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Calculi

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https://www.readbyqxmd.com/read/28544299/mini-pcnl-for-renal-calculi-does-size-matter
#1
Derek B Hennessey, Ned K Kinnear, Andrew Troy, David Angus, Damien M Bolton, David R Webb
OBJECTIVE: To evaluate the minimally invasive percutaneous nephrolithotomy (MIP) system for renal calculi. PATIENTS AND METHODS: Consecutive patients undergoing mini-percutaneous nephrolithotomy (mPCNL) procedures with the MIP system were enrolled. Patient position, American Society of Anesthesiologists classification, puncture location, stone clearance, postoperative drainage and complications were recorded, and features unique to MIP were noted. RESULTS: In all, 30 patients underwent 32 mPCNL procedures...
May 2017: BJU International
https://www.readbyqxmd.com/read/28537426/non-angled-intercostal-percutaneous-access-under-full-expiration-safety-is-not-an-issue-anymore
#2
Khaled Ajib, Imad Matta, Joseph Zgheib, Michel Jabbour
OBJECTIVE: Percutaneous nephrolithotomy is a well-established procedure for the management of urinary calculi and can be performed intercostally or subcostally. Favoring one approach versus the other is still debatable and literature has been inconclusive regarding the efficacy and safety of both approaches. Hence, this study aims to assess the safety and efficacy of direct non-angled intercostal technique performed under full expiration and to compare it to the subcostal approach. METHODS: PCNL was conducted among 361 patients during 2010-2015 at Saint George Hospital University Medical Center in Beirut, Lebanon...
May 24, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28537042/safety-and-efficacy-of-percutaneous-nephrolithotomy-in-patients-with-severe-skeletal-deformities
#3
Seyed Habibollah Mousavi-Bahar, Shahriar Amirhasani, Maede Mohseni, Rezgar Daneshdoost
PURPOSE: Treatment of renal calculi in patients with severe skeletal deformities can be challenging. We present our experience in order to provide an assessment of technical difficulties, associated complications, and outcomes of percutaneous nephrolithotomy (PCNL) as a treatment option in this special patient group. MATERIALS AND METHODS: Our study included eight patients treated with PCNL for renal stones. All had severe skeletal deformities including six with severe kyphoscoliosis, one with osteogenesis imperfecta, and another withrickets...
May 23, 2017: Urology Journal
https://www.readbyqxmd.com/read/28534536/current-clinical-scoring-systems-of-percutaneous-nephrolithotomy-outcomes
#4
REVIEW
Wayland J Wu, Zeph Okeke
Percutaneous nephrolithotomy has become the preferred treatment modality for patients with large renal calculi. The technique provides excellent stone clearance, but complication rates are higher than those of minimally invasive techniques, such as ureteroscopy and shockwave lithotripsy. Guy's stone score, S.T.O.N.E. nephrolithometry, the CROES nomogram, and S-ReSC are contemporary scoring systems introduced to provide standardized grading of stone complexity and outcomes of percutaneous stone surgery. Guy's stone score is easy to apply and has been validated in multiple studies...
May 23, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28529946/bilateral-obstructive-renal-calculi-leading-to-severe-kidney-injury
#5
Srikanth Yandrapalli, Delong Liu
No abstract text is available yet for this article.
2017: Stem Cell Investigation
https://www.readbyqxmd.com/read/28516975/sialendoscopy-assisted-transfacial-removal-of-parotid-calculi
#6
A J Hills, A M Holden, M McGurk
Superficial parotidectomy has significant morbidity, and minimally invasive techniques have therefore been developed, including those involving sialendoscopy, to remove sialoliths and preserve the gland along with its function. The size, mobility and location of the sialolith, alongside the presence of strictures, all dictate management. We outline basic treatment paradigms and describe two sialoendoscopyassisted surgical procedures developed for treating stones, one intraoral and one extraoral.
April 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28515805/is-computed-tomography-defined-obstruction-a-predictor-of-urological-intervention-in-emergency-department-patients-presenting-with-renal-colic
#7
Peter Alexander Massaro, Avinash Kanji, Paul Atkinson, Ryan Pawsey, Tom Whelan
INTRODUCTION: Our objective was to determine whether unilateral calculus-induced ureteric obstruction on computed tomography (CT) was independently associated with the need for urological intervention and 30-day return to the emergency department (ED). METHODS: We performed a retrospective cohort study of patients with symptomatic urinary calculi diagnosed by unenhanced helical CT. Stepwise regression analysis was used to determine the predictors of urological intervention and 30-day return to the ED...
March 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28513524/ureterolithiasis-management-in-an-environment-with-limited-facilities
#8
C A Odoemene, Pcn Okere, M C Ugonabo
BACKGROUND: In the past 2-3 decades, there has been a dramatic development in the techniques of stone removal. This study highlights the management of symptomatic ureteral stones in an environment without such facilities. MATERIALS AND METHODS: Sixty-nine patients, comprising 53 (76.8%) males and 16 (23.2%) females, diagnosed of symptomatic ureteric calculi within the study period in two tertiary health institutions were included in the study. Thorough history taking and physical examinations were performed...
May 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28510274/the-effect-of-prazosin-on-outcome-in-feline-urethral-obstruction
#9
Erica L Reineke, Emily K Thomas, Rebecca S Syring, Jennifer Savini, Kenneth J Drobatz
OBJECTIVE: To determine whether prazosin administration following urethral obstruction (UO) reduces the risk for recurrent urethral obstruction (rUO) or lower urinary tract signs, and to document adverse effects associated with prazosin use in cats. DESIGN: Double-blinded, prospective, interventional study. SETTING: University teaching hospital. ANIMALS: A population of 47 consecutive male cats with UO not associated with urinary tract calculi >2 mm in diameter...
May 16, 2017: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/28505914/re-high-frequency-dusting-versus-conventional-holmium-laser-lithotripsy-for-intrarenal-and-ureteral-calculi
#10
Dean G Assimos
No abstract text is available yet for this article.
June 2017: Journal of Urology
https://www.readbyqxmd.com/read/28495816/determinants-of-treatment-duration-in-the-prevention-of-recurrent-venous-thromboembolism-a-protocol-for-a-balanced-vignette-experiment
#11
Vincent Ten Cate, Brigitte Ab Essers, Martin H Prins
INTRODUCTION: Venous thromboembolism (VTE) is a condition that annually occurs in approximately 1‰ of the world's population. Patients who have already had a VTE are at elevated risk for a recurrent VTE. Recurrent events increase the risk of long-term sequelae and can be fatal. Adequate secondary prophylaxis is thus needed to prevent such events. Patients with VTE are often prone to bleeding, and pharmacological prophylaxis exacerbates bleeding risk. Expert opinions on the optimum duration of secondary prophylaxis in VTE still vary substantially...
May 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28483465/use-of-medical-expulsive-therapy-in-children-an-assessment-of-nationwide-practice-patterns-and-outcomes
#12
Jonathan S Ellison, Paul A Merguerian, Benjamin C Fu, Sarah K Holt, Thomas S Lendvay, John L Gore, Margarett Shnorhavorian
INTRODUCTION: Early data support the use of medical expulsive therapy (MET) in children. However, little is known regarding use or outcomes associated with MET outside of pediatric-specific practices. Using a national administrative dataset, we sought to characterize utilization patterns of MET as well as assess outcomes associated with MET exposure. STUDY DESIGN: We interrogated the MarketScan Commercial Claims and Encounters database to identify children under the age of 18 presenting to the emergency department (ED) with any diagnosis of upper urinary tract calculi (UUTC, including renal and ureteral calculi)...
April 20, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28480145/insights-of-the-dental-calculi-microbiome-of-pre-columbian-inhabitants-from-puerto-rico
#13
Tasha M Santiago-Rodriguez, Yvonne Narganes-Storde, Luis Chanlatte-Baik, Gary A Toranzos, Raul J Cano
BACKGROUND: The study of ancient microorganisms in mineralized dental plaque or calculi is providing insights into microbial evolution, as well as lifestyles and disease states of extinct cultures; yet, little is still known about the oral microbial community structure and function of pre-Columbian Caribbean cultures. In the present study, we investigated the dental calculi microbiome and predicted function of one of these cultures, known as the Saladoid. The Saladoids were horticulturalists that emphasized root-crop production...
2017: PeerJ
https://www.readbyqxmd.com/read/28479783/recurrent-renal-calculi-in-coexistence-of-horseshoe-kidney-and-medullary-sponge-kidney
#14
Wisit Cheungpasitporn, Aditya S Pawar, Stephen B Erickson
No abstract text is available yet for this article.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479771/laparoscopic-assisted-mini-percutaneous-nephrolithotomy-for-treatment-of-large-calculi-in-pelvic-ectopic-kidney
#15
Ketan P Vartak, Prashant H Salvi
We report two cases of male patients with pelvic ectopic kidney with large stones cleared with laparoscopic-assisted minimally invasive percutaneous nephrolithotomy (Mini-PERC) and holmium laser. These are the first cases of Mini-PERC done for pelvic ectopic kidney reported thus far.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479765/management-of-renal-caliceal-diverticular-stones-a-decade-of-experience
#16
Madhusudan Patodia, Rahul Janak Sinha, Siddharth Singh, Vishwajeet Singh
OBJECTIVE: The objective of this study is to evaluate our methods for management of renal caliceal diverticular stones (CDS). MATERIALS AND METHODS: We conducted a retrospective study from January 2005 to July 2015 and included patients who were treated for renal CDS. Patients were evaluated for treatment modality, puncture site (in case percutaneous nephrolithotomy [PCNL] attempted), operative time, stone clearance rate, and complications. During PCNL, if the infundibulum was found to connect the diverticulum to the calyx, then a double J stent was placed...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28473071/acr-appropriateness-criteria-%C3%A2-hematospermia
#17
Keyanoosh Hosseinzadeh, Aytekin Oto, Brian C Allen, Fergus V Coakley, Barak Friedman, Pat F Fulgham, Matthew S Hartman, Matthew T Heller, Christopher Porter, V Anik Sahni, Gary S Sudakoff, Sadhna Verma, Carolyn L Wang, Don C Yoo, Erick M Remer, Steven C Eberhardt
Most men with hematospermia or hemospermia (HS) are young (<40 years of age), presenting with transient or episodic HS without other signs or symptoms of disease. The condition is self-limiting in most cases and idiopathic in nature. When a cause can be identified, infections of the urogenital tract are the most common. Imaging does not play a role in this patient population. In older men (>40 years of age), clinical screening for prostate cancer is advised. Furthermore, when HS is persistent or has symptoms, causes include obstruction or stricture at the level of the verumontanum, calcifications or calculi in the prostate, ejaculatory ducts or seminal vesicles, and cysts arising within these structures...
May 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28472804/evaluation-with-decision-trees-of-efficacy-and-safety-of-semirigid-ureteroscopy-in-the-treatment-of-proximal-ureteral-calculi
#18
Eyup Burak Sancak, Muhammet Fatih Kılınç, Sait Can Yücebaş
PURPOSE: The decision on the choice of proximal ureteral stone therapy depends on many factors, and sometimes urologists have difficulty in choosing the treatment option. This study is aimed at evaluating the factors affecting the success of semirigid ureterorenoscopy (URS) using the "decision tree" method. MATERIALS AND METHODS: From January 2005 to November 2015, the data of consecutive patients treated for proximal ureteral stone were retrospectively analyzed...
May 5, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28464198/chronic-pancreatitis-with-pancreatic-duct-stricture-and-calculi-treated-by-fully-covered-self-expandable-metal-stent-placement-and-intraductal-pancreatoscopy-guided-laser-lithotripsy
#19
https://www.readbyqxmd.com/read/28458761/an-unusual-case-of-renal-calculi-leading-to-myocardial-infarction-and-cardiogenic-shock
#20
Vanessa Santos, James Espinosa, Alan Lucerna, Andrew Caravello
No abstract text is available yet for this article.
2017: World Journal of Emergency Medicine
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