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Original Research

RMJ. 2025; 50(4): 944-947


Cystolitholapaxy under local anesthesia in select patients: A tertiary care hospital experience

Farhan Khan, Naveed Soomro, Syed Azhar Hussain Shah, Imran Idrees Memon, Muhammad Asim, Haider Ali Qureshi.



Abstract
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Objective: To evaluate the safety and efficacy of cystolitholapaxy performed under local anesthesia at a tertiary care hospital.
Methodology: This prospective study was conducted over six months at the Department of Urology, Asian Institute of Medical Sciences, Hyderabad. Fifty patients with single bladder stones 0.05 in all). Odds ratios indicated no strong association between these variables and adverse outcomes, either individually or in combination, suggesting the procedure is generally safe and well-tolerated across varied patient profiles.
Conclusion: Transurethral cystolitholapaxy under local anesthesia appears safe and well-tolerated for selected patients in a tertiary care setting. Though promising, these findings warrant validation through larger studies with long-term follow-up. Future research should also compare techniques and anesthesia types to optimize bladder stone management and improve patient outcomes.

Key words: Cystolitholapaxy, local anesthesia, bladder stones, urolithiasis.





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