Articles Vol. 67 No. 9 25/09/2026

CLINICAL CHARACTERISTICS, IMAGING, AND OUTCOMES OF ENDOSCOPIC MECHANICAL LITHOTRIPSY FOR BLADDER STONES AT THAI BINH UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

To Hoang Dung, Lai Ngoc Thang, Pham Tat Thanh, Nguyen Cong Son, Ngo Tuan Minh
DOI: 10.52163/yhc.v67i9.6603
1 Views
0 Downloads
Abstract

Objective: To describe the clinical characteristics, imaging, and treatment outcomes of bladder stones using endoscopic mechanical lithotripsy at Thai Binh Medical University Hospital. Subjects and methods: A retrospective, descriptive, cross-sectional study of 53 patients diagnosed and treated for bladder stones using endoscopic mechanical lithotripsy at Thai Binh Medical University Hospital from 1/ 2022 to 6/2024. Results: The most common reasons for admission were dysuria (50.9%), followed by urinary obstruction (3.8%). Very hard stones accounted for 25.5%. The most common stone size was 1-2 cm (66.1%). Single stones accounted for 81.1%. The stone fragmentation rate was 100%, with no intraoperative complications. The average surgical time was 36.4 ± 9.5 minutes. The average postoperative duration was 4.4 ± 1.4 days. The postoperative complication rate was 9.5%. The treatment outcomes at discharge were mostly good, accounting for 90.5%. Conclusion: The clinical and imaging manifestations of bladder stones are quite diverse and non-specific. Treatment of bladder stones by mechanical lithotripsy is an effective method with a relatively low complication rate.

References
[1]
1. Đỗ Trường Thành (2021). Sỏi bàng quang. In: Bệnh học thận - tiết niệu, Nhà xuất bản Y học: 208-11. Google Scholar
[2]
2. Sathaye U. V. (2003). Per-urethral endoscopic management of bladder stones: does size matter? J Endourol, 17(7): 511-2; discussion 3. DOI: 10.1089/089277903769013694 Google Scholar
[3]
3. Lê Kế Nghiệp, Đàm Văn Cương (2013). Điều trị sỏi bàng quang bằngtán sỏi cơ học tại bệnh viện Đa khoa Trung ương Cần Thơ. Tập san nghiên cứu khoa học 8: 122-4. Google Scholar
[4]
4. Vũ Hồng Thịnh, Nguyễn Minh Quang (2021). Lấy sỏi bàng quang qua đường niệu đạo tại bệnh viện y dược. Tạp chí Y Học TP. Hồ Chí Minh, 9 (phụ bản số 1). Google Scholar
[5]
5. Đỗ Phú Đông (1990). Sáu trăm ca tán sỏi bàng quang. Tạp chí Ngoại khoa, 3(18): 24-9. Google Scholar
[6]
6. Đàm Văn Cương (1995). Góp phần nghiên cứu điều trị sỏi bàng quang bằng phương pháp tán sỏi cơ học, Luận văn thạc sĩ y học, Học viện Quân y. Google Scholar
[7]
7. Youssef F. R., Wilkinson B. A., Hastie K. J., et al. (2012). Is pre-operative imaging essential prior to ureteric stone surgery? Ann R Coll Surg Engl, 94(6): 428-31. DOI: 10.1308/003588412x13373405385458. Google Scholar
[8]
8. Ibrahim A. K. (2014). Urinary bladder stone complicating ventriculovesical shunt. Sultan Qaboos Univ Med J, 14(1): e142-4. DOI: 10.12816/0003351. Google Scholar