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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 23 |
January - March 2007 |
Number 1 |
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A comparison of open Vesicolithotomy and Cystolitholapaxy
Sami Ullah1, Ishtiaq Ahmed Chaudhary2, Rehan Masood3
ABSTRACT
Objectives: To compare Vesicolithotomy with Transurethral optical cystolitholapaxy.
Design: Comparative Observational study.
Study Period: Study was conducted at Department of Surgery, Fauji Foundation Hospital Rawalpindi, from October 2002 to April 2005.
Patients and Methods: Study comprises of 40 patients, which were divided into two equal groups of twenty each. All patients having stones less than 30 mm in size were included. Group-I patients were treated with open vesicolithotomy and Group-II patients with transurethral optical cystolitholapaxy.
Results: All 40 patients were between age of 16 -76 years (mean age 52 years and 54.5 years in Group-I and II respectively) and female to male ratio were 1:2.3. Average hospital stay was long (7.33 days) in Group-I. 2.5% patients had UTI postoperatively in both groups and transient haematuria (5%), urethral trauma (5%) and recurrent stone formation (5%) was noted in Group-II patients.
Conclusion: Transurethral optical cystolitholapaxy is a better way of managing Vesical stones because it is minimally invasive with short hospital stay. Complications noticed with this procedure are minor and can be reduced by experienced surgeon.
KEY WORDS: Bladder Stones, Comparison, Vesicolithotomy, Cystolitholapaxy.
Pak J Med Sci January - March 2007 Vol. 23 No.1 47-50
1. Dr. Sami Ullah
2. Dr. Ishtiaq Ahmed Chaudhary
3. Dr. Rehan Masood
1-3: Assistant Professor of Surgery,
Foundation University Medical College,
Rawalpindi – Pakistan.
Correspondence:
Dr. Sami Ullah,
Flat No. 25, Fauji Foundation Hospital,
Jehlum Road,
Rawalpindi – Pakistan.
* Received for Publication: December 21, 2005
* Accepted: August 31, 2006
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