Endoscopic treatment of vesical calculi in childrenAbdul Rasheed Shaikh,1 Ghulam Shabir Shaikh,2 Abdul Hameed Shaikh,3Abdul Haleem
Shaikh,4 Nisar Ahmed Shaikh5.
To determine the out come of endoscopic treatment of vesical calculi in children and its
long-term effect on urethra.
Patients and Methods
This quasi-experimental study included five hundred patients seen at Almas Medical
center and City Hospital Larkana from January, 2000 to December, 2009. After necessary
investigations and diagnosis, they were divided into two groups on the basis of having
either small or large size stone in urinary bladder. A pediatric cystoscope of 8Fr size with
angled eyepiece and straight working channel and Swiss lithoclast lithotripter were used
for the procedure.
Out of 500 children, Group 1 comprised of 350 (70%) cases who had radiological
measurement of stone size less than 2.0 cm whereas, Group 2 comprised of 150 (30%)
cases and had stone 2.0 to 3.0 cm in size. The mean age was 4.6 year. Male to female
ratio was 9:1. The stones were disintegrated and removed successfully in all the cases.
Postoperative recovery was uneventful and statistically no significant difference was
found between two groups. The mean operative time was 25 minutes (range 15 to 35
minutes) and 45 minutes (range 30 to 55 minutes) in group 1 and group 2 respectively
and difference was statistically significant (P
Key words: Vesical calculi, urethral stricture, cystolithotripsy.