Which Endoscopic Methods in Prepubertal Patients with 10-20mm Bladder Stones: Transurethral Cystolithotripsy or Percutaneous Cystolithotripsy?

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dc.contributor.authorPiskin, Mehmet Mesut
dc.contributor.authorOzkent, Mehmet Serkan
dc.contributor.authorKilinc, Muzafffer Tansel
dc.contributor.authorGoger, Yunus Emre
dc.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorBalasar, Mehmet
dc.date.accessioned2024-02-23T14:20:57Z
dc.date.available2024-02-23T14:20:57Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackground: The aim of this study was to evaluate the efficacy and safety of transurethral cystolithotripsy (TUC) and percutaneous cystolithotripsy (PCC) in prepubertal patients with 10-20mm bladder stones. Materials and Methods: The files of patients aged 12 years and under who were admitted to our clinic for bladder stones from January 2007 to January 2021 were reviewed retrospectively. Inclusion criteria were patients who were 12 years of age and under with 10-20mm bladder stones, and who underwent endoscopic surgery (TUC or PCC). None of the patients had prior bladder or stone surgery. The patients were divided into two groups (Group 1: PCC group, and Group 2: TUC group) and collected data (preoperative, intraoperative, and postoperative characteristics) were compared between the groups. Results: This study was enrolled 51 patients (21 patients in Group 1 and 30 patients in Group 2). The mean ages of the groups were similar (Group 1: 4.73.6; Group 2: 4.6 +/- 3.2; p=0.936). The mean stone size was 15.8 +/- 3.5 in Group 1, and 12.1 +/- 2.4mm in Group 2. It was higher in the PCC group than TUC group (p<0.001). The operative time was lower in Group 1 than Group 2 (36.412.9 vs 42.7 +/- 16.3 minutes, respectively), but there was no statistically significant difference between the groups (p=0.117). We achieved stone-free rate (SFR) for all the patients in both groups. Complications were observed in 4 (7.7%) cases. One female patient was in Group 1 and three male patients were in Group 2. There was no difference for complication rates between the groups (p=0.634). Conclusions: Endoscopic surgeries have almost become a routine method in the treatment of bladder stones. Despite larger stone size, PCC provides similar SFR compared with TUC along with a tendency of shorter operative time. However, the use of the TUC method in male toddlers could increase the risk of postoperative urinary retention. Hence, stone size and patient age should be considered in the selection of a surgical approach.en_US
dc.identifier.doi10.1089/end.2021.0269
dc.identifier.endpage1823en_US
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue12en_US
dc.identifier.pmid34128398en_US
dc.identifier.scopus2-s2.0-85121314864en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1818en_US
dc.identifier.urihttps://doi.org/10.1089/end.2021.0269
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13379
dc.identifier.volume35en_US
dc.identifier.wosWOS:000754822800014en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal Of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBladder Stonesen_US
dc.subjectTransurethral Cystolithotripsyen_US
dc.subjectPercutaneous Cystolithotripsyen_US
dc.subjectPediatric Bladder Stonesen_US
dc.subjectVesical Calculien_US
dc.subjectPrepubertal Patientsen_US
dc.titleWhich Endoscopic Methods in Prepubertal Patients with 10-20mm Bladder Stones: Transurethral Cystolithotripsy or Percutaneous Cystolithotripsy?en_US
dc.typeArticleen_US

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