To determine the outcomes of transurethral nephroscope for the treatment of large vesical stone with using pneumatic lithoclast

Aftab  Ahmed Channa; Muhammad  Asif; Nauman  Ahmed; Shumaila  Ashfaq; Muhammad  Zahid Ahmad; Abdul  Basit Niazi

doi:10.54393/pbmj.v5i6.593

Authors

Aftab Ahmed Channa Islam Medical & Dental College, Sialkot
Muhammad Asif Department of Urology Unit ii, KEMU/ Mayo Hospital Lahore
Nauman Ahmed Governament Kot Khawaja Saeed Teaching Hospital, Lahore
Shumaila Ashfaq Islam Medical & Dental College, Sialkot
Muhammad Zahid Ahmad Deptt:Of Urology, Unit ii. King Edward Medical College / Mayo Hospital Lahore
Abdul Basit Niazi Niazi Medical College Sargodha

DOI:

https://doi.org/10.54393/pbmj.v5i6.593

Abstract

In this study, our aim is “to study the determine the outcomes of transurethral nephroscope for the treatment of vesical stones using pneumatic lithoclast”. Material and Methods: The detailed study was conducted in Department of Urology, Islam Medical & Dental College/ Islam teaching/Central hospital Sialkot, from March 2019-March 2020 where we included 25 Male and 5 female who with vesical stones greater then 4 cm that was fragmented using the through transurethral use of a nephroscope via 26F amlplatz sheath. We took history from medical cards and conducted physical examinations, lab tests, urine culture and ultrasonagraphy of urinary tract. Then using the x-ray KUB film for stone clearance. We noted the mean age, operation time, presenting symptoms, complications and the post operative status of the stone clearane, and conducted our analysis using SPSS version 20. Result: The mean age ± SD was noted to be 48.79±12.499 years and male to female percentage being 89% to 11%. The mean stone size was 4.53±0.38 cm and mean operation time was 48.79±8.73 minutes. Thirty-one patients (31%) developed retention of urine and straining during micturition in (17%), dribbling of urine (15%) , hematuria (10%), frequent urination(10%) and abdominal pain was reported in 15% patients. Ninety-six (96%) patients achieved the stone-free status and had no complications while only 1 patient had an intravesical bleeding. Conclusion: We conclude that treatment of large stone using a nephroscope via a transurethral amplatz sheath is an effective procedure and quick too.We also noticed that the Amplatz sheath helps in pneumatic lithotripsy is indeed an effective and safe procedure to be carry out in patients with large bladder stones.

References

Kusumi K, Becknell B, Schwaderer A. Trends in pediatric urolithiasis: patient characteristics, associated diagnosis, and financial burden. Pediatric Nephrol. 2015;30:805-10.

Kirakoya B, Kabore M, Pare AK, Abubakar BM. Giant bladder stone in a patient with tumor of the bladder: a rare co-morbidity. J West Afr Coll Surg. 2018 Jul-Sep;8(3):114-120.

Ghanshyam S,Ashok A, Lamichhane N, Belokar WK. Transurethral use of nephroscope in the management of bladder stone. Journal of College of Medical Sciences-Nepal. 2014 jan 14: 9(1);14-18. doi: 10.3126/jcmsn.v9i1.9668.

Vidhyarthy AK, Hameed T, Lal R, Kumar A, Sahni S, Mendoza N. Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report. Clin Pract Cases Emerg Med. 2020 Nov;4(4):544-547. doi: 10.5811/cpcem.2020.7.47653.

Gupta R, Gupta S, Das RK, Basu S, Agrawal V. Comparative study of a new technique using nephroscope and resectoscope sheath and the percutaneous cystolithotripsy for the treatment of bladder calculus. Cent European J Urol. 2017;70(4):400-404. doi: 10.5173/ceju.2017.1379.

Mannan A, Anwar S, Zaheer K,Arshad M,Shah A.Transurethral cystolithotrpsy for large vesical calculi.Esculapio J Services Inst Med Sci Jan-Mar 2013 ; 9(1) : 1-3.

