Abstract
Objective: To determine the efficacy and safety of
pneumatic lithotripsy in the management of
pediatric vesical stones at our center.
Conclusion: Pneumatic cystolithotripsy is
relatively safe and efficient technique for vesical
stones in children with only very minor
complications occurring after the procedure.
(Rawal Med J 202;45:728-730).
Methodology: This case series study was
conducted at the department of urology, Islam
Medical and Dental College/teaching hospital,
Sialkot, Pakistan. A total of 73 children, aged 5 to
12 years, stone size 5mm to 1.5 cm with negative
urine culture prior to operation were enrolled from
March 2015 to March 2019. Mean age, mean
hospital stay, mean operation time, presenting
clinical features and post-operative complications,
rate of stone-free and fragmentation completion
post-operation were recorded.
Results: Mean patients age was 8.37±2.534
years, while mean size of stone was 1.04±0.29cm.
Peak age for stone was between 5 to 8 years.
Mean hospital stay was 1.04±0.7 days and mean
operating time was 39.03±16.5 minutes. Four
(5.5%) patients developed hematuria and four
(5.5%) had urine retention and six (8.2%)
developed dysuria. 97.3% patients were stonefree after the procedure and complete
fragmentation was accomplished in all cases.
