Minimally invasive percutaneous cystostomy with ureteroscopic pneumatic lithotripsy for calculus in bladder diverticula

Gu,Si‑Ping; You,Zhi‑Yuan; Huang,Yunteng; Lu,Yi‑Jin; He,Caohui; Cai,Xiao‑Dong; Zhou,Xiao‑Ming

doi:10.3892/etm.2013.1047

Minimally invasive percutaneous cystostomy with ureteroscopic pneumatic lithotripsy for calculus in bladder diverticula

Authors:
- Si‑Ping Gu
- Zhi‑Yuan You
- Yunteng Huang
- Yi‑Jin Lu
- Caohui He
- Xiao‑Dong Cai
- Xiao‑Ming Zhou
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Affiliations: Department of Minimally Invasive Surgery, Shishi City Hospital, Shishi, Fujian 362700, P.R. China, Department of Urology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, P.R. China, Department of Minimally Invasive Surgery, Wanxiang Minimally Invasive Hospital, Quanzhou, Fujian 362000, P.R. China, Micro‑Invasive Surgery Center, First Hospital Affiliated to Guangzhou Medical University, Guangzhou, Guangdong 510120, P.R. China
Published online on: April 3, 2013 https://doi.org/10.3892/etm.2013.1047
Pages: 1627-1630

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Abstract

The aim of this study was to investigate the effectiveness of minimally invasive percutaneous cystostomy with ureteroscopic pneumatic lithotripsy for treating calculus in bladder diverticula. Percutaneous cystostomy with ureteroscopic pneumatic lithotripsy was performed on six elderly male patients with calculi in bladder diverticula, who could not be treated with transurethral ureteroscopic lithotripsy. The stones were successfully removed from all patients, with no complications such as bladder perforation, rupture, urethritis or cystitis. The surgery time was 15‑60 min, with an average time of 32 min. Postoperative ultrasound or X‑ray examination showed no stone residues and the bladder stoma healed well. No recurrent stones were detected in the follow‑up of 3‑24 months (average, 16 months). Minimally invasive percutaneous cystostomy with ureteroscopic pneumatic lithotripsy is a safe, efficient and easy treatment for calculus in bladder diverticula. This method provides a new clinical approach for lithotripsy and we suggest that it is worthy of wider use.

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