D'Souza Nischith, Verma Ashish
Department of Urology, Yenepoya Medical College and Hospital, Derlakatte, Mangalore, Karnataka, India.
Arab J Urol. 2016 Jul 11;14(3):203-6. doi: 10.1016/j.aju.2016.06.002. eCollection 2016 Sep.
To investigate the feasibility and effectiveness of transurethral holmium laser cystolithotripsy (HLC) under local anaesthesia using a flexible cystoscope.
A prospective study was undertaken from January 2013 to June 2015. In all, 37 men with bladder calculi underwent HLC under local anaesthesia, preferably in a lithotomy position using a flexible cystoscope, followed by per urethral Foley catheter placement postoperatively.
The mean (SD; range) patient age was 46.6 (5.6; 32-76) years. All patients were rendered stone-free, regardless of stone size. The mean (SD; range) stone size was 2.1 (1.2; 1.4-4.1) cm and operative time was 35 (6; 26-52) min. The whole procedure was well tolerated and there were no major intraoperative complications. The mean (SD; range) hospital stay was 2.4 (1.5; 1-5) days. After a mean follow-up of 6 months, no recurrent stones, urinary retention or urethral strictures had developed.
Transurethral HLC using a flexible cystoscope under local anaesthesia is a safe and effective technique for the treatment of bladder calculi and can be used as an alternative treatment option.
探讨在局部麻醉下使用软性膀胱镜行经尿道钬激光膀胱结石碎石术（HLC）的可行性和有效性。
2013年1月至2015年6月进行了一项前瞻性研究。共有37例膀胱结石男性患者在局部麻醉下接受了HLC，最好采用截石位，使用软性膀胱镜，术后经尿道留置Foley导尿管。
患者平均（标准差；范围）年龄为46.6（5.6；32 - 76）岁。所有患者结石均清除，无论结石大小。结石平均（标准差；范围）大小为2.1（1.2；1.4 - 4.1）cm，手术时间为35（6；26 - 52）分钟。整个手术耐受性良好，无术中重大并发症。平均（标准差；范围）住院时间为2.4（1.5；1 - 5）天。平均随访6个月后，未出现结石复发、尿潴留或尿道狭窄。
在局部麻醉下使用软性膀胱镜行经尿道HLC是治疗膀胱结石的一种安全有效的技术，可作为替代治疗选择。
