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Mario Lima, Michela Maffi, Niel Di Salvo, Tommaso Gargano, Michele Libri, Giovanni Ruggeri
Duplications of the urinary collecting system and pyelo-ureteral junction obstruction (PUJO) are common, but the simultaneous presence of both anomalies is rarely encountered. In incomplete duplicated systems, PUJO usually affects the lower moiety. We present the case of a 5-year old boy with left bifid renal pelvis and hydronephosis of the lower moiety treated by robot-assisted pyeloureterostomy.
January 2017: Urology Case Reports
Paolo Caione, Giuseppe Collura, Michele Innocenzi, Mauro De Dominicis, Simona Gerocarni Nappo, Nicola Capozza
BACKGROUND: Percutaneous nephrolithotomy (PCNL) has been adopted for pyelo-calyceal stones treatment in pediatric patients, starting from the 90's. Very recently, miniaturization of endoscopic instruments allowed less invasive procedures with low complication rate. We reviewed our experience on upper tract stone treatment utilizing two different percutaneous accesses, focusing on the recent new miniaturized devices offered for pediatric renal stones. METHODS: Patients presenting upper tract urinary stones observed from January 2011 to December 2015 and treated by percutaneous renal access were prospectively evaluated: age, sex, metabolic issues, associated abnormalities, treatment modalities, hospital stay and complication rate were recorded in a specific database...
October 2016: Translational pediatrics
Aly Tembely, Amadou Kassogué, Honoré Berthé, Zanafon Ouattara
This study is meant to analyze the clinical and therapeutic aspects of abnormalities ureteropelvic junction. Cross-sectional and descriptive study on 35 cases of abnormalities of the AUPJ collected the Urology Department of the University Hospital of Point G for a period of 4 years (January 2010 to December 2014). Data were collected on the survey forms, medical records and records of the block. The socio-demographic, clinical and therapeutic data were entered into Microsoft Word 2007 and Excel 2007 and analyzed on SPSS 18...
2016: Pan African Medical Journal
Jessica M Quimby, Kristy Dowers, Andrea K Herndon, Elissa K Randall
OBJECTIVES: The objective was to describe ultrasonographic characteristics of cats with stable chronic kidney disease (CKD) and determine if these were significantly different from cats with pyelonephritis (Pyelo) and ureteral obstruction (UO), to aid in clinical assessment during uremic crisis. METHODS: Sixty-six cats with stable CKD were prospectively enrolled, as well as normal control cats (n = 10), cats with a clinical diagnosis of pyelonephritis (n = 13) and cats with UO confirmed by surgical resolution (n = 11)...
July 7, 2016: Journal of Feline Medicine and Surgery
X Promeyrat, L Alechinsky, R-C Duarte, X Martin, P Paparel, M-O Timsit, L Badet
INTRODUCTION: The use of transplants from extended criteria donors increases the number of urological complications after renal transplantation. Two different anastomosis techniques used to restore urinary continuity are compared in this study. PATIENTS AND METHODS: Retrospective study, bi-center over a period of 5 years. One hundred and seventy six patients operated at Hospices Civils de Lyon benefited from ureteroneocystostomy according to De Campos-Freire (group 1) and 167 patients operated at the Necker Hospital in Paris had a pyelo-ureterostomy (group 2)...
May 2016: Progrès en Urologie
Andrzej Zyluk
We report a case of a patient whose clinical status and results of a plain chest X-ray showed digestive tract perforation, but in whom the true cause of the disease appeared to be hydronephrosis, probably caused by a tumour of the pyelo-ureteral junction. The course of the diagnostic process and causes of the false diagnosis and unnecessary laparotomy are discussed. The usefulness of computed tomography scanning with contrast in the detection of clinically unlcear abdominal disorders (i.e. radiologically "silent" perforation) is emphasised...
2015: Pomeranian Journal of Life Sciences
Davide Campobasso, Pietro Granelli, Umberto Maestroni, Dario Cerasi, Stefania Ferretti, Pietro Cortellini
Nephroenteric fistulas can be secondary to different etiologies, the most common of which are pyelocolic fistulas. The absence of pathognomonic symptoms and the heterogeneity of presentation can sometimes result in a delay in diagnosis. We report on three cases: a pyelo-duodenal fistula secondary to kidney stones and subsequent pyonephrosis, a pyelocolic fistula due to inveterate ureteral stones with hydropyonephrosis, and a rare case of posttraumatic pyelocolic fistula. All patients were treated with radical nephrectomy and resection of the involved intestinal tract...
