Combination of ballistic lithotripsy and transurethral prostatectomy in bladder stones with benign prostatic hyperplasia: report of 120 cases.
OBJECTIVE
We report our experience with the combination of ballistic lithotripsy (BL) and transurethral resection of the prostate (TURP) in 120 patients with benign prostatic hyperplasia (BPH) and bladder stone(s).


METHODS
The mean stone size, appreciated by measuring the greatest diameter, was 18.5 mm (range 10-80 mm). The mean prostate volume was 35.4 cc (26-62 cc). All procedures were monitored under direct endoscopic control with a videocamera.


RESULTS
Lithotripsy and evacuation of fragments was performed in an average time of 27.5 minutes (10-80 minutes). The only intraoperative complication was mild hematuria in 38 patients (32%), which did not affect vision for TURP. The mean resection time was 42 minutes (range 15-65 minutes). Four patients experienced mild postoperative bleeding, and one patient had clot retention. The mean hospital stay was 1.2 days (range 1-4 days).


CONCLUSIONS
Combined BL and TURP is effective, safe, and economical.
Chtourou
M
M
Department of Urology, La Rabta Hospital, Tunis, Tunisia. maher_chtourou@naplesnews.net
Ben Younes
A
A
Binous
M Y
MY
Attyaoui
F
F
Horchani
A
A
D000368:Aged; D000369:Aged, 80 and over; D002129:Calcium Oxalate / Q000032:analysis; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000150:complications*; D020728:Transurethral Resection of Prostate / Q000009:adverse effects; D001744:Urinary Bladder Calculi / Q000737:chemistry / Q000150:complications* / Q000628:therapy*
D002129:Calcium Oxalate