PMID: 8972791Dec 1, 1996Paper

Endoscopic ballistic lithotripsy in the treatment of bladder calculi in patients with neurogenic voiding dysfunction

Journal of Endourology
G VespasianiF Micali

Abstract

Bladder stones represent a troublesome complication in patients suffering from neurogenic voiding dysfunction, in whom prompt and effective therapy is required. A variety of endoscopic lithotripsy methods are available; however, current devices can be tedious to use. We have treated 17 patients affected by bladder calculi and spinal cord injury or multiple sclerosis by means of the ballistic lithotripter EMS Swiss Lithoclast. The mean diameter of the stones was 2.7 cm. The mean operative time was 27 minutes. There were five intraoperative complications, including crises of autonomic dysreflexia (three patients) and light hematuria (two patients). There was no malfunction of the lithotripter and no long-term complications. All the patients were stone free at 6 months postoperatively. In conclusion, endoscopic lithotripsy with the ballistic lithotripter proved to be a very effective, rapid, and safe method for treating bladder calculi in patients with neurogenic bladders.

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Citations

Feb 14, 2006·Urological Research·Athanasios G PapatsorisCharalambos Deliveliotis
Jan 26, 2000·Journal of Endourology·T A WollinJ D Denstedt
Oct 12, 2010·Journal of Endourology·Abdelhamid M ElbahnasyMohamed Rasheed Taha
Apr 25, 2000·The Urologic Clinics of North America·B F Schwartz, M L Stoller
Apr 25, 2000·The Urologic Clinics of North America·W Zheng, J D Denstedt

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