Association of Synchronous Transurethral Surgeries or Transrectal Prostate Biopsy with Early Postoperative Complications In the Endoscopic Treatment of Bladder Stones

Öz

Objective: To invastigate the effect of synchronous transurethral surgeries or transrectal prostate biopsy on complications in endoscoic bladder stone treatment. Methods: Between January 2016 and December 2021, 402 patient who aged 18 years and older, underwent endoscopic bladder stone surgery were retrospectively analyzed. 345 patients were included in the study, after the exclusion criteria were determined. Patients were divided into 2 groups according to the applied surgical treatments. Group 1(n=174) involved patients who underwent endoscopic bladder stone surgery alone and Group 2(n=171) who underwent TUR-P/TUIP/DVIU or TUR-BT or URS or TRUS-BX in the combination with endoscopic bladder stone treatment. Age, etiology, surgical treatments, operation times, hospitalization times and postoperative complications were compared. Results: Mean age of the patients was 60 (SD=15, range=18-93) years. Mean (SD) stone size was measured as 3 (2.2) cm. There was no difference in patient age and stone size between the groups. Complications of both Clavien 2 and above, Clavien 3A and above were statistically significantly higher in Group 2 (p=0,019; p=0,030). There was no relationship between complications and comorbidities. Operation and hospitalization times were statistically significantly shorter in Group 1 (p= 0,033; p=0,020). Conclusion: We observed an increase in early postoperative complications in TUR-BT or TRUS-BX surgeries performed synchronously with bladder stone treatment. Therefore, patients may need additional postoperative endoscopic procedures and may prolong hospitalization time.

Anahtar Kelimeler

• Image-Guided Biopsy
• Postoperative Complications
• Transurethral Resection of Prostate
• Urinary Bladder Calculi

Kaynakça

1. 1. Schwartz BF, Stoller ML. The vesical calculus. Urol Clin North Am. 2000 May;27(2):333-46.
2. 2. Ramello A, Vitale C, Marangella M. Epidemiology of nephrolithiasis. J Nephrol. 2000 Nov-Dec;13 Suppl 3:S45-50.
3. 3. Takasaki E, Suzuki T, Honda M, Imai T, Maeda S, Hosoya Y. Chemical compositions of 300 lower urinary tract calculi and associated disorders in the urinary tract. Urol Int. 1995;54(2):89-94.
4. 4. Kum F, Mahmalji W, Hale J, Thomas K, Bultitude M, Glass J. Do stones still kill? An analysis of death from stone disease 1999-2013 in England and Wales. BJU Int. 2016 Jul;118(1):140-4.
5. 5. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205-13.
6. 6. Razvi HA, Song TY, Denstedt JD. Management of vesical calculi: comparison of lithotripsy devices. J Endourol. 1996 Dec;10(6):559-63.
7. 7. Molla YD, Getahun GM, Assefa MA. Giant bladder stone a rare cause of renal failure, a case report. Int J Surg Case Rep. 2023 Apr;105:108085.
8. 8. Millán-Rodríguez F, Errando-Smet C, Rousaud-Barón F, Izquierdo-Latorre F, Rousaud-Barón A, Villavicencio-Mavrich H. Urodynamic findings before and after noninvasive management of bladder calculi. BJU Int. 2004 Jun;93(9):1267-70.

9. 9. Papatsoris AG, Varkarakis I, Dellis A, Deliveliotis C. Bladder lithiasis: from open surgery to lithotripsy. Urol Res. 2006 Jun;34(3):163-7.
10. 10. Douenias R, Rich M, Badlani G, Mazor D, Smith A. Predisposing factors in bladder calculi. Review of 100 cases. Urology. 1991 Mar;37(3):240-3.
11. 11. Donaldson JF, Ruhayel Y, Skolarikos A, et al. Treatment of Bladder Stones in Adults and Children: A Systematic Review and Meta-analysis on Behalf of the European Association of Urology Urolithiasis Guideline Panel. Eur Urol. 2019 Sep;76(3):352-367.
12. 12. Torricelli FC, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev Col Bras Cir. 2013 May-Jun;40(3):227-33.
13. 13. Bansal A, Kumar M, Sankhwar S, et al. Prospective randomized comparison of three endoscopic modalities used in treatment of bladder stones. Urologia. 2016 May 24;83(2):87-92.
14. 14. Maresca G, Mc Clinton S, Swami S, El-Mokadem I, Donaldson JF. Do men with bladder stones benefit from treatment of benign prostatic obstruction? BJU Int. 2022 Nov;130(5):619-627.
15. 15. Shah HN, Hegde SS, Shah JN, Mahajan AP, Bansal MB. Simultaneous transurethral cystolithotripsy with holmium laser enucleation of the prostate: a prospective feasibility study and review of literature. BJU Int. 2007 Mar;99(3):595-600.
16. 16. Guo RQ, Yu W, Meng YS, et al. Correlation of benign prostatic obstruction-related complications with clinical outcomes in patients after transurethral resection of the prostate. Kaohsiung J Med Sci. 2017 Mar;33(3):144-151. 17. Romero-Otero J, García González L, García-Gómez B, et al. Analysis of Holmium Laser Enucleation of the Prostate in a High-Volume Center: The Impact of Concomitant Holmium Laser Cystolitholapaxy. J Endourol. 2019 Jul;33(7):564-569. 18. Isen K, Em S, Kilic V, Utku V, Bogatekin S, Ergin H. Management of bladder stones with pneumatic lithotripsy using a ureteroscope in children. J Endourol. 2008 May;22(5):1037-40.