Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience

Objective: To describe the effectiveness and safety of our novel technique of simultaneous percutaneous cystolithotripsy with transurethral resection of prostate (TURP) for patients with benign prostatic hyperplasia (BPH) complicated with large vesical calculi. Patients and methods: This was a retro...

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Autores principales: Tarun Javali, Arvind Nayak K, S.M.L. Prakash Babu
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Lenguaje:EN
Publicado: Taylor & Francis Group 2018
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Acceso en línea:https://doaj.org/article/f1c786bc76d047aa92b8b57179c4ad90
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spelling oai:doaj.org-article:f1c786bc76d047aa92b8b57179c4ad902021-12-02T10:36:47ZSimultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience2090-598X10.1016/j.aju.2018.04.004https://doaj.org/article/f1c786bc76d047aa92b8b57179c4ad902018-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300536https://doaj.org/toc/2090-598XObjective: To describe the effectiveness and safety of our novel technique of simultaneous percutaneous cystolithotripsy with transurethral resection of prostate (TURP) for patients with benign prostatic hyperplasia (BPH) complicated with large vesical calculi. Patients and methods: This was a retrospective analysis of 25 patients who underwent simultaneous percutaneous cystolithotripsy with TURP between January 2012 and January 2016. Technique: A 28-F Amplatz sheath was inserted percutaneously into the bladder after sequential dilatation under cystoscopic guidance. Percutaneous cystolithotripsy using a nephroscope and pneumatic lithoclast was then performed simultaneously along with monopolar TURP. Preoperative parameters reviewed included: patient’s symptoms, International Prostate Symptom Score, uroflowmetry pattern, prostate volume, and stone burden on ultrasonography of the abdomen and pelvis. Postoperative parameters analysed included: duration of irrigation, time until catheter removal, length of hospital stay, and complications. Results: The mean age of the patients was 67.8 years. The mean prostate size was 62.28 mL and the mean stone burden was 3.18 cm. The mean operating time was 54.2 min. The mean time until catheter removal was 3.2 days. Conclusion: Simultaneous percutaneous cystolithotripsy with TURP in patients with BPH with large bladder calculi is safe and feasible. Keywords: Benign prostatic hyperplasia, Vesical calculus, Simultaneous percutaneous cystolithotripsy with transurethral resection of prostate, CystolithotripsyTarun JavaliArvind Nayak KS.M.L. Prakash BabuTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 4, Pp 417-421 (2018)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Tarun Javali
Arvind Nayak K
S.M.L. Prakash Babu
Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
description Objective: To describe the effectiveness and safety of our novel technique of simultaneous percutaneous cystolithotripsy with transurethral resection of prostate (TURP) for patients with benign prostatic hyperplasia (BPH) complicated with large vesical calculi. Patients and methods: This was a retrospective analysis of 25 patients who underwent simultaneous percutaneous cystolithotripsy with TURP between January 2012 and January 2016. Technique: A 28-F Amplatz sheath was inserted percutaneously into the bladder after sequential dilatation under cystoscopic guidance. Percutaneous cystolithotripsy using a nephroscope and pneumatic lithoclast was then performed simultaneously along with monopolar TURP. Preoperative parameters reviewed included: patient’s symptoms, International Prostate Symptom Score, uroflowmetry pattern, prostate volume, and stone burden on ultrasonography of the abdomen and pelvis. Postoperative parameters analysed included: duration of irrigation, time until catheter removal, length of hospital stay, and complications. Results: The mean age of the patients was 67.8 years. The mean prostate size was 62.28 mL and the mean stone burden was 3.18 cm. The mean operating time was 54.2 min. The mean time until catheter removal was 3.2 days. Conclusion: Simultaneous percutaneous cystolithotripsy with TURP in patients with BPH with large bladder calculi is safe and feasible. Keywords: Benign prostatic hyperplasia, Vesical calculus, Simultaneous percutaneous cystolithotripsy with transurethral resection of prostate, Cystolithotripsy
format article
author Tarun Javali
Arvind Nayak K
S.M.L. Prakash Babu
author_facet Tarun Javali
Arvind Nayak K
S.M.L. Prakash Babu
author_sort Tarun Javali
title Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
title_short Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
title_full Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
title_fullStr Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
title_full_unstemmed Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
title_sort simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – a single-centre experience
publisher Taylor & Francis Group
publishDate 2018
url https://doaj.org/article/f1c786bc76d047aa92b8b57179c4ad90
work_keys_str_mv AT tarunjavali simultaneousantegradeandretrogradeendoscopicsurgeryforbenignprostatichyperplasiawithvesicalcalculiasinglecentreexperience
AT arvindnayakk simultaneousantegradeandretrogradeendoscopicsurgeryforbenignprostatichyperplasiawithvesicalcalculiasinglecentreexperience
AT smlprakashbabu simultaneousantegradeandretrogradeendoscopicsurgeryforbenignprostatichyperplasiawithvesicalcalculiasinglecentreexperience
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