Comparison of the Efficacy of Transurethral Cystolithotripsy and Percutaneous Cystolithotomy in the Treatment of Male Children with 20-30 mm Bladder Stones: A Retrospective Study.

IF 0.6 4区医学 Q4 UROLOGY & NEPHROLOGY

Archivos Espanoles De Urologia Pub Date : 2025-01-01 DOI:10.56434/j.arch.esp.urol.20257801.9

Yichun Xie, Mingchun Zhang, Ke Liu

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引用次数: 0

Abstract

Objective: This study aimed to evaluate the clinical efficacy and safety of transurethral cystolithotripsy (TUCL) and percutaneous cystolithotomy (PCCL) in treating 20-30 mm bladder stones in male children.

Methods: Data on 62 male children of ≤16 years of age who were admitted to our hospital with bladder stones between January 2020 and December 2023 were retrospectively collected. The patients were categorised into a TUCL group (TUCL, n = 32) and a PCCL group (PCCL, n = 30) according to the employed surgical method. Operative time, stone-free rate (SFR), complication incidence, and general information of the patients were compared between the two groups.

Results: No significant differences in age, stone size, composition, and other general medical history were observed between the two groups (p > 0.05). SFR was 100% in both groups, but the operative time in the TUCL group was significantly longer than that in the PCCL group (p < 0.05). Furthermore, catheter indwelling time in the TUCL group was significantly shorter than that in the PCCL group (p < 0.05). No significant difference in the overall complication incidence was found between the two groups (p > 0.05), whereas the number of urinary retention cases was higher in the TUCL group than in the PCCL group.

Conclusions: TUCL and PCCL are effective surgical methods for treating 20-30 mm bladder stones in male children. Compared to TUCL, PCCL may be the preferred option owing to its relatively shorter operative time and lower complication rate.

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经尿道膀胱结石取石术与经皮膀胱结石取石术治疗20 ~ 30mm男童膀胱结石的回顾性研究

目的：探讨经尿道膀胱结石取石术（TUCL）和经皮膀胱结石取石术（PCCL）治疗20 ~ 30mm男性儿童膀胱结石的临床疗效和安全性。方法：回顾性收集2020年1月至2023年12月期间因膀胱结石入院的62例≤16岁男性儿童的资料。根据采用的手术方式将患者分为TUCL组（n = 32）和PCCL组（n = 30）。比较两组患者手术时间、结石清除率（SFR）、并发症发生率及一般情况。结果：两组患者年龄、结石大小、结石组成及其他一般病史均无统计学差异（p < 0.05）。两组SFR均为100%，但TUCL组手术时间明显长于PCCL组（p < 0.05）。TUCL组留置导管时间明显短于PCCL组（p < 0.05）。两组总并发症发生率比较差异无统计学意义（p < 0.05），尿潴留发生率TUCL组高于PCCL组。结论：TUCL和PCCL是治疗20 ~ 30mm男性儿童膀胱结石的有效手术方法。与TUCL相比，PCCL因其相对较短的手术时间和较低的并发症发生率可能是首选的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-

CiteScore

0.90

自引率

0.00%

发文量

111

期刊介绍： Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.