Association of Synchronous Transurethral Surgeries or Transrectal Prostate Biopsy with Early Postoperative Complications In the Endoscopic Treatment of Bladder Stones

Abstract

Objective: To invastigate the effect of synchronous transurethral surgeries or transrectal prostate biopsy on complications in endoscoic bladder stone treatment. Methods: Between January 2016 and December 2021, 402 patient who aged 18 years and older, underwent endoscopic bladder stone surgery were retrospectively analyzed. 345 patients were included in the study, after the exclusion criteria were determined. Patients were divided into 2 groups according to the applied surgical treatments. Group 1(n=174) involved patients who underwent endoscopic bladder stone surgery alone and Group 2(n=171) who underwent TUR-P/TUIP/DVIU or TUR-BT or URS or TRUS-BX in the combination with endoscopic bladder stone treatment. Age, etiology, surgical treatments, operation times, hospitalization times and postoperative complications were compared. Results: Mean age of the patients was 60 (SD=15, range=18-93) years. Mean (SD) stone size was measured as 3 (2.2) cm. There was no difference in patient age and stone size between the groups. Complications of both Clavien 2 and above, Clavien 3A and above were statistically significantly higher in Group 2 (p=0,019; p=0,030). There was no relationship between complications and comorbidities. Operation and hospitalization times were statistically significantly shorter in Group 1 (p= 0,033; p=0,020). Conclusion: We observed an increase in early postoperative complications in TUR-BT or TRUS-BX surgeries performed synchronously with bladder stone treatment. Therefore, patients may need additional postoperative endoscopic procedures and may prolong hospitalization time.