cystolitholapaxy
Pronunciation: sis-toh-LITH-oh-lap-ak-see
Endoscopic fragmentation and removal of bladder stones through the urethra.
Full Definition
Cystolitholapaxy is a minimally invasive urological procedure for treating bladder stones (vesical calculi) by fragmenting them into small pieces that can be irrigated out through the urethra. The procedure is performed endoscopically using various energy sources such as pneumatic, ultrasonic, or laser lithotripsy. Cystolitholapaxy is preferred over open surgical removal (cystolithotomy) for most bladder stones due to its lower morbidity and faster recovery. The technique is particularly useful for elderly patients or those with significant comorbidities who may not tolerate more invasive approaches.
Usage
Usage note: Distinguish from cystolithotomy (open removal) and cystolithotripsy (fragmentation without removal).
In Context
- "Cystolitholapaxy was successfully performed using holmium laser fragmentation." — Operative note
- "The large bladder stone necessitated cystolitholapaxy rather than spontaneous passage." — Treatment planning