%0 Journal Article
%T Efficacy of the Egyptian pneumatic lithotriptor using cystoscopy in vesical calculi treatment Efficacit¨¦ du lithotripteur pneumatique Egyptien lors d\'une cystoscopie dans le traitement du calcul v¨¦sical
%A MA Azooz
%J African Journal of Urology
%D 2005
%I 
%X Objective: The majority of vesical calculi in adults can now be treated transurethrally with the use of different lithotriptors. The aim of this article was to study the effectiveness of the Egyptian pneumatic lithotriptor through a rigid cystoscope in the treatment of vesical calculi. Patients and Methods: Fourteen adult patients (12 males and 2 females) had single urinary bladder stones. Mean stone diameter was 20 mm. Through a cystoscopic sheath, a modified ureteric catheter was introduced into the bladder. Using the Egyptian pneumatic lithotriptor¨CKH. YG2, the pneumatic probes (rigid or flexible) were passed through the catheter for stone disintegration. Results: Successful stone disintegration was recorded in 13 patients (92.9%) where the patients were stone-free at the end of the procedure. Failure of stone fragmentation occurred in one case (7.1%). The stone was removed surgically. Its chemical composition was found to be calcium oxalate monohydrate. The average time of cystolithotripsy was 35 minutes. Hospitalization ranged from 12 to 24 hours which was longer (2 to 4 days) for those patients who had undergone other procedures. Minor complications such as mild hematuria (100%) and cystitis (21.4%) were observed. No major complications were noted. Conclusion: The use of the Egyptian lithotriptor during cytoscopy has been found to be an effective, easy, safe and economical method for the treatment of vesical stones. Resume Objectifs: La majorit¨¦ des calculs v¨¦sicaux chez les adultes peuvent actuellement ¨ºtre trait¨¦s par voie trans-ur¨¦thrale grace ¨¤ des lithotripteurs. Notre but est d\'¨¦tudier l\'efficacit¨¦ du lithotripteur pneumatique ¨¦gyptien lors d\'une cystoscopie rigide dans le traitement de calculs v¨¦sicaux. Patients et m¨¦thodes: Quatorze patients adultes (12 hommes et 2 femmes) pr¨¦sentaient des lithiases de la vessie seules. Le diam¨¨tre moyen des lithiases ¨¦tait de 20 mm. ¨¤ travers une gaine cystoscopique, une sonde ur¨¦t¨¦rale modifi¨¦e est introduite dans la vessie. On a utilis¨¦ le lithotripteur pneumatique ¨¦gyptien-KH. YG2, les tiges des lithotripteurs pneumatiques (rigide ou flexible) ont ¨¦t¨¦ introduites dans la sonde pour la d¨¦sint¨¦gration des lithiases. R¨¦sultats: Une d¨¦sint¨¦gration lithiasique compl¨¨te avec stone-free a ¨¦t¨¦ enregistr¨¦e chez 13 patients (92.9%). L\'¨¦chec de fragmentation de lithiase s\'est produit dans un cas (7.1%). La lithiase a ¨¦t¨¦ enlev¨¦e chirurgicalement et sa composition chimique ¨¦tait monohydrate d\'oxalate de calcium. Le temps moyen de cystolithotripsie ¨¦tait de 35 minutes. L\'hospitalisation a vari¨¦ de 12 ¨¤ 24 heures, il ¨¦tait plus long (2 ¨¤ 4 jours) pour les patients qui avaient subi d\'autres proc¨¦dures. Des complications mineures ¨¤ type d\'hematurie l¨¦g¨¨re (100%) et de cystite (21.4%) ont ¨¦t¨¦ observ¨¦s. Aucune complication majeure n\'a ¨¦t¨¦ not¨¦e. Conclusion: L\'utilisation du lithotripteur ¨¦gyptien pendant la cystoscopie est une m¨¦thode efficace, facile, s re et ¨¦conomique pour le traitement de lithiases
%U http://www.ajol.info/index.php/aju/article/view/8108