DSpace Repository

The management of vesical calculi with combined optical mechanical cystolithotripsy and transurethral prostatectomy: Is it safe and effective?

Show simple item record

dc.contributor.author Asci, R.
dc.contributor.author Aybek, Zafer
dc.contributor.author Sarikaya, S.
dc.contributor.author Büyükalpelli, R.
dc.contributor.author Yilmaz, A.F.
dc.date.accessioned 2019-08-16T11:49:59Z
dc.date.available 2019-08-16T11:49:59Z
dc.date.issued 1999
dc.identifier.issn 14644096 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/5585
dc.description.abstract Objectives. To investigate the effectiveness and reliability of the combination of optical mechanical cystolithotripsy (OMC) and transurethral prostatectomy (TURP) for the treatment of bladder calculi and obstructive benign prostatic enlargement (BPE). Patients and methods. From December 1990 to December 1996, 61 patients who had bladder stones and BPE or bladder neck contracture were treated with combined OMC and TURF: 32 patients who had bladder stones with no infravesical obstruction were treated with OMC alone. The records of a random selection of 97 patients with obstructive BPE who were treated with TURF only in the same period were used as the control. The operative duration time, the length of hospital stay, the duration of urethral catheterization, outcome and complications of the procedures for each patients were reviewed. The Mann-Whitney U-test and chi-square tests were used for statistical analysis. Results. The mean duration of surgery, hospital stay and urethral catheterization were significantly longer with combined OMC and TURP than with OMC alone (P < 0.05). Stone-free rates were 94% after OMC alone and 93% after combined OMC and TURF. The postoperative mean peak flow rates were 14.3 mL/s after the combined procedure and 15.2 mL/s after TURF alone. The complication rates were 21% for the combined procedure and 13% for OMC alone. The complication rate of TURF was 5%, significantly lower than that for the combined procedure (P < 0.05). Conclusion. Bladder stones were associated with infravesical obstruction in two-thirds of patients. Simultaneous treatment with OMC and TURP did not change the effectiveness of these procedures, but caused additional morbidity.
dc.language.iso English
dc.relation.isversionof 10.1046/j.1464-410x.1999.00030.x
dc.rights info:eu-repo/semantics/closedAccess
dc.subject Bladder calculi
dc.subject Lithotripsy
dc.subject Transurethral prostatectomy
dc.subject adult
dc.subject article
dc.subject bladder obstruction
dc.subject bladder stone
dc.subject clinical trial
dc.subject controlled clinical trial
dc.subject controlled study
dc.subject human
dc.subject length of stay
dc.subject lithotripsy
dc.subject major clinical study
dc.subject operation duration
dc.subject postoperative complication
dc.subject priority journal
dc.subject prostate hypertrophy
dc.subject randomized controlled trial
dc.subject statistical analysis
dc.subject transurethral resection
dc.subject treatment outcome
dc.subject urine catheter
dc.subject urine flow rate
dc.subject Adolescent
dc.subject Adult
dc.subject Aged
dc.subject Combined Modality Therapy
dc.subject Follow-Up Studies
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Prostatectomy
dc.subject Prostatic Hyperplasia
dc.subject Reproducibility of Results
dc.subject Urinary Bladder Calculi
dc.title The management of vesical calculi with combined optical mechanical cystolithotripsy and transurethral prostatectomy: Is it safe and effective?
dc.type Article
dc.relation.journal BJU International
dc.identifier.volume 84
dc.identifier.issue 1
dc.identifier.startpage 32
dc.identifier.endpage 36
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index WOS

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record