Percutaneous versus transurethral cystolithotripsy for the management of bladder calculi in the pre-school boys: Prospective randomized study.

IF 1.9 3区医学 Q2 PEDIATRICS

Journal of Pediatric Urology Pub Date : 2025-07-17 DOI:10.1016/j.jpurol.2025.07.016

Ahmed Mahmoud Hasan, Ahmed Abolyosr Mohammed, Mohammad Sayed Abdel-Kader, Ahmed Mamdouh Abdelhamid, Alaa Mostafa Abdeldayem, Mostafa AbdelRazek Ahmed

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引用次数: 0

Abstract

Objective: To compare the efficacy and safety of percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) in the management of bladder calculi in preschool-aged boys.

Methods: Between February 2019 and February 2024, 150 eligible patients with a single bladder calculus ≤20 mm. were randomly allocated to one of two groups: group A (PCCL group) and group B (TUCL group), each group included 75 patients. Stone properties, laboratory data, and intraoperative and postoperative data were collected.

Results: No statistically significant differences were found regarding the preoperative criteria between the groups. The TUCL group had a longer operative time (p = 0.003). No statistically significant differences were found between both groups regarding the need to convert to open surgery (4 % vs. 0 %, p = 0.08). Two cases (2.7 %) in TUCL group were converted to PCCL. There were no statistically significant differences between the groups regarding the visual analogue score for pain, the duration of hospital admission, the timing of catheter removal, the early operative stone clearance, and the success rate (p = 0.63, 0.47, 0.47, 0.07, and 0.9 respectively). Persistent postoperative hematuria was more evident in the TUCL group (p = 0.003). Stone size and operative time were the factors affecting success (p = 0.02, 0.003 respectively) and complications (p = 0.031, 0.002 respectively) in both procedures.

Conclusion: The success and complications rates of both techniques were similar. The operative time for PCCL was shorter. Stone size and operative time were the variables influencing success and complications of both techniques.

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经皮与经尿道膀胱碎石术治疗学龄前男孩膀胱结石：前瞻性随机研究。

目的：比较经皮膀胱结石取石术（PCCL）与经尿道膀胱结石取石术（TUCL）治疗学龄前男孩膀胱结石的疗效和安全性。方法：选取2019年2月至2024年2月间符合条件的单膀胱结石≤20 mm患者150例，随机分为a组（PCCL组）和B组（TUCL组），每组75例。收集结石特性、实验室数据、术中及术后数据。结果：两组术前标准差异无统计学意义。TUCL组手术时间较长（p = 0.003）。两组间关于转开胸手术的需要没有统计学上的显著差异（4%对0%，p = 0.08）。TUCL组2例（2.7%）转为PCCL。两组间疼痛视觉模拟评分、住院时间、拔管时间、早期手术结石清除、成功率差异无统计学意义（p分别为0.63、0.47、0.47、0.07、0.9）。术后持续血尿在TUCL组更为明显（p = 0.003）。结石大小和手术时间是影响两种手术成功率（p = 0.02, 0.003）和并发症（p = 0.031, 0.002）的因素。结论：两种方法的成功率和并发症发生率相似。PCCL手术时间较短。结石大小和手术时间是影响两种技术成功和并发症的变量。

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

Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY

CiteScore

3.70

自引率

15.00%

发文量

330

审稿时长

4-8 weeks

期刊介绍： The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.