Here we present the case of a 78-year-old medically comorbid woman with an extremely large bladder stone burden treated by cystolithalopaxy performed using a Swiss LithoClast® Trilogy Lithotripter (Boston Scientific, Marlborough, MA, USA) through a nephroscope traversing a transurethral Amplatz sheath.
EnerK, AgrasK, AldemirM, OkuluE, KayigilO. The randomized comparison of two different endoscopic techniques in the management of large bladder stones: Transurethral use of nephroscope or cystoscope?. J Endourol, 2009; 23:1151–1155.
3.
OkekeZ, ShabsighA, GuptaM. Use of Amplatz sheath in male urethra during cystolitholapaxy of large bladder calculi. Urology, 2004; 64:1026–1027.
4.
MaheshwariP. The Amplatz sheath in the female urethra: A safe and effective approach for cystolitholapaxy. Br J Urol, 1998; 82:754.
