BACKGROUND AND PURPOSE: The treatment options available for managing @entity3226 include transurethral cystolithotripsy, open cystolithotomy, and shockwave lithotripsy. For larger calculi, transurethral treatment can be time consuming, and the manipulation has the potential to cause @entity130 . Percutaneous suprapubic cystolithotripsy represents another treatment option for @entity3226 which is effective and minimally invasive. @entity1 AND METHODS: Fifteen @entity1 had @entity3226 treated with percutaneous cystolithotripsy over a 3-year period. The mean stone size was 39 mm (range 10-64 mm). Stones were single in seven @entity1 and multiple in eight @entity1 . The indications for cystolithotripsy were stone size >3 cm, multiple stones >1 cm, and inability to perform transurethral cystolithotripsy because of @entity1 anatomy. Percutaneous suprapubic cystolithotripsy was done through either a 30F or a 36F cystotomy tract. Fragmentation and removal was performed with a 26F rigid nephroscope and the pneumatic Swiss Lithoclast. Suprapubic and urethral catheters were placed postoperatively in all @entity1 . RESULTS: Each @entity1 was cleared of the stone burden with a single procedure, and there were no major complications. The mean duration of suprapubic catheterization was 2.6 (range 1-5) days. CONCLUSION: Percutaneous suprapubic cystolithotripsy is an effective and safe technique for treating large @entity3226 . It is minimally invasive, avoids @entity130 , and, in combination with the pneumatic Swiss Lithoclast, can be used to fragment and remove large and hard @entity3226 .

Percutaneous suprapubic cystolithotripsy for treatment of large XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity3226 :: ('MESH:D001744', 'Disease') :: ['bladder calculi'] @entity130 :: ('MESH:D014947', 'Disease') :: ['urethral injury']
@entity3226 :: (MESH:D001744,Disease) :: ['bladder calculi']
