Many surgical procedures are been used to remove the bladder stones. Recently percutaneous suprapubic cystolithotripsy (PCCL), extracorporeal shock wave lithotripsy, transurethral cystolothotripsy and have become popular for the treatment of choice. But percutaneous suprapubic cystolithotripsy was well established procedure with high efficacy and less complications mainly with large bladder stones (or) bladder calculi.
PROCEDURE OF PCCL:
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The treatment was performed under general anesthesia, and the equipment used was same as for upper tract endourology.
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Initially after anesthesia the bladder was distended with saline and a suprapubic puncture made.
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The nephroscope was inserted after tract dilation and the stone removal, incase if small or after fragmentation if >1 cm.
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The treatment was performed without fluoroscopy. A suprapubic catheter was left for 48 hours.
PCCL has several advantages compared to transurethral treatment; it will allow for better view of the exact location of the stones, and causes no uretheral injury and has no limits, particularly in the patients with enlarged prostatic adenomas. No major intraoperative risks will occur. The entire procedure was well tolerated, and no major differences were found.
By this PCCL procedure have some side effects may also arise like fever, body aches , chills, blood or pus from urine, pain in back just below the rib cage, lower abdomen pain, urine leaking from stoma or urethra. If the above side effects seen immediate medical care is necessary.
Ask the primary healthcare provider after removal of the catheter or replaced with a new catheter. Risk of infection is superior the longer has a catheter. Right care and cleaning of the catheter, its insertion site and the drainage bag. Drinking liquids for at least 9 to 13 glasses of water per a day and juice, milk. Good hand cleanliness is the good way to minimizes the infections.
