Combined usage of Ho:YAG laser with monopolar resectoscope in the treatment of bladder stoneand bladder outlet obstruction
DOI:
https://doi.org/10.12669/pjms.304.4493Keywords:
Urinary bladder calculi, Prostatic hyperplasia, Urinary bladder neck obstruction, Lasers, Solid-state, Lithotripsy, Laser, Transurethral resection of prostate.Abstract
Objective: Bladder stones in elderly men are commonly associated with bladder outlet obstruction, and many different treatment modalities have been presented for both these conditions. To evaluate the effectiveness and safety of a novel method concerning spontaneous usage of both monopoplar transurethral resection of the prostate and Holmium Laser cystolithotripsy, we compared the transurethral use of resectoscope and cystoscope lithotripsy approaches retrospectively.
Methods: Patients data of one hundred and nine male patients with benign prostatic hyperplasia (BPH) and bladder stone(s) were analyzed retrospectively. Two groups of patients were compared: Group I was treated with combination of transurethral holmium laser cystolithotripsy (HLC) and transurethral resection of the prostate (TURP) using the 24F resectoscope, and group II used 22F cystoscope and 24F resectoscope for treating both these conditions.
Result: We reviewed the records of 109 patients undergoing transurethral cystolithotripsy with holmium laser and simultaneous TURP. The mean bladder stone size were 3.6