TunçOzdemir A, Koyuncu H, Altınova S, Asil E, Isgoren E and Gurdal M. Comparison of Transurethral use of Nephroscope with Cystoscope in Transurethral Cystolithotripsy Sistolitotripside Transüretral Nefroskop Kullaniminin Sistoskop ile Karşilaştirilmasi.2014 journal of clinical and analytical medicine.Avaible online at http://www.jcam.com.tr/files/KATD-1248.pdf

Shaikh J, Khalid S, Siddiq A,Mithani S,Saulat S and Sharif I.Use of Amplatz sheath in percutaneous nephroclithotomy and effect of its various sizes: Randomized Controlled Trial. Pak J Med Dentistry July-Sept 2020,9 (3): 37-41.

Rai RS, Patrulu K, Rai R, Gupta E, Kayastha A, Sawhney S. Lithoclast(®) Master in Intracorporeal Lithotripsy during Percutaneous Nephrolithotomy : Our Experience. Med J Armed Forces India. 2008 Jul;64(3):232-3. doi: 10.1016/S0377-1237(08)80100-1.

Okeke C & Obi A. Giant bladder calculus in a male patient with chronic alcoholic liver disease. International Journal of Case Reports and Images. doi:10. 10.5348/100996Z01OJ2019CR.

Shaikh AR, Shaikh GH,Shaikh AH, Shaikh AH, Shaikh NA. Endoscopic Treatment of vesical calculi in children.Rawal Med J Jan-June 2010;35 (1): 15-8.

Shaikh AR,Shaikh NA, Soomro AA, Shaikh AH, Iqbal M and Malik M.Expereince of upper urinary tract stones with Dornier Mpl 9000 lithotriper.Pak J Med Res Oct 2010;49 (4): 127-30.

Hasan O, Ellis A, Powers R, Vidal P. Vesical megalithiasis. Urology Case Reports. 2019 Mar;23:41-43. doi: 10.1016/j.eucr.2018.11.012.

Mishra DK, Bhatt S, Mukhilesh R, Somani BK, Agrawal MS. Mini-percutaneous cystolithotripsy (mPCCL) versus transurethral cystolithotripsy (TUC) in pre-school children: Prospective comparative non-randomized outcomes over 8 years. J Pediatr Urol. 2020 Dec;16(6):782.e1-782.e6. doi: 10.1016/j.jpurol.2020.09.021.

Ali AI, Fathelbab TK, Abdelhamid AM, Elbadry M, Alshara L, Anwar AZ, Galal EM, Tawfiek ER. Transurethral Pneumatic Cystolithotripsy: A Novel Approach. J Endourol. 2016 Jun;30(6):671-3. doi: 10.1089/end.2015.0862.

Channa AA, Akhtar SMH, Cheema NA, Anwer A, Nauman F, Cheema ZQ. “Efficacy and safety of pneumatic lithotripsy in pediatric vesical stone”. Rawal Med J.2020; 45(3): 728-30.

Ali L, Ali S, Shafieullah ON. Role of pneumatic lithotripsy in paediatric bladder stone: I will not cut upon stone. Khyber Medical University Journal. 2014 Apr 20;6(2):1-6.

Masood A, Khan IZ, Farouk K, Nisar H, Ijaz R, Ishtiaq S, Taimur M. Endoscopic management of bladder calculi in paediatric male patients: An experience with 57 patients. Isra Med J. 2019;11(3):167-70.

Ali L, Orakzai N. E146 Role of pneumatic lithotripsy by using ureterscope in paediatric bladder stones:I will not cut upon stone. European Urology Supplements. 2011;7(10):505.

Faizan M, Gurmani MA, Siddiqui AA, Choudhary QA, Anjum Z. A comparison between transurethral cystolithoclasty and vesicolithotomy in pediatric male patients. Journal of University Medical & Dental College. 2020 Mar 18;11(1):31-8.

Arzoz M, Ibarz L, Roca J, Edo S, Valverde I, Buisan O, Ruiz-Domınguez J, Bayona S. Relationship between chronic stress and calcium oxalate stone: Differences between first time (FS) and recurrent stone (RS) formers. European Urology-Supplements-. 2011 Jan 1;10(7):504-.

Ali L, Ali S, Hussain SA, Haider F, Ali S. Role of spiritual sentiments in improving the compliance of water intake in patients with urolithiasis. Journal of Religion and Health. 2018 Feb;57(1):26-32.