Simultaneous transurethral bipolar enucleation of the prostate, supine ultrasound-guided percutaneous nephrolithotomy and open cystolithotomy: A feasible and safe approach

Ka Lun Lo; David Leung; Joseph K M Li; Siu King Mak; Hon Ming Wong; Chi Fai Ng

doi:10.1016/j.eucr.2020.101364

Simultaneous transurethral bipolar enucleation of the prostate, supine ultrasound-guided percutaneous nephrolithotomy and open cystolithotomy: A feasible and safe approach

Urol Case Rep. 2020 Jul 29:33:101364. doi: 10.1016/j.eucr.2020.101364. eCollection 2020 Nov.

Authors

Ka Lun Lo¹, David Leung¹, Joseph K M Li¹, Siu King Mak¹, Hon Ming Wong¹, Chi Fai Ng^{1

2}

Affiliations

¹ Division of Urology, North District Hospital, New Territories East Cluster Urology Unit, Prince of Wales Hospital, Shatin, Hong Kong, China.
² SH Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, China.

Abstract

Management of the coexisting hard renal pelvic stone, large urinary bladder stone and benign prostatic hyperplasia is not common which can be difficult. Here we reported a case of a 70-year-old Asian male who presented with 1.5cm renal pelvic stone, 5cm large bladder stone and 96 cc benign enlarged prostate, which were managed by simultaneous transurethral bipolar enucleation of the prostate (BipoLEP), supine ultrasound-guided percutaneous nephrolithotomy (PCNL) and open cystolithotomy. Simultaneous transurethral BipoLEP, supine ultrasound-guided PCNL and open cystolithotomy are feasible and safe, with the advantage of minimizing the patient's operation and anesthesia time.

Keywords: Open cystolithotomy; Simultaneous 3-team approach; Supine ultrasound-guided percutaneous nephrolithotomy; Transurethral bipolar enucleation of the prostate.

Publication types

Case Reports