- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
A Comparative Study of Percutaneous Suprapubic Cystolitholapaxy versus Open Cystolithotomy in Adults | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 10, Issue 1, 2013, Pages 11-24 | ||
| Author | ||
| Ahmed Turki Obaid | ||
| Abstract | ||
| Objective: to compare the outcome of percutaneous suprapubic cystolitholapaxy with open cystolithotomy in adult. Study design: comparative study. Place and duration of the study: urological and surgical department of AL-Hilla teaching hospital, from March to November 2012. Methodology: forty patients (34 male and 6 female), from 21-44 years of age were enrolled in the study. The size of the stones range from 31mm to 44mm. patients were divided in two equal groups, group 1 and 2. Group 1 submitted for percutaneous suprapubic cystolitholapaxy and group 2 for open cystolithotomy. The procedure was done under general or spinal anesthesia. Result: complete clearance of stone was achieved in all cases of group 1 and group 2, P value>0.05, transient hematuria occurs in seven patients in group 1, while in group 2 only one patient develop hematuria, p value (<0.05). Postoperative fever occurs in one patients and in eleven patients in group1 and 2 respectively, p value<0.05. Postoperative pain that require parenteral analgesia not occur in group 1 and in seven patients in group 2, p value <0.05. Average of wound length in group 1 was 2cm and 5 cm in group 2, p value <0.05. The average of the operative time 52.5 minutes and 37.5 minutes in group 1and 2 respectively, p value <0.05. The duration of transurethral catheterization 3-4 day, and 7-10 days in group 1 and 2 respectively, p value<0.05. No one develop wound infection in group 1 and five patients in group 2, p value<0.05. No one develop urinary leakage and three patients develop that in group 2, p value>0.05. Conclusion: percutaneous suprapubic cystolitholapaxy is an efficient, safe, minimally invasive and cost effective method. | ||
|
Statistics Article View: 125 PDF Download: 99 |
||