Combined TURP with Bladder Stones Removal: In Management of Infravesical Obstruction and Large, Multiple Bladder Stones

Abstract

Bladder stones are the most common manifestation of lower urinary tract, currently accounting for 5% of all urinary stone disease. Treatment of infravesical obstruction and large, multiple bladder stones through transurethral lithotripsy(TULT) and resection of the prostate has been reported to be difficult and to bear a high incidence of morbidity in the presence of large, hard, or multiple stones. Here we present a retrospective analysis of the patients requiring surgical management for prostatic hyperplasia, transurethral resection of the prostate (TURP) can be safely performed after percutaneous cystolitholapaxy or cystolithotripsy or cystolithotomy and is highly successful in clearing bladder stones and less traumatic than transurethral approaches at the same setting with less morbidity and less cost to the patient.