Abstract
TRANSURETHERAL USE OF NEPHROSCOPE IN THE MANAGEMENT OF URINARY BLADDER STONES. EFFICACY AND OUTCOME

Mohammad Alserhan*, Abdullah Rababaah, Ahmad Alhiari, Laith Khasawneh and Ashraf Almajaly

ABSTRACT

Objective: to assess the efficacy and safety of transuretheral cystolithotripsy by the use of `nephroscope. Patients and methods: retrospectively we reviewed the medical records of 220 patients who underwent cystolithotripsy by the use of 22 french nephroscope and pneumatic lithotripsy from the period of 2013 to 2019. Results: the mean age of the patients was 58 years with 84.5% of them were males, the mean stone burden was 3.5cm with 79.1% of patients had two or more stones with mean disintegration time was 29 minutes. complete stone clearance was achieved in 98% of patients and only 5% of them were admitted post operatively while only in 2% of them blood transfusion was needed. The patients were followed up for one year postoperatively with no stone recurrence or drastic complication like uretheral stricture formation. Conclusion: transuretheral cystolithotripsy by nephroscope is an effective and safe endourological modality for the management of medium to large size urinary bladder stones.

Keywords: Bladder stones, Nephroscope, Pneumatic lithoclast, Cystolithtripsy.


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