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https://www.readbyqxmd.com/read/28538590/ultrasound-diagnosis-of-clinically-unsuspected-ureteral-stone-presenting-as-acute-scrotum-case-series
#1
Ronald H Wachsberg
Ureteral colic is not generally included in the differential diagnoses of acute scrotal pain, although ureteral pathology is a recognized cause of pain referred to the scrotum. We report 3 patients presenting with acute scrotal pain who had normal scrotal color Doppler ultrasound scans; subsequent ultrasound of the ipsilateral kidney revealed hydronephrosis, which ultimately led to the clinically unsuspected diagnosis of ureteral colic. We conclude that ureteral colic should be included in the differential diagnosis of acute scrotal pain, and we further suggest that a survey ultrasound of the kidney on the side of the pain should be performed in patients presenting with acute scrotal pain and a normal color Doppler ultrasound examination of the scrotum...
May 20, 2017: Ultrasound Quarterly
https://www.readbyqxmd.com/read/28537440/metabolic-characteristics-and-risks-associated-with-stone-recurrence-in-korean-young-adult-stone-patients
#2
Ho Won Kang, Sung Pil Seo, Won Tae Kim, Yong-June Kim, Seok Joong Yun, Wun-Jae Kim, Sang-Cheol Lee
PURPOSE The aim of the present study was to assess the metabolic characteristics and risk of stone recurrence in young adult stone patients in Korea. PATIENTS AND METHODS The medical records of 1,532 patients presenting with renal or ureteric stones at our stone clinic between 1994 and 2015 were retrospectively reviewed. Patients were grouped according to age (young adult, 18-29yr; intermediate onset, 30-59yr; old age, ≥ 60 yr) at first presentation and measurements of clinicometabolic characteristics and risks of stone recurrence were compared...
May 24, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28537043/ureterorenoscopy-with-stenting-and-its-effect-on-female-sexual-function
#3
Ekrem Akdeniz, Mustafa Suat Bolat
PURPOSE: Various etiological factors have been studied which negatively affect female sexual function, but theeffects of ureteroscopic stone surgery on women's sexual dysfunction remain unknown. The aim of this study wasto investigate the effect of ureteroscopic stone surgery with postoperative stenting on female sexual function. MATERIALS AND METHODS: This study included 30 sexually active female patients who underwent ureteroscopicstone surgery with JJ stenting (study group) and 26 age-matched female patients with ureteral stone surgerywithout JJ stenting (control group)...
May 23, 2017: Urology Journal
https://www.readbyqxmd.com/read/28521539/jackets-off-the-impact-of-laser-fiber-stripping-on-power-output-and-stone-degradation
#4
Cayde Ritchie, Patrick Yang, Brandon Peplinski, Mohamed Keheila, Salim Cheriyan, Samuel R Abourbih, Wayne Kelln, D Duane Baldwin
PURPOSE: To investigate the effect of laser fiber stripping on stone fragmentation and laser fiber power output. MATERIALS & METHODS: In a benchtop simulation of laser lithotripsy, 20 BegoStone phantoms were positioned within a ureteral model and irradiated for 10 minutes at 8 Hz and 0.8 J. A freshly cleaved 365 μm laser fiber was used for all trials, with half of the fibers also undergoing stripping. Power output was measured at one-minute intervals, beginning with an initial pre-lithotripsy recording at zero minutes...
May 18, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28515806/larger-proximal-ureteral-stones-with-severe-pain-rather-than-computed-tomography-defined-ureteral-obstruction-are-associated-with-urological-intervention
#5
Sero Andonian
No abstract text is available yet for this article.
March 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28515805/is-computed-tomography-defined-obstruction-a-predictor-of-urological-intervention-in-emergency-department-patients-presenting-with-renal-colic
#6
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
#7
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/28499762/ureteral-wall-thickness-as-a-preoperative-indicator-of-impacted-stones-in-patients-with-ureteral-stones-undergoing-ureteroscopic-lithotripsy
#8
Takashi Yoshida, Takaaki Inoue, Naoto Omura, Shinsuke Okada, Shuzo Hamamoto, Hidefumi Kinoshita, Tadashi Matsuda
OBJECTIVE: To evaluate the clinical significance of ureteral wall thickness (UWT) to predict the presence of impacted stones in patients with ureteral stones undergoing ureteroscopic lithotripsy (URSL). MATERIALS AND METHODS: We retrospectively analyzed 130 procedures in patients with ureteral stones performed URSL between January 2014 and September 2016. Maximum UWT at the stone site was measured from computed tomography images. Clinical predictors of impacted stones were assessed using univariate and multivariate logistic regression analyses...
May 9, 2017: Urology
https://www.readbyqxmd.com/read/28472804/evaluation-with-decision-trees-of-efficacy-and-safety-of-semirigid-ureteroscopy-in-the-treatment-of-proximal-ureteral-calculi
#9
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/28466883/ureteral-obstruction-in-pregnancy-the-stone-mountain-for-the-urologist
#10
EDITORIAL
Ewa Bres-Niewada
No abstract text is available yet for this article.
2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/28466078/subcapsular-kidney-urinoma-after-percutaneous-nephrolithotomy
#11
Eugenio Di Grazia, Letterio D'Arrigo, Alberto Saita, Giuseppe Giordano, Giuseppe Russo, Giuseppe Morgia, Pasquale La Rosa
Background: A rare percutaneous nephrolithotomy (PCNL) complication and its management is reported. Case Presentation: A male patient, 43 years of age, underwent PCNL for a large left pyelocaliceal stone. Surgery was performed in the Valdivia-Galdakao supine position. The percutaneous tract was established by combined radiologic and sonographic guidance. The tract was dilated by balloon and a 24F Amplatz sheath was located. As complete clearance was not achieved because of a residual lower pole caliceal stone, a ureteral Double-J and a 20F nephrostomy were located for a second-look PCNL through the same tract after 7 days...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/28462168/mature-cystitic-teratoma-of-the-bladder-masquerading-as-a-distal-ureteral-stone
#12
Mohamed Omar, Mohamed El-Gharabawy, Ahmed Samir, Eid El Sherif, Manoj Monga
A 27-year woman presented with irritative lower urinary tract symptoms and alleged small right distal ureteric stone that had been diagnosed with KUB and non-contrast spiral CT. Patient was scheduled for ureteroscopic lithotripsy, revealing absence of the presumed stone, while cystoscopy showed unexpected 2 cm pedunculated grayish white lesion, situated on the right lateral wall of the bladder with sparse hairs covering it. An incomplete TURBT was done; the histological findings correlated with the gross picture seen on cystoscopy...
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28461995/is-a-ureteral-stent-required-after-use-of-ureteral-access-sheath-in-presented-patients-who-undergo-flexible-ureteroscopy
#13
Gastón Astroza, Manuel Catalán, Lucas Consigliere, Tomás Selman, José Salvadó, Francisco Rubilar
INTRODUCTION: Use of a ureteral access sheath (UAS) within flexible ureteroscopy (fURS) for the management of kidney and ureteral stones has shown improvements in its effectiveness, but it is also associated with increased risk of ureteral injury. Use of ureteral stent (US) after fURS is recommended by some authors, because of its role in reducing postoperative pain and preventing complications. Our objective is to determine if postoperative stenting is necessary in pre-stented patients that underwent fURS using UAS...
2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/28456350/what-are-the-benefits-and-harms-of-ureteroscopy-compared-with-shock-wave-lithotripsy-in-the-treatment-of-upper-ureteral-stones-a-systematic-review
#14
REVIEW
Tamsin Drake, Nikolaos Grivas, Saeed Dabestani, Thomas Knoll, Thomas Lam, Steven Maclennan, Ales Petrik, Andreas Skolarikos, Michael Straub, Christian Tuerk, Cathy Yuhong Yuan, Kemal Sarica
CONTEXT: Extracorporeal shock wave lithotripsy (SWL) and ureteroscopy (URS), with or without intracorporeal lithotripsy, are the most common treatments for upper ureteric stones. With advances in technology, it is unclear which treatment is most effective and/or safest. OBJECTIVE: To systematically review literature reporting benefits and harms of SWL and URS in the management of upper ureteric stones. EVIDENCE ACQUISITION: Databases including Medline, Embase, and the Cochrane library were searched from January 2000 to November 2014...
April 26, 2017: European Urology
https://www.readbyqxmd.com/read/28455083/ureteral-stone-diagnosed-with-3-dimensional-transvaginal-ultrasonography
#15
Sa Ra Lee, Ha Na Yoon
No abstract text is available yet for this article.
April 25, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28443570/management-of-forgotten-ureteral-stents-relationship-between-indwelling-time-and-required-treatment-approaches
#16
Hacı Polat, Mehmet Özgür Yücel, Mehmet M Utangaç, Can Benlioğlu, Alper Gök, Ali Çift, Bedreddin Kalyenci, Uğur Lök, Umut Gülaçtı
BACKGROUND: Double-J stents (DJSs) are widely used in urology practice, and removal of these stents can sometimes be forgotten. AIMS: We aimed in this study to investigate whether indwelling time of DJS can predict which treatment modality is required for removal of the stent from the body. STUDY DESIGN: A multicenter, retrospective observational study. METHODS: The data of 57 patients who were treated for forgotten ureteral stents between January 2007 and December 2014 were evaluated retrospectively...
April 6, 2017: Balkan Medical Journal
https://www.readbyqxmd.com/read/28442384/the-optimal-settings-for-non-contact-holmium-yag-stone-fragmentation-pop-corn-technique
#17
Esteban Emiliani, Michele Talso, Sung-Yong Cho, Mohammed Baghdadi, Sadam Ghanem, Hugo Pinheiro, Olivier Traxer
PURPOSE: The purpose of this study was to evaluate the "pop-corn" technique with a wide range of holmium laser settings and fiber sizes in a systematic in-vitro assessment. MATERIALS AND METHODS: The evaluations were done with 4 artificial stones in a Vacutaner. A fixed ureteroscope was inserted through a ureteral access sheath providing constant irrigation