Sami Ullah, Ishtiaq Ahmed Chaudhary, Rehan Masood.
A comparison of open Vesicolithotomy and Cystolitholapaxy.
Pak J Med Sci Jan ;23(1):47-50.

Objectives: To compare Vesicolithotomy with Transurethral optical cystolitholapaxy. Design: Comparative Observational study. Study Period: Study was conducted at Department of Surgery, Fauji Foundation Hospital Rawalpindi, from October 2002 to April 2005. Patients and Methods: Study comprises of 40 patients, which were divided into two equal groups of twenty each. All patients having stones less than 30 mm in size were included. Group-I patients were treated with open vesicolithotomy and Group-II patients with transurethral optical cystolitholapaxy. Results: All 40 patients were between age of 16 -76 years (mean age 52 years and 54.5 years in Group-I and II respectively) and female to male ratio were 1:2.3. Average hospital stay was long (7.33 days) in Group-I. 2.5% patients had UTI postoperatively in both groups and transient haematuria (5%), urethral trauma (5%) and recurrent stone formation (5%) was noted in Group-II patients. Conclusion: Transurethral optical cystolitholapaxy is a better way of managing Vesical stones because it is minimally invasive with short hospital stay. Complications noticed with this procedure are minor and can be reduced by experienced surgeon.

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