Comparison of percutaneous vs. open cystolithotomy for urinary bladder stone in pediatric population

Abstract

Introduction: Urinary Bladder stone can result in variety of lower urinary tract symptoms. Bladder stone is common in extreme of ages i.e. pediatric population and geriatic population. Overall prevelance of the disease is not that high. With increase in health care facilities and screening investigations like ultrasound, this condition is easily diagnosed. Traditionally just like renal or ureteric stones open cystolithotomy was the treatment of choice but with advancement in endourological instruments and miniturization it is now frequently dealt by minimally invasive techniques like percutaneous cystolithotomy. The aim of our study was to compare the results of urinary bladder stone surgical managements. Methods: After ERC approval we conducted this descriptive retrospective study. For data collection record of pediatric patients admitted in Urology Unit, Khyber Teaching Hospital Peshawar Pakistan during the period from April 2022 to January 2023 was used. 110 pediatric patients with urinary bladder (UB) stones who underwent surgery were enrolled in our study. According to type of intervention, patients were stratified into two groups, (Group O) underwent open cystolithotomy, and (Group P) underwent endo-urological treatment via the percutaneous route.60 patients underwent open cystolithotomy (OCL), while 50 patients  underwent percutaneous cystolithotomy (PCCL).