Title: Feasibility and Clinical Efficacy of Percutaneous Ureteroscopic Lithotripsy in the Treatment of Male Children with Urinary Tract Stones and Bladder Stones
Abstract: Objective To evaluate the feasibility and clinical efficacy of percutaneous ureteroscopic lithotripsy in the treatment of male children with urinary tract stones and bladder stones.Methods German rigid WOLF F8/9.8 ureteroscopy and APL-2 pneumatic lithotripsy system were used for percutaneous ureteroscopic lithotripsy in 40 male children with urinary bladder stones(n of posterior urethral stones = 8;n of bladder stone = 32).Results All the patients successfully completed lithotripsy in single attempt at an elimination rate of 100%.The time length of procedure was(30.0± 2.5)min.Postoperative hematuria was present for 1 ~3 d(mean,1.6 d).Pelvic drain was maintained for 5 ~7 d and patients were hospitalized for 5 ~8 d(mean,6 d) postoperatively.Postoperative pyrexia occurred in 6 patients but resolved with symptomatic treatment.Three patients complained of bladder irritation and recovered with drug treatment.Follow-up ultrasonography and radiography identified no residual stone,overt bleeding,infection,perforation,urethral stenosis,or fistula.No stone relapsed during a follow-up period of 3 to 20 months.Conclusion Percutaneous ureteroscopic lithotripsy is safe and effective for the treatment of male children with urinary bladder stones,with an accurate lithotripsy effect and worthy of wide use.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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