Common complications of transurethral pneumatic lithotripsy in children with bladder stone disease at a Tertiary care Hospital HMC Peshawar

Original Article

Abstract

Background: Medical literature has long documented the occurrence of urinary bladder stones. The Hippocratic oath's declaration that "I will not cut for bladder stone, even for patients in whom the disease is manifest1,2" contains the oldest mention of bladder stones. This study will give us the most recent data on the frequency of erectile dysfunction and retrograde ejaculation among patients with benign prostatic hyperplasia following a two-month course of treatment with dutasteride and tamsulosin, as no such study has been carried out in our population in the previous five years. Furthermore, the study's findings will be shared with other medical professionals and used in future investigations.

 Objective: to assess the prevalence of transurethral pneumatic lithotripsy consequences in children with bladder stone illness

Study design: a descriptive study

Duration and place of study: from July 1, 2022, to June 30, 2023, from the Department of Urology, hmc, Peshawar

Methodology: 369 kids with bladder stones were the subjects of this research, which ran from July 1, 2022, to June 30, 2023, at the Department of Urology, HMC, Peshawar. A suitable nonprobability sampling approach was used in the selection process. All the stones were broken up using a paediatric straight working channel, a pneumatic Swiss lithoclast, and a cystoscope. In SPSS 22, data analysis was done.

Results: The research sample had a mean age of 7 years, SD = 8.43. 32% of patients were female, and 68% were male. Common complications were bladder perforation, which affected 5% of patients; hematuria, which involved 7% of patients; acute urine retention, which involved 4% of patients; and fever, which affected 7% of patients. 

Conclusion: According to our research, bladder perforation occurred 5% of the time after transurethral pneumatic lithotripsy, hematuria 7% of the time, acute urine retention 4% of the time, and fever 7% of the time in children with bladder stone illness. 

Keyword: complications, transurethral pneumatic lithotripsy, pediatric bladder stone diseases