We compare the different methods of treating vesical calculi to establish the most effective and safe modality. Of 128 patients with bladder calculi 5 underwent an open operation, 80 underwent mechanical cysto-lithotripsy and 43 underwent extracorporeal shock wave therapy. Severe complications included hematuria, bladder perforation and mucosal injury in the mechanical cystolithotripsy group. We find extracorporeal shock wave therapy to be a simple, effective and safe modality for the management of vesical lithiasis.
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Bhatia et al. (1994) studied this question.
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