medigraphic.com
ISSN 2305-7939 (Electronic)

2019, Number 2

<< Back Next >>

RCU 2019; 8 (2)

Safe percutaneus cistolithotomy in male patients with morbid obesity

Castillo RM, Moreno CLF, Borrero BL, Díaz FY, Godoy DY

Language: Spanish
References: 30
Page: 115-124
PDF size: 859.64 Kb.


ABSTRACT

Introduction: Suprapubic percutaneous cystolithotomy is a useful and safe therapeutic modality for the resolution of bladder stones, but its performance in patients with morbid obesity represents a special surgical challenge. Objetive: To identify the results of percutaneous suprapubic cystolithotomy in male patients with complex vesical lithiasis and morbid obesity through the practice of a group of technical details that, in our opinion, are essential for the safe and successful performance of this therapeutic modality in this kind of patients. Methods: A descriptive and retrospective study was performed at the National Center to treat urinary stones in Ameijeiras Hospital from October 2016 to July 2018. The sample consisted of four patients with multiple vesical lithiasis or bigger than 2 cm to whom it was performed a percutaneous cystolithotomy. Variables considered were: age, body mass index, stones size, number of stones, comorbidities, surgical time, the presence or not of post-operative fragments, and complications. Results: The average age was 64.5 years old. The average body mass index was 46.87 Kg/m2. The stone size fluctuated in the range of 1.5 cm to 4.5 cm. Within the associated conditions, Diabetes Mellitus was present in 3 (75%) of the 4 cases. The average surgical time was 86.25 minutes. All the patients were stone free and without complications. Conclusions: Percutaneous cystolithotomy with the use of the instruments and the practice of the technical and surgical details recommended is an effective and safe option for the treatment of vesical lithiasis in male patients with morbid obesity.


REFERENCES

  1. World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva: World Health Organization; 2000 [citado 29/12/2018]. Disponible en: http://www.who.int/iris/handle/10665/42330

  2. Gu H, Shao S, Liu J, Fan Z, Chen Y, Ni J, et al. Age- and Sex-Associated Impacts of Body Mass Index on Stroke Type Risk: A 27-Year Prospective Cohort Study in a Low-Income Population in China. Front Neurol 2019 [citado 29/12/2018]; 1(10):456. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/311189 2

  3. Taylor EN, Stampfer MJ, Curhan GC. Obesity, weight gain, and the risk of kidney stones. JAMA. 2005. [citado 29/12/2018]; 293(4):455-62. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/156714 30

  4. Smith JM, O'Flynn JD. Vesical stone: the clinical features of 652 cases. Med J 1975, [citado 29/12/2018]; 68(4):85-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/111269 2

  5. Nang R, Hinchi H, Lafia T, Rami M, Belkacem R. Giant vesical lithiasis, complication of enterocystoplasty: case report. Pan Afr Med J. 2018, [citado 18/10/2018]; 22(31):132. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/310371 92

  6. Torricelli FC, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev Col Bras Cir. 2014 [citado 18/10/2018]; 40(3): 227-33. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/239123 71

  7. Lee WC, Wu HP, Tai TY, Liu SP, Chen J, Yu HJ. Effects of diabetes on female voiding behavior. J Urol. 2004 [citado29/12/2018]; 172(3): 989-92. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/153110 19

  8. Lifford KL, Curhan GC, Hu FB, Barbieri RL, Grodstein F. Type 2 diabetes mellitus and risk of developing urinary incontinence. J Am Geriatr Soc. 2005 [citado 29/12/2018]; 53(11): 1851-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/162743 64

  9. Segarra J, Palou J, Montelló M, Salvador J, Gómez JM. Hasson's laparoscopic trocar in percutaneous bladder stone lithotripsy. Int Urol Nephrol. 2002 [citado 29/12/2018]; 33(4): 625- 6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/124526 13

  10. Demirel F, Çakan M, Yalçinkaya F, Demirel AC, Aygün A, Altug UU. Percutaneous suprapubic cystolithotripsy approach: for whom? Why? J Endourol. 2006 [citado 29/12/2018]; 20(6): 429- 31. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/168086 58

  11. Aron M, Goel R, Gautam G, Seth A, Gupta NP. Percutaneous versus transurethral cystolithotripsy and TURP for large prostates and large vesical calculi: refinement of technique and updated data. Int Urol Nephrol. 2007 [citado 29/12/2018]; 39(1):173-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/172739 02

  12. Hubscher CP, Costa J. Percutaneous intervention of large bladder calculi in neuropathic voiding dysfunction. Int Braz J Urol. 2011 [citado 29/12/2018]; 37(5):636-41. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/220992 76

  13. Huang W, Cao JJ, Cao M, Wu HS, Yang YY, Xu ZM. Risk factors for bladder calculi in patients with benign prostatic hyperplasia. Medicine (Baltimore). 2017 [citado 29/12/2018]; 96(32):e7728. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PM C5556223/

  14. Tan YK, Gupta DM, Weinberg A, Matteis AJ, Kotwal S, Gupta M. Minimally invasive percutaneous management of large bladder stones with a laparoscopic entrapment bag. J Endourol 2014 [citado 29/12/2018]; 28(1):61-4. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/240742 28

  15. Takasaki E, Suzuki T, Honda M, Imai T, Maeda S, Hosoya Y. Chemical compositions of 300 lower urinary tract calculi and associated disorders of the urinary tract. Urol Int. 1995 [citado 29/12/2018]; 54(2):89-94. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/753823 5

  16. Wollin TA, Singal RK, Whelan T, Dicecco R, Razvi HA, Denstedt JD. Percutaneous suprapubic cystolithotripsy for treatment of large bladder calculi. J Endourol. 1999 [citado 29/12/2018]; 13(10):739-44. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/106466 81

  17. Gallego SG, Jamaica E. Cistolitotomía percutánea extractiva. Un método seguro, práctico y económico. Rev Mex Urol. 2009 [citado 29/12/2018]; 69(1):17-21. Disponible en: http://www.elsevier.es/es-revista-revistamexicana- urologia-302-articulo-cistolitotomiapercutanea- extractiva-un-metodo- X2007408509492594

  18. Ercil H, Altunkol A, Alma E, Goren MR, Sener NC, Kuyucu F. Comparison of Ho:Yag laser and pneumatic lithotripsy combined with transurethral prostatectomy in high burden bladder stones with benign prostatic hyperplasia. Asian J Surg. 2016 [citado 29/12/2018]; 39(4):238-42. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/259375 84

  19. Millan E, Izquierdo F, Montlleo M, Rousaud E, Rousaud A, Villavicencio H. Treatment of bladder stones without associated der prostate surgery: results of a prospective study. Urology 2005; 66:505-9.

  20. Mohammed Alaa Aden Mohammed, Ahmed Ragab Ali, Mohammed Mahmoud Seleem, Abraheem Mohammed Ali. Medical treatment of benign prostatic hyperplasia after cystolithotripsy. Zagazig University (Z.U.M.J.) 2018, [citado 12/12/2018], 24(4). Disponible en: http://www.zumed.zu.edu.eg/index.php/zume d/article/view/793/516

  21. Sarica K, Baltaci S, Kiliç S, Dincel C, Safak M. 371 bladder calculi in a benign prostatic hyperplasia patient. Int Urol Nephrol. 1994 [citado 29/12/018]; 26(1):23-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/751792 3

  22. Huang W, Cao JJ, Cao M, Wu HS, Yang YY, Xu ZM. Risk factors for bladder calculi in patients with benign prostatic yperplasia. Medicine (Baltimore). 2017 [citado 29/12/2018]; 96(32): e7728. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PM C5556223/

  23. Tan YK, Gupta DM, Weinberg A, Matteis AJ, Kotwal S, Gupta M. Minimally invasive percutaneous management of large bladder stones with a laparoscopic entrapment bag. J Endourol. 2014 [citado 29/12/2018]; 28(1):61-4. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/240742 28

  24. Gangkak G, Yadav SS, Tomar V, Vyas N, Jain D. Pneumatic cystolithotripsy versus holmium: yag laser cystolithotripsy in the treatment of pediatric bladder stones: a prospective randomized study. Pediatr Surg Int. 2016 [citado 29/12/2018]; 32(6): 609-14. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/268797 52

  25. Hwang JS, Son JH, Jang SH, Lee JW, Cho DS, Lim CH. The initial experience of pneumovesicoscopic bladder stone removal using a laparoscopic entrapment sac. Urology. 2014 [citado 29/12/292018]; 84(5):1234-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/251949 95

  26. Castroviejo-Royo F, Rodríguez-Toves LA, Martínez-Sagarra Oceja JM, Conde-Redondo C, Mainez-Rodríguez JA. Outcomes of transurethral resection (TUR) of intravesical mesh after suburethral slings in the treatment of urinary stress incontinence. Actas Urol Esp. 2015 [citado 29/12/2018]; 39(3):183-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/254575 65

  27. Abdelaziz AY, Fouda WB, Mosharafa AA, Abelrasoul MA, Fayyad A, Fawzi K. Forgotten ureteral stents: Risk factors, complications and management. African Journal of Urology. 2018 [citado 29/12/2018]; 24(1):28-33. Disponible en: https://www.sciencedirect.com/science/article /pii/S111057041730098X

  28. Tabei T, Kawahara T, Kuroda S, Ito H, Kobayashi K, Uemura H, Matsuzaki J. Effect of Amplatz Sheath on Cystolithotripsy for Women with Large Bladder Stone. BioMed Research International. 2017; 5:1-4. DOI: https://doi.org/10.1155/2017/9341042

  29. Arrabal M, Nogueras M, Arrabal MA, Miján JL, Valle Díaz F, Zuluaga A. Tratamiento de la litiasis vesical con láser. Arch Esp Urol. 2008 [citado 29/12/2018]; 61(9): 985-93. Disponible en: https://medes.com/publication/45711

  30. Kronenberg P, Somani B. Advances in Lasers for the Treatment of Stones-a Systematic Review. Curr Urol Rep. 2018 [citado 29/12/2018]; 19(6): 45. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/297744 38.




2020     |     www.medigraphic.com