Use of Amplatz sheath in male urethra during cystolitholapaxy
of large bladder calculi.
The patient was offered cystolitholapaxy for the stones, and she was taught to practice Kegel exercises.
Cystolitholapaxy, which is a procedure to break up bladder stones into smaller pieces and remove them, was completed as an elective admission.
Two patients developed kidneys stones, and 5 patients got bladder stones, which were treated with ESWL, URS laser lithotripsy, and cystolitholapaxy
Maheshwari, "The Amplatz sheath in the female urethra: a safe and effective approach for cystolitholapaxy," British Journal of Urology, vol.
Gupta, "Use of Amplatz sheath in male urethra during cystolitholapaxy of large bladder calculi," Urology, vol.
2 28.57 Ureterolithotomy 2 28.57 Total 7 100 Table 12: Effect of Different cycles of Forced Diuresis on the Urine Microscopic Examination (n-121) Number of Cases No.
The second most common reason for acute hospital admission was complications of neurogenic bladder, including urinary tract infection, urinary retention, traumatic hypospadias, stent placement for renal calculi, and cystolitholapaxy
. We documented acute admissions directly associated with MS disease activity in 13 admissions, 8 of these were in patients with RRMS (Table 2).
These approaches have improved the surgical outcomes of PCNL, reducing both postoperative pain and length of stay.[sup.2,4]-[sup.6] Despite this, and despite the potential financial benefits to the healthcare system, few centres have explored the use of tubeless PCNL as an outpatient procedure.[sup.7]-[sup.9] To the best of our knowledge, there is only 1 published report on standard PCNL done on an outpatient basis, and this report involved 5 patients.[sup.10] Our report represents the first published case of tubeless PCNL with simultaneous cystolitholapaxy completed on an outpatient basis.
Given the size of the stone and the complex, encrusted stent, we recommended that the patient undergo a combination left PCNL and cystolitholapaxy. Informed consent was obtained.
He underwent cystoscopy, retrograde pyelogram, ureteroscopy, intracorporeal lithotripsy and cystolitholapaxy
. A Fr 6 x 24-cm Tecoflex polyurethane double pigtail ureteral stents (R&D Tech Inc, Groton, Massachusetts, USA) was inserted due to complicated ureteroscopy.
At cystoscopy, a bladder stone was observed and the patient was scheduled for laser cystolitholapaxy
under general anesthetic.