Frequency of complications of transurethral pneumatic lithotripsy in pediatric bladder stone disease.

Farman Ullah, Tanzeel Gazder, Sanjeet Therani, Izhar Ali, Hamza Akhtar, Usman Qamar, Syed Rabiullah, Mazahir Zulfiqar
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Abstract

Background: Despite advancements, underdeveloped countries continue to face the burden of widespread illness causing pain, often attributed to factors like low nutrition and recurring infections, particularly vitamin A deficiency. Methodology: This descriptive study employed a non probability convenient sampling technique and was conducted at the Urology Department of Lady Reading Hospital, Peshawar. The investigation spanned six months from January 25, 2019, to June 25, 2019. The study encompas sed a cohort of 369 patients, each subjected to comprehensive urine tests and detailed history and physical examinations. Procedures were performed under general anesthesia, utilizing Pediatric URS and pneumatic intracorporeal lithotripsy with Swiss lithoc last for bladder stone treatment. A 48 hour post treatment observation period assessed common intraoperative and postoperative consequences of transurethral pneumatic lithotripsy, including hematuria, bladder perforation, acute urine retention, and fever. Results: Among the participants, 32% were female, and 68% were male. Notably, 5% experienced bladder perforation, 7% had hematuria, 4% exhibited acute urinary retention, and 7% presented with fever. Conclusion: This study highlights complications of transurethral pneumatic lithotripsy in pediatric bladder stone disease, including bladder perforation, hematuria, acute urinary retention, and fever, providing crucial insights for clinical decisions.
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经尿道气压弹道碎石术治疗儿童膀胱结石并发症的发生率。
背景:尽管取得了进步,但欠发达国家仍然面临着广泛的疾病引发疼痛的负担,这通常归因于营养不良和反复感染等因素,尤其是维生素A缺乏。方法:这项描述性研究采用了非概率方便抽样技术,在白沙瓦雷丁夫人医院泌尿外科进行。调查从2019年1月25日到2019年6月25日,历时六个月。这项研究包括369名患者,每个患者都接受了全面的尿液测试、详细的病史和身体检查。手术在全身麻醉下进行,利用儿科输尿管镜碎石术和瑞士碎石联合气压弹道碎石术治疗膀胱结石。治疗后48小时的观察期评估了经尿道气压弹道碎石术的常见术中和术后后果,包括血尿、膀胱穿孔、急性尿潴留和发烧。结果:在参与者中,32%为女性,68%为男性。值得注意的是,5%出现膀胱穿孔,7%出现血尿,4%出现急性尿潴留,7%出现发烧。结论:本研究强调了经尿道气压弹道碎石术治疗儿童膀胱结石的并发症,包括膀胱穿孔、血尿、急性尿潴留和发烧,为临床决策提供了重要见解。
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审稿时长
12 weeks
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