Modified operative technology for bladder stone and bladder output obstruction combined therapy

Purpose: To report our experience about a modified operative technology concerning the bladder stones management while the patients with hyperplasia of prostate and bladder output obstruction.

Materials and Methods: A total 12 male patients with benign prostatic hyperplasia (BPH) and bladder stone (s) were included from Jun 2011 to Sep 2015. The patients are treated with combination of transurethral cystolithotripsy with Holmium laser and transurethral resection of the prostate (TURP) using the 26F resectoscope (Olympus monopolar) at the same time. The effectiveness and safety of the novel method were evaluated.

Results: We reviewed the records of 12 patients undergoing transurethral cystolithotripsy with holmium laser and simultaneous transurethral resection of prostate (TURP). The mean bladder stone size was 1.68 cm and the mean operation time was 144 minutes. The average weight of resection prostate chip was 33gm and the stone fragments were large size. Stone fragments were removed completely and TURP procedures were done successfully in all of the patients without TURP syndrome. Mild hematuria was found more frequently.

Conclusion: A modified operative technology that using the same 26Fr resectoscope for transurethral laser cystolithotripsy and TURP is an effective and safe minimally invasive treatment for bladder stones in patients with BPH. It is lower complication rates and can reduce the possibility of TURP syndrome.