June 2015: Indian Journal of Surgery
R I Lopes, A Tavares, M Srougi, F T Dénes
INTRODUCTION: Prune belly syndrome (PBS) presents with three main features: abdominal wall flaccidity, urological abnormalities and cryptorchidism. As a result, urologists must consider the eventual repair of the abdominal wall flaccidity and urinary tract abnormalities, and the mandatory correction of cryptorchidism, as well as decide whether to perform the procedures in a single comprehensive approach or in multiple steps. OBJECTIVES: To report experiences with comprehensive surgical management of prune belly syndrome...
October 2015: Journal of Pediatric Urology
O Abbo, P-M Patard, S Mouttalib, O Bouali, J Vial, A Garnier, P Galinier
AIM OF THE STUDY: Lower pole vessels are a classical cause of PUJO even in children. The "gold standard" in the management of PUJ obstructions remains a dismembered pyeloplasty as described by Anderson and Hynes. However, some authors have developed an alternative procedure to this approach with encouraging results. The aim of our study was to evaluate our preliminary results concerning laparoscopic vascular hitch for crossing vessels. MATERIAL AND METHODS: We conducted a retrospective, monocentric study of all patients managed by this technique from January 2010 to December 2012...
February 2015: Progrès en Urologie
A Shrestha, R Verma
BACKGROUND: Chyluria is a chronic debilitating condition characterized by formation of pyelo-lymphatic connections. Renal pelvic instillation sclerotherapy is a minimally invasive treatment modality in treatment of chyluria. Various sclerosant with different regimen have been described in literature but there is no single consensus on this regard. OBJECTIVE: To evaluate the effectiveness and safety of single dose 0.2% povidone iodine renal pelvic instillation sclerotherapy for the treatment of chyluria...
April 2014: Kathmandu University Medical Journal (KUMJ)
Jin Young Kim, See Hyung Kim, Hee Jung Lee, Mi Jeong Kim, Young Hwan Kim, Seung Hyun Cho
OBJECTIVE: The purpose of this study was to prospectively compare nephrographic phase MDCT urography performed with oral hydration and a diuretic with standard pyelographic phase MDCT in the detection of recurrence after transurethral resection. SUBJECTS AND METHODS: The study included 140 MDCT urographic examinations of 121 patients (87 men, 34 women; age range, 46-88 years) at risk of urinary tract cancer recurrence. Acquisition was performed 60 seconds (nephrographic phase) and 420 seconds (pyelographic phase) after contrast injection...
November 2014: AJR. American Journal of Roentgenology
T Culty, M-O Timsit, Y Neuzillet, L Badet, F Kleinclauss
INTRODUCTION: Urinary fistula and ureteral stenosis occur respectively in 2-5% and 2-7.5% after kidney transplantation. The aim of the study was to do an overview about the complex management of these complications. MATERIAL AND METHODS: A bibliographical research in French and English language was carried out. Debates on the topic held within a meeting organized by the transplantation Committee of the French association of urology (CTAFU) have incremented the work...
October 2014: Progrès en Urologie
Jae Hyun Jung, Sung Yong Cho, Chang Wook Jeong, Hyeon Jeong, Hwancheol Son, Seung Hyo Woo, Dae Kyung Kim, Sun-Ho Min, Seung-June Oh, Hyeon-Hoe Kim, Seung Bae Lee
PURPOSE: To report the outcome of laparoscopic pyelo- and ureterolithotomies with the aid of flexible nephroscopy. MATERIALS AND METHODS: A retrospective analysis was performed in 71 patients with complex renal stones or large and impacted proximal ureteral stones. Patients underwent laparoscopic pyelo- or ureterolithotomies with or without the removal of small residual stones by use of flexible nephroscopy between July 2005 and July 2010. Operative success was defined as no residual stones in the intravenous pyelogram at 12 weeks postoperatively...
