European Journal of Molecular & Clinical Medicine

Abstract

Objectives: To describe our experience in the management of urinary bladder stone, comparing the outcome of percutaneous suprapubic cystolithotrispy with open cystolithotomy Methodology: comparative study. Place and duration of the study: patients with urinary bladder stone attending department of surgery and Patna medical college and Hospital, patna. Study duration of one year. patients (33 male and 7 female), from 3-70 years of age were enrolled in the study. The size of the stones range from 30mm to 50mm. patients were divided in two equal groups, group 1 and 2. Group 1 submitted for percutaneous suprapubic cystolithotripsy and group 2 for open cystolithotomy. The procedure was done under general or spinal anesthesia.
Result: Mean of wound length in group 1 was 16.15mm(SD2.8) and 36.30mm(SD3.2) in group 2, p value <0.01. complete clearance of stone was achieved in all cases of group 2 whereas in group 1 patients complete clearance was noted in sixteen(80%) cases, P value0.106. transient hematuria occured in seven(35%) patients in group 1, while in group 2 only two(10%) patients developed hematuria, p value (0.127). Postoperative fever was noted in eight(40%) patients and in one(5%) patient in group1 and 2 respectively, p value0.021. Postoperative pain that require parenteral analgesia in group 1 were two(10%) and in  seven(35%) patients in group 2, p value 0.127.
Conclusion: percutaneous suprapubic cystolithotripsy is an efficient, safe, minimally invasive and cost effective method.