A comparison of tranurethral cystolithotripsy and open cystolithotomy.
Keywords:
vesicle calculi, suprapubic cystolithotomy, transurethral cystolithotripsyAbstract
Objective : To compare treatment success rate, the length of hospital stay, urinary catheter period , postoperative complications, and the hospital cost between open suprapubic cystolithotomy(SPL) and transurethral cystolithotripsy (TUL)
Method : of study: A retrospective analytical cohort study. The data was collected from the medical records of patients with bladder stones treated with transurethral cystolithotripsy (TUL) or open suprapubic cystolithotomy (SPL) at Kalasin Hospital Between 1 January 2018 and 31 December 2019
Result : Both bladder stone surgery technics were successful. The SPL group spent less operative time than the TUL group (32 VS 48.9, p-value 0.036). The TUL group had less time in hospitalization (1.4 VS 5.17, p-value 0.003),less urinary catheter period (1.29 VS 5.67, p-value 0.001), less postoperative fever (8.8% VS 63.3%, p-value 0.001), less infected wound (0% VS 20%, p-value 0.008),and the cost of treatment was significantly lower (12500 VS 18063, p-value 0.009).
Conclusion : There are many advantages of Transurethral cystolithotripsy (TUL) compared to open suprapubic cystolithotomy(SPL) ,shorter hospital stay shorter catheterization period ,less postoperative complications (less post operative fever and smaller the surgical wound infected) ,and lower the hospital cost.
References
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