Herniotomy 36 72 30 60 66 Hypospadias 4 8 5 10 9 Cystolithotomy 1 2 2 4 3 Orchiopexy 5 10 4 8 9 CTEV 1 2 3 6 4 Circumcision 2 4 4 8 6 Split Skin Graft 1 2 2 4 3 Table 3.

However mild hematuria was found more frequently in cystoscopy cystolithotomy (12.7% in Group-I 22.2% in Group-II).

[5-8] We designed a prospective double blind randomized trial to compare analgesic efficacy of caudally administered 0.2% Ropivacaine and 0.2% Ropivacaine-Tramadol (2 mg/kg) combination in children undergoing surgery such as Inguinal herniotomy, cystolithotomy orchiopexy, hypospadias repair and CTEV correction.

Of the 18 patients who were initially enrolled, 2 (11.11%) patients with bladder calculi of 4 and 7cm turned into open cystolithotomy due to the prediction of 2-3 hour excessive fragmentation time related to stone composition and required conversion to general anaesthesia.

Posterior Not Retrograde (1) urethra 37 specified manipulation and (68.5) litholapaxy32 Anterior (59.2) urethra 9 External (16.6) urethrotomy 6 Fossa (11.1) navicularis 6 Meatotomy and (11.1) forceps extraction Bulbous 7 (13) urethra 2 (3.7) Sharfi (5) Anterior Not Endoscopically urethra 10 specified push-back and (29.4) litholapaxy 12 Posterior (35.3) urethra 20 Retrograde (58.8) manipulation and Fossa litholapaxy 9 navicularis 4 (26.4) (11.7) Retrograde manipulation and open cystolithotomy 5 (14.7) External urethrotomy 7 (20.5) El-Sherif and Anterior 12 Intraurethral 2% El-Hafi (6) urethra 10 lidocaine jelly (55.5) instillation for Posterior spontaneous urethra 7 passage (38.8) Fossa navicularis 1(5.7) Al-Ansari et Posterior 25 SWL 62 (100) al.

After treating the urinary tract infection with intravenous antibiotics, open cystolithotomy operation was planned.

In view of the size of the calculus, an open cystolithotomy with suprapubic catheter placement was performed.

Seventy-nine children were treated with ESWL, percutaneous procedures, drugs, stents, or close observation; only 25 children required surgical procedures including cystolithotomy, nephrolithotomy, partial nephrectomy, pyelolithotomy, ureterolithotomy, and urethral stone extraction.