Voiding urohydropropulsion - Lessons from 5 years of experience

Voiding urohydropropulsion is a nonsurgical method of removing uroliths fro m the urinary bladder. Any urocystolith of sufficient size to pass through the distended urethral lumen can be safely and effectively removed by this technique. Compared to cystotomy, voiding urohydropropulsion offers several advantages: urolith removal can be performed in minutes, anesthetic period is shorter, postprocedural dysuria and hematuria are less severe, and it p rovides greater success for complete removal of small urocystoliths. This t echnique is not suitable for removal of large urocystoliths or uroliths tha t become lodged in the urethral lumen.