title: Catheter-less suprapubic cystolithotomy in children.
abstract: Bladder stones in children are common in developing countries and the procedure of choice for their removal is suprapubic cystolithotomy. It is standard practice to drain the bladder for a few days post-operatively to prevent urinary leakage. We have observed that, if the bladder is closed meticulously in 2 layers, bladder drainage by means of a catheter is not required. We have analysed 86 children treated by suprapubic cystolithotomy without a catheter. Size of the stones and intra-operative findings were noted and it was found that 85% of the patients had an excellent result; 10% had a satisfactory result and 4.7% were unsatisfactory. The advantages of the procedure and selection of the patients are discussed.
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal General Hospital and Medical College, Bombay, India.
authors.forename: R B
authors.initials: RB
authors.lastname: Sabnis
authors.forename: R M
authors.initials: RM
authors.lastname: Desai
authors.forename: D P
authors.initials: DP
authors.lastname: Patil
authors.forename: S D
authors.initials: SD
authors.lastname: Bapat
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D001743:Urinary Bladder / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000473:pathology / Q000601:surgery*; D014546:Urinary Catheterization