July 2014: Korean Journal of Urology
Sukanya Jeennor, Pattsarun Cheawchanlertfa, Sarinya Suttiwattanakul, Sarocha Panchanawaporn, Chanikul Chutrakul, Kobkul Laoteng
We identified a novel elongase gene from a selected strain of the Oomycete, Pythium sp. BCC53698. Using a PCR approach, the cloned gene (PyElo) possessed an open reading frame (ORF) of 834 bp encoding 277 amino acid residues. A similarity search showed that it had homology with the PUFA elongases of several organisms. In addition, the signature characteristics, including four conserved motifs, a histidine-rich catalytic motif and membrane-associated feature were present in the Pythium gene. Heterologous expression in Saccharomyces cerevisiae showed that it was specific for fatty acid substrates, having a double bond at Δ(6)-position, which included γ-linolenic acid (GLA) and stearidonic acid (STA), and preferentially elongated the n3-18C PUFA...
July 18, 2014: Biochemical and Biophysical Research Communications
Mehmet Reyhan
No abstract text is available yet for this article.
September 2013: Nuclear Medicine and Molecular Imaging
Apul Goel, Neeraj Kumar Goyal, Anit Parihar, Ragini Singh
There are no standardized radiological investigations in a patient with chyluria. Retrograde pyelography (RGP) is usually done to demonstrate pyelo-lymphatic reflux before invasive therapy in the form of sclerotherapy and surgery. We describe magnetic resonance-RGP using gadolinium to demonstrate pyelo-lymphatic reflux in addition to the other intra-abdominal details provided by MRI. The advantages of this technique include avoidance of ionic contrast media and radiation exposure and possibility of better understanding of the disease pathophysiology...
January 2014: Indian Journal of Urology: IJU: Journal of the Urological Society of India
Olfa Siala, Neila Belguith, Faiza Fakhfakh
BACKGROUND: Peters Plus syndrome (MIM 261540) is a rare autosomal recessive condition characterized by ocular defects (typically Peters anomaly) and other systemic major/minor abnormalities. Mutations in the B3GALTL gene encoding the β-1,3-glucosyltransferase have been found in virtually all patients with typical Peters Plus syndrome. CASE PRESENTATION: We report here a female patient with severe manifestations of Peters Plus syndrome including facial dysmorphism and bilateral corneal opacity associated with left renal pyelo-calicial dilatation and sexual ambiguity...
August 2013: Iranian Journal of Pediatrics
Raman Tanwar, Santosh K Singh, Devendra S Pawar
Neglected renal calculi can lead to a variety of complications secondary to obstruction and infection. Pyonephrosis arising in this scenario often presents as a urological emergency and requires urgent surgical intervention. In rare circumstances, when left unaided, the kidney is unable to contain the infection and spread of pus may occur into the surrounding spaces like the retroperitoneum and the peritoneum. We report a very unusual complication of pyonephrosis leading to a hepatic abscess. We believe this is the first reported case of an acute renal infection due to stone disease ascending into the liver...
July 2013: Indian Journal of Urology: IJU: Journal of the Urological Society of India
Miguel Alvarez Mugica, Veronica Bulnes Vazquez, Antonio Jalon Monzon, Jorge Garcia Rodriguez, Oscar Miranda Aranzubia, Raquel Sacristan Gonzalez, Jesus Maria Fernandez Gomez
No abstract text is available yet for this article.
May 2013: Archivos Españoles de Urología
Ayhan Dinckan, Ibrahim Aliosmanoglu, Huseyin Kocak, Filiz Gunseren, Ayhan Mesci, Zeki Ertug, Selcuk Yucel, Gultekin Suleymanlar, Alihan Gurkan
OBJECTIVE: To evaluate the outcome of anti-reflux revision surgery in patients diagnosed with at least a grade 3 reflux at voiding cysto-urethrography in patients with recurrent urinary tract infection (UTI) after renal transplantation. PATIENTS AND METHODS: We identified 60 patients with a diagnosis of recurrent febrile UTI and post-transplantation vesico-ureteric reflux (VUR) who underwent open surgical correction of reflux. Patient characteristics, including the aetiology of end-stage renal disease, age, time to VUR correction, type of VUR correction, serum creatinine levels, and number of UTIs before and after correction were documented...
August 2013: BJU International
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