Abstract:
Objective To compare the outcome of percutaneous suprapubic cystolitholapaxy with open cystolithotomy in children. Study design: Comparative study. Place & Duration of study Department of Urology & Surgery, Peoples Medical College Hospital Nawabshah, from 2004 to 2007. Methodology Hundred patients (87 boys and 13 girls), from 1 to 10 years of age were enrolled in the study. The size of stones ranged from 8mm to 25mm. Patients were divided in two equal groups A and B. Group A submitted for percutaneous suprapubic cystolitholapaxy and group B for open cystolithotomy. The procedure was done under spinal and caudal anesthesia with intravenous sedation. Results Postoperative complications noted in group A patients included transient hematuria in 2 cases (p 0.495). Operative time in group A was 10 to 15 minutes while in group B it was 25 to 40 minutes (p 0.0005). Urinary leakage (n=2 - p 0.495) and wound infection (n=3 - p 0.242) were observed in group B. Duration of catheter placement was 2-3 days in group A, while 5 to 7 days in group B (p 0.0005). Hospital stay of group A was 2-3 days while 5-7 days in group B (p 0.0005). All patients became stone free. Conclusion Percutaneous suprapubic cystolitholapaxy is an efficient, safe, minimally invasive and cost effective method.
Page(s):
161-164
DOI:
DOI not available
Published:
Journal: Journal of Surgery Pakistan, Volume: 16, Issue: 4, Year: 2011