علاج حصوة المثانة الكثيفة للأشعة على صورة الأشعة السينية في البالغين

References

• Offer adults with bladder stones transurethral cystolithotripsy where possible.
• However, plain X-ray provides information on radio-opacity which may guide treatment and follow-up.
• Perform transurethral cystolithotripsy with a continuous flow instrument in adults (e.g., nephroscope or resectoscope) where possible.
• Offer adults percutaneous cystolithotripsy where transurethral cystolithotripsy is not possible or advisable.
• Suggest open cystolithotomy as an option for very large bladder stones in adults and children.
• Open, laparoscopic, and extracorporeal shock wave lithotripsy are alternative treatments where endoscopic treatment is not advisable in adults and children.
• In both adults and children, transurethral cystolithotripsy provides high SFRs and appears to be safe, with a very low-risk of unplanned procedures and major post-operative and late complications.