چکیده (انگلیسی):

Objectives: To compare the efficacy and reliability of Ho:YAG laser lithotripsy
(HLL) and pneumatic lithotripsy (PL) in the treatment of bladder stones in patients with benign
prostatic hyperplasia and stones
20 mm who were transurethrally treated in the same surgical
session.
Methods: We studied the data of patients with benign prostatic hyperplasia and
20 mm
bladder stones who were treated with transurethral resection of the prostate and cystolithotripsy
in the same session, obtained between January 2010 and February 2014 from three urology
clinics. All patients underwent bipolar plasmakinetic (PK) transurethral resection of the
prostate. For treatment of the bladder stone, either HLL or PL was applied. A total of 62 patients
were divided into two groups: PK-PL (Group 1, n Z 29) and PK-HLL (Group 2, n Z 33).
The data of both groups were analyzed for stone dimensions, stone fragmentation time, total
operating time, hospitalization duration, prostate dimensions, success rates, and complications.
Results: Group 1 included 29 patients with a mean age of 70 7.6 (range, 57e85) years,
whereas Group 2 included 33 patients with a mean age of 67.5 10.5 (range, 45e84) years.
In Group 1, five patients had mucosa injury, one patient had residual stone, and one patient
had bladder perforation. In Group 2, three patients had mucosa injury, three patients had
postoperative fever, and one patient had residual stone. Total operation time and stone fragmentation
time were significantly lower in Group 2 (p < 0.05). The remaining analyzed data
were similar (p > 0.05).
Conclusion: PK-HLL using a single shaft without the need for repeated access has the advantages
of shorter fragmentation and operation time.