Combination of ballistic lithotripsy and transurethral prostatectomy in bladder stones with benign prostatic hyperplasia: Report of 120 cases

Purpose: We report our experience with the combination of ballistic lithotr ipsy (BL) and transurethral resection of the prostate (TURP) in 120 patient s with benign prostatic hyperplasia (BPH) and bladder stone(s). Patients and Methods: The mean stone size, appreciated by measuring the gre atest diameter, was 18.5 rum (range 10-80 mm). The mean prostate volume was 35.4 cc (26-62 cc). All procedures were monitored under direct endoscopic control with a videocamera. Results: Lithotripsy and evacuation of fragments was performed in an averag e time of 27.5 minutes (10-80 minutes). The only intraoperative complicatio n was mild hematuria in 38 patients (32%), which did not affect vision for TURP. The mean resection time was 42 minutes (range 15-65 minutes). Four pa tients experienced mild postoperative bleeding, and one patient had clot re tention. The mean hospital stay was 1.2 days (range 1-4 days). Conclusions: Combined BL and TURP is effective, safe, and economical.