Laparoscopic Extraperitoneal Approach for Urinary Bladder Stones Removal A New Operative Technique

Assoc. Prof. Tsvetin Genadiev M.D. Phd.

1. Introduction

The classical operative treatment methods of urinary bladder stones are open suprapubic operation or transurethral lithotripsy. Alternative methods are suprapubic endoscopic extraction of bladder stones and combined transurethral and suprapubic technique. In the present work we describe a novel endoscopic method for urinary bladder stones removal. The urethral trauma is the main reason against the transurethral access for large or multiple bladder stones.


After the pub med investigation according to the key words laparoscopy, endoscopic extraction bladder stones, retroperitoneoscopic urinary bladder stones removal, endoscopic sectio alta, there are no results similar to our technique.


To the best of our knowledge, this is the first description of this technique. This novel method we named Endoscopic Sectio Alta - ESAL.


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