Comparison of the Efficacy of Transurethral Cystolithotripsy and Percutaneous Cystolithotomy in the Treatment of Male Children with 20–30 mm Bladder Stones: A Retrospective Study

• Yichun Xie ^[1] ; Mingchun Zhang ^[1] ; Ke Liu ^[1]
  1. [1] Department of Urology, Yiwu Fuyuan Private Hospital, 322000 Yiwu, Zhejiang, China
• Localización: Archivos españoles de urología, ISSN 0004-0614, Tomo 78, Nº. 1, 2025, págs. 71-76
• Idioma: español
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• Resumen

  • Objective: This study aimed to evaluate the clinical efficacy and safety of transurethral cystolithotripsy (TUCL) and percutaneous cystolithotomy (PCCL) in treating 20–30 mm bladder stones in male children.

    Methods: Data on 62 male children of ≤16 years of age who were admitted to our hospital with bladder stones between January 2020 and December 2023 were retrospectively collected. The patients were categorised into a TUCL group (TUCL, n = 32) and a PCCL group (PCCL, n = 30) according to the employed surgical method. Operative time, stone-free rate (SFR), complication incidence, and general information of the patients were compared between the two groups.

    Results: No significant differences in age, stone size, composition, and other general medical history were observed between the two groups (p > 0.05). SFR was 100% in both groups, but the operative time in the TUCL group was significantly longer than that in the PCCL group (p < 0.05). Furthermore, catheter indwelling time in the TUCL group was significantly shorter than that in the PCCL group (p < 0.05). No significant difference in the overall complication incidence was found between the two groups (p > 0.05), whereas the number of urinary retention cases was higher in the TUCL group than in the PCCL group.

    Conclusions: TUCL and PCCL are effective surgical methods for treating 20–30 mm bladder stones in male children. Compared to TUCL, PCCL may be the preferred option owing to its relatively shorter operative time and lower complication rate.