Skip to main content
SpringerLink
Log in

Pneumatic cystolithotripsy versus holmium:yag laser cystolithotripsy in the treatment of pediatric bladder stones: a prospective randomized study

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Purpose

Holmium:yttrium–aluminum–garnet (Ho:YAG) laser and Pneumatic cystolithotripsy (CL) are the most widely practiced transurethral procedures for treatment of pediatric bladder stones. The aim of our study was to compare the safety and efficacy of Ho:YAG laser CL and pneumatic CL in the treatment of pediatric bladder stones.

Methods

In this prospective randomized study from January 2012 to April 2015, 25 male children with bladder stones <3 cm were consecutively randomized into two treatment groups: group A (pneumatic CL) consisted of 13 patients and group B (Ho:YAG CL) consisted of 12 patients. Operative time, duration of stay and complications were recorded. Patients were followed up prospectively.

Results

The mean operative time was significantly lower in group B (25.6 vs. 31.6 min) for stones <1.5 cm (p = 0.040). However, for stones between 1.5 and 3 cm in size, the mean operating times were similar in both the groups (49.4 min in Ho:YAG vs. 44.6 min in pneumatic, p = 0.40). There was no difference in complication rates and hospital stay in both the groups. No major complications were seen in both the groups.

Conclusions

We found that Ho:YAG CL was more effective than pneumatic CL for treating bladder stones smaller than 1.5 cm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Iman HE, Khan AM, Flasko T (2004) Endoscopic management of pediatric urolithiasis in a developing country. Urology 63:159–162

    Article  Google Scholar 

  2. Hussain M (2001) Endemic Bladder calculi in children. What is current position? Editorial. J Nephrol Urol Transpl 2:1–2

    Google Scholar 

  3. Papatsoris AG, Varkarakis I, Dellis A (2006) Bladder lithiasis: from open surgery to lithotripsy. Urol 34:163–167

    Google Scholar 

  4. Mahran MR, Dawaba MS (2000) Cystolithopaxy versus cystolithotomy in children. J Endourol 14:423

    Article  CAS  PubMed  Google Scholar 

  5. Shokier AA (1994) Transurethral cystolithopaxy in children. J Endourol 8:157

    Article  Google Scholar 

  6. Ramakrishnan PA, Medhat M, Al-Bulushi YH (2005) Holmium laser cystolithotripsy in children: initial experience. Can J Urol 12:2880

    PubMed  Google Scholar 

  7. Cheah WK, King PA, Tan HL (1994) A review of pediatric cases of urinary tract calculi. J Pediatr Surg 29:701–705

    Article  CAS  PubMed  Google Scholar 

  8. Maheshwari PN, Oswal AT, Bansal M (1999) Percutaneous cystolithotomy for vesical calculi: a better approach. Tech Urol 5:40

    CAS  PubMed  Google Scholar 

  9. Salah MA, Holman E, Toth C (2001) Percutaneous suprapubic cystolithotripsy for pediatric bladder stones in a developing country. Eur Urol 39:466

    Article  CAS  PubMed  Google Scholar 

  10. Isen K, Em S, Kilic V (2008) Management of bladder stones with pneumatic lithotripsy using an ureteroscope in children. J Endourol 22:1037–1040

    Article  PubMed  Google Scholar 

  11. Kauer PC, Laguna MP, Alivizatos G (2005) Present practice and treatment strategies in endourological stone management: results of a survey of the European Society of Uro-technology (ESUT). Eur Urol 48:182

    Article  CAS  PubMed  Google Scholar 

  12. Shaikh AR, Zubari BF (2001) Intracorporeal cystolithotripsy in children. JCPSP 11:156–157

    Google Scholar 

  13. Teichman JMH, Vassar GJ, Bishoff JT (1998) Holmium YAG Lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy. J Urol 159:17

    Article  CAS  PubMed  Google Scholar 

  14. Aboulela W, ElSheemy MS, Shoukry AI, Shouman AM, ElShenoufy A, Daw K, Morsi HA, Badawy H (2015) Transurethral holmium laser cystolithotripsy in children: single center experience. J Endourol 29(6):661–665

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology and Renal Transplantation, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, 302004, India

    Goto Gangkak, Sher Singh Yadav, Vinay Tomar, Nachiket Vyas & Deepak Jain

Authors
  1. Goto Gangkak
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sher Singh Yadav
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vinay Tomar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nachiket Vyas
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Deepak Jain
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Goto Gangkak.

Ethics declarations

Conflict of interest

The authors declare that there are no conflict of interests.

Ethical approval

All procedures performed in our study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gangkak, G., Yadav, S.S., Tomar, V. et al. Pneumatic cystolithotripsy versus holmium:yag laser cystolithotripsy in the treatment of pediatric bladder stones: a prospective randomized study. Pediatr Surg Int 32, 609–614 (2016). https://doi.org/10.1007/s00383-016-3876-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-016-3876-3

Keywords

Search

Navigation