The twin amplatz sheath method: a modified technique of percutaneous cystolithotripsy for large bladder stones in female patients

Amit Kumar; Deepansh Dalela; Divakar Dalela; Apul Goel; Sagorika Paul; Satya N Sankhwar

doi:10.4103/2006-8808.128757

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The twin amplatz sheath method: a modified technique of percutaneous cystolithotripsy for large bladder stones in female patients

Journal article

Peer reviewed

The twin amplatz sheath method: a modified technique of percutaneous cystolithotripsy for large bladder stones in female patients

Amit Kumar, Deepansh Dalela, Divakar Dalela, Apul Goel, Sagorika Paul and Satya N Sankhwar

Journal of surgical technique and case report, Vol.5(2), pp.109-111

07/01/2013

DOI: 10.4103/2006-8808.128757

PMCID: PMC3977324

PMID: 24741433

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Abstract

To minimize the operative time and to avoid open cystolithotomy in women with large bladder stone (>5 cm), we present here a modification of percutaneous cystolithotomy, a well-described standard procedure for urinary bladder stones. With this technique, suprapubic percutaneous access was achieved under cystoscopic guidance. The suprapubic tract was dilated and an Amplatz sheath of 30 Fr was placed. Simultaneously, the urethra was sequentially dilated with fascial dilators and a 28 Fr Amplatz sheath was guided into the bladder and the foot end of the table lowered to 20° to facilitate high-speed outflow of irrigant and stone particles. A 26.5 Fr nephroscope was passed through the suprapubic Amplatz sheath and the stone was fragmented by intracorporeal pneumatic device keeping the stone close to the proximal end of the urethral Amplatz. These maneuvers help in washing out stone fragments periurethrally and keeping the endoscopic vision clear while breaking the stone.

percutaneous cystolithotripsy

bladder stone

Amplatz sheath

Details

Title: Subtitle: The twin amplatz sheath method: a modified technique of percutaneous cystolithotripsy for large bladder stones in female patients
Creators: Amit Kumar - King George's Medical University
Deepansh Dalela - King George's Medical University
Divakar Dalela - King George's Medical University
Apul Goel - King George's Medical University
Sagorika Paul - King George's Medical University
Satya N Sankhwar - King George's Medical University
Resource Type: Journal article
Publication Details: Journal of surgical technique and case report, Vol.5(2), pp.109-111
DOI: 10.4103/2006-8808.128757
PMID: 24741433
PMCID: PMC3977324
NLM abbreviation: J Surg Tech Case Rep
ISSN: 2006-8808
eISSN: 0976-2825
Language: English
Date published: 07/01/2013
Academic Unit: Urology
Record Identifier: 9984949472002771

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