Garcia, A; Borrego, J; Zazo, A; Gimeno, A; Guinda, C; Laguna, MP

Hosp Gral, La Mancha Ctr, Alcazar De San Juan 13600, Spain

The authors present a case of multiple bladder stones in a patient with severe ankylosis of the lower extremities, treated via percutaneous suprapubic approach. The suprapubic tract was created with Teflon-coated dilators and an Amplatz tube and the stones were fragmented with the nephroscope and a pneumatic lithotriptor. The simplicity of the procedure and the ease of the manoeuvre accelerated the stone fragmentation process while avoiding unecessary trauma of the urethra.