Holmium laser cystolithotripsy under local anaesthesia: Our experience.

Abstract

OBJECTIVE:

To investigate the feasibility and effectiveness of transurethral holmium laser cystolithotripsy (HLC) under local anaesthesia using a flexible cystoscope.

PATIENTS AND METHODS:

A prospective study was undertaken from January 2013 to June 2015. In all, 37 men with bladder calculi underwent HLC under local anaesthesia, preferably in a lithotomy position using a flexible cystoscope, followed by per urethral Foley catheter placement postoperatively.

RESULTS:

The mean (SD; range) patient age was 46.6 (5.6; 32-76) years. All patients were rendered stone-free, regardless of stone size. The mean (SD; range) stone size was 2.1 (1.2; 1.4-4.1) cm and operative time was 35 (6; 26-52) min. The whole procedure was well tolerated and there were no major intraoperative complications. The mean (SD; range) hospital stay was 2.4 (1.5; 1-5) days. After a mean follow-up of 6 months, no recurrent stones, urinary retention or urethral strictures had developed.

CONCLUSIONS:

Transurethral HLC using a flexible cystoscope under local anaesthesia is a safe and effective technique for the treatment of bladder calculi and can be used as an alternative treatment option.

• Authors: Nischith D'Souza, Ashish Verma
• Journal: Arab journal of urology (Arab J Urol) Vol. 14 Issue 3 Pg. 203-6 (Sep 2016) ISSN: 2090-598X [Print] United States
• PMID: 27547461 (Publication Type: Journal Article)