Concurrent transurethral prostate resection and suprapubic percutaneous bladder stone removal

International Conference on Prostate Cancer

June 22-24, 2015 Florida, USA

Zeki Aktas1, Furkan Dursun1, Murat Zor1, Ercan Malkoc1, Omer Bakal2, Ferhat Ates1, Seref Basal1 and Kenan Karademir1

Posters-Accepted Abstracts: J Cancer Sci Ther

Abstract :

Background & Aims: To present the efficacy and safety of a concurrent transurethral prostate resection (TURP) and suprapubic percutaneous bladder stone removal (PBSR). Material & Methods: Three consecutive men treated with combined TURPP and PBSR was reported in the study. Percutaneous 30 F accesses were obtained under cystoscopic guidance fragmentation and stone removal was performed with a Swiss lithoclast pneumatic lithotripter through percutaneous route. Suprapubic and transurethral catheters were placed postoperatively. Results: The patients age and prostate volume were 58, 65, 63 years and 50, 55, 50 cc, respectively. The first and the third patient had 3 bladder stones with 2 cm longitudinal diameter. The second one had 2 bladder stones with 1.5 cm diameter in its maximum diameter. In the first patient the operation started with PBSR and finished with TURP. In the second part (prostate resection) of the operation we observed severe irrigation fluid extravasation which required introduction of another drainage catheter to the perivesical area. In the latter two we performed TURP initially and then the PBSR. No significant intra/postoperative complications were seen in these two patients and discharged on the postoperative third day. Conclusion: Several studies demonstrated the efficacy and safety of combined TURP and PBSR in the patients with prostate hyperplasia and large bladder stone and thus proposed this technique as a good and faster alternative to the classic transurethral lithotripsy. But on the flip side care must be taken in order to prevent fluid extravasation especially if the procedure initially starts with percutaneous stone removal.