Dr. A.K. Singal MBBS (Gold Medalist), DNB, MNAMS
M.CH (AIIMS, Gold Medalist)
Stecker Scholar Pediatric Urology (USA)

Index Cases

A boy with impacted urethral stone managed by PCCL

S.N., 4 years old boy came with difficulty in passing urine and blood in urine. The boy used to really struggle and strain while passing urine and was almost going into urinary retention. Urine test showed some red blood cells and mild infection. We suspected some form of obstruction in urine flow such as a stone (calculus) in the bladder or urethra. A plain x-ray showed a small (9mm) stone stuck in posterior urethra and this was confirmed on Ultrasound also (pics 1&2).

The child was taken up for PCCL (Percutaneous Cystolithotripsy). Initially a cystoscopy was done and the stone was pushed into bladder, then a small channel was made into the bladder through which a telescope and some instruments to crush the stone were passed. The stone was broken into 3-4 small pieces which were then removed. End result (pic4) a 5mm cut and a very rapid recovery. The child went home the same day.

PCCL is a very advanced Endourological Surgery for removing bladder stones. The main advantage is in fast recovery

Xray urethral stone
Xray showing stone in posterior urethra
Ultrasound urethral stone
Ultrasound showing stone in posterior urethra
surgery for urethral stone
PCCL surgery is progress
removal of urethral stone
Small cut at end of PCCL

Facts about Endourology and urinary stones in children

Dr A.K.Singal is an expert & top pediatric urologist in Navi Mumbai India and he runs a special kidney stone clinic for children. Urinary stones are becoming more common in children and for their best treatment we need small equipment and trained surgeons who understand a child’s delicate body.

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