Percutaneous cystolithotomy in augmented bladders
Aims: Incidence and recurrence of bladder stone in augmented exstrophy bladder rate is high. So, recurrent open cystolithotomy is not a preferred procedure; particularly through scarred tissues, consequence of previous surgeries. Percutaneous cystolithotomy (PCCL) is an old but standard procedure fo...
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2021-01-01
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doaj-be9a26b0e3e942e1a65db632035bdd382021-07-27T04:45:34ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912021-01-0126425025210.4103/jiaps.JIAPS_128_20Percutaneous cystolithotomy in augmented bladdersUday Sankar ChatterjeeIndranil ChatterjeeAims: Incidence and recurrence of bladder stone in augmented exstrophy bladder rate is high. So, recurrent open cystolithotomy is not a preferred procedure; particularly through scarred tissues, consequence of previous surgeries. Percutaneous cystolithotomy (PCCL) is an old but standard procedure for retrieval of bladder stones in adults. We extrapolated PCCL for bladder stone in augmented bladders in children. Patients and Methods: In three patients, we made suprapubic (SP) needle track with initial puncture (IP) needle under cystoscopic guidance. Following that laparoscopic cannula was placed through dilated SP track that was crafted with Alken's dilators and bladder stones were removed with grasper. Results: On cystoscopy, we also observed the patches of skin tissues in native bladders. Continence and bladder capacity were not affected following PCCL. Conclusion: PCCL in augmented bladder showed good outcome. High recurrence of bladder stone is possibly due to presence of keratin in dermal tissue; invaded mucosa in open bladder plate. It seems shaving or fulguration of those dermal elements during bladder reconstruction might decrease incidence of stone formation. However, we haven't attempted fulguration during PCCL.http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=250;epage=252;aulast=Chatterjeeaugmentationbladder stonecystoscopedermal tissueexstrophy bladderlaparoscopic cannula |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Uday Sankar Chatterjee Indranil Chatterjee |
spellingShingle |
Uday Sankar Chatterjee Indranil Chatterjee Percutaneous cystolithotomy in augmented bladders Journal of Indian Association of Pediatric Surgeons augmentation bladder stone cystoscope dermal tissue exstrophy bladder laparoscopic cannula |
author_facet |
Uday Sankar Chatterjee Indranil Chatterjee |
author_sort |
Uday Sankar Chatterjee |
title |
Percutaneous cystolithotomy in augmented bladders |
title_short |
Percutaneous cystolithotomy in augmented bladders |
title_full |
Percutaneous cystolithotomy in augmented bladders |
title_fullStr |
Percutaneous cystolithotomy in augmented bladders |
title_full_unstemmed |
Percutaneous cystolithotomy in augmented bladders |
title_sort |
percutaneous cystolithotomy in augmented bladders |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Indian Association of Pediatric Surgeons |
issn |
0971-9261 1998-3891 |
publishDate |
2021-01-01 |
description |
Aims: Incidence and recurrence of bladder stone in augmented exstrophy bladder rate is high. So, recurrent open cystolithotomy is not a preferred procedure; particularly through scarred tissues, consequence of previous surgeries. Percutaneous cystolithotomy (PCCL) is an old but standard procedure for retrieval of bladder stones in adults. We extrapolated PCCL for bladder stone in augmented bladders in children.
Patients and Methods: In three patients, we made suprapubic (SP) needle track with initial puncture (IP) needle under cystoscopic guidance. Following that laparoscopic cannula was placed through dilated SP track that was crafted with Alken's dilators and bladder stones were removed with grasper.
Results: On cystoscopy, we also observed the patches of skin tissues in native bladders. Continence and bladder capacity were not affected following PCCL.
Conclusion: PCCL in augmented bladder showed good outcome. High recurrence of bladder stone is possibly due to presence of keratin in dermal tissue; invaded mucosa in open bladder plate. It seems shaving or fulguration of those dermal elements during bladder reconstruction might decrease incidence of stone formation. However, we haven't attempted fulguration during PCCL. |
topic |
augmentation bladder stone cystoscope dermal tissue exstrophy bladder laparoscopic cannula |
url |
http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=250;epage=252;aulast=Chatterjee |
work_keys_str_mv |
AT udaysankarchatterjee percutaneouscystolithotomyinaugmentedbladders AT indranilchatterjee percutaneouscystolithotomyinaugmentedbladders |
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1721279986739970048 |