Sathaye Ulhas V
Division of Urology, M.P. Shah Medical College, Jamnagar, India.
J Endourol. 2003 Sep;17(7):511-2; discussion 513. doi: 10.1089/089277903769013694.
Large urinary bladder stones occupying the whole lumen are still encountered. Conventionally, an open suprapubic cystolithotomy (SPCL) has been the accepted treatment of choice. The other method described is suprapubic percutaneous lithotripsy. The present paper describes complete stone clearance in adults by the urethral route using a conventional nephroscope, a pneumatic lithotripter, and an evacuator. An additional procedure to treat outlet obstruction is performed when required. Although the procedure takes a long time, stone clearance is complete, and the procedure is free from any complications. This technique should be offered to all adults, as it has negligible morbidity.
仍会遇到占据整个管腔的巨大膀胱结石。传统上，开放性耻骨上膀胱切开取石术（SPCL）一直是公认的首选治疗方法。描述的另一种方法是耻骨上经皮碎石术。本文描述了使用传统肾镜、气压弹道碎石机和排空器经尿道途径在成人中实现结石完全清除的方法。必要时进行额外的治疗出口梗阻的手术。虽然该手术耗时较长，但结石清除彻底，且无任何并发症。由于该技术的发病率可忽略不计，应向所有成年人提供此技术。
