Özet:

INTRODUCTION: In this study, we aimed to compare the success and complications rate of percutaneous cystolithotripsy (PCCL) and transurethral cystolithotripsy (TUCL) techniques that was performed during simultaneous transurethral resection of the prostate ( TURP). METHODS: Forty-four patient with benign prostate hyperplasia (BPH) and bladder stones were enrolled in the study between June 2011 and May 2015. In patients who had stone size ≥ 30 mm, TURP combined with PCCL (n = 28), while stone sizes <30 mm were performed TURP and TUCL (n = 16). In TUCL group, the stones were removed through a 23 F cystolithotripter after fragmentation with pneumatic lithotripsy. TURP was then performed. In PCCL group, suprapubic access was applied under cystoscopic guidance. A 30 F Amplantz sheath was inserted. All bladder stones fragmented via pneumatic lithotripter were removed. Next, TURP was performed. RESULTS: Average age and prostate volume were similar in both groups. Mean stone size of the PCCL group was 46.67±6.59, in TUCL group was 22.87±3.64 (p< 0.001). In PCCL group cystolithotripsy time was 32.92±10.06 minutes, while in the TUCL group was 42.12±11.68 minutes (p=0.009). All patients was achieved stone-free in both groups. Urethral stricture developed in two patients in the TUCL group. Mean follow-up time was 6 months. DISCUSSION AND CONCLUSION: TUCL and PCCL has similar success rates in the treatment of bladder stones. In PCCL the operation time is shorter than TUCL and A safer method with compared to TUCL in large bladder stones. In TUCL seen more complications such as urethral stricture.

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