COMPARISON OF MINI-PERCUTANEOUS CYSTOLITHOTRIPSY AND TRANSURETHRAL CYSTOLITHOTRIPSY IN CHILDREN WITH BLADDER STONE
DOI:
https://doi.org/10.52764/jms.26.34.1.4Keywords:
Urinary bladder calculi, Lithotripsy, Operative time.Abstract
Objective: This study aims to compare mini-percutaneous cystolithotripsy and transurethral cystolithotripsy in children with bladder stones at our hospital.
Materials and Methods: A total of 84 patients were divided equally (42 in each group) into two groups (A and B) based on self-selection of stone size, and the type of management was decided by the researcher after clinical examination. Mini-percutaneous cystolithotripsy was performed on patients in Group A utilizing a mini-nephroscope and a 15 Fr access sheath. 4.5/6 Fr or 6/7.5 Fr pediatric ureteroscopes were used to treat transurethral cystolithotripsy in patients in Group B. A Holmium YAG laser was used to break apart the stone.
Results: Patients in group A had an average age of 8.38 ± 3.48 months, while those in group B were 8.30 ± 3.23 months old. Of the 84 patients, 49 (58.33%) were male and 35 (41.67%) were female, with a male-to-female ratio of 1.4:1. In my study, the mean operative time for group A (mini-percutaneous cystolithotripsy) was 31.43 ± 5.43 minutes, and for group B (transurethral cystolithotripsy), it was 39.52 ± 7.31 minutes, with a p-value of 0.0001.
Conclusion: PCCL allows for easier fragmentation, quicker extraction of larger bladder stone fragments, fewer urethral complications, and reduced operative time.
Keywords: Urinary bladder calculi, Lithotripsy, Operative time.
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Copyright (c) 2026 Imdad Ullah, Tariq Ahmad, Murad Ali, Syed Muhammad, Sajjad Ali, Ejaz Ullah
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