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Original Research

RMJ. 2020; 45(3): 728-730


Efficacy and safety of pneumatic lithotripsy in pediatric vesical stone

Aftab Ahmed Channa, Syed Muhammad Hassan Akhtar, Naeem Ahmed Cheema, Aftab Anwar, Fazal Nauman, Zeshan Qamar Cheema.

Abstract
Objective: To determine the efficacy and safety of pneumatic lithotripsy in the management of pediatric vesical stones at our center.
Methodology: This case series study was conducted at the department of urology, Islam Medical and Dental College/teaching hospital, Sialkot, Pakistan. A total of 73 children, aged 5 to 12 years, stone size 5mm to 1.5 cm with negative urine culture prior to operation were enrolled from March 2015 to March 2019. Mean age, mean hospital stay, mean operation time, presenting clinical features and post-operative complications, rate of stone-free and fragmentation completion post-operation were recorded.
Results: Mean patients age was 8.372.534 years, while mean size of stone was 1.040.29cm. Peak age for stone was between 5 to 8 years. Mean hospital stay was 1.040.7 days and mean operating time was 39.0316.5 minutes. Four (5.5%) patients developed hematuria and four (5.5%) had urine retention and six (8.2%) developed dysuria. 97.3% patients were stone-free after the procedure and complete fragmentation was accomplished in all cases.
Conclusion: Pneumatic cystolithotripsy is relatively safe and efficient technique for vesical stones in children with only very minor complications occurring after the procedure.

Key words: Pneumatic lithotripsy, vesical stone, complication.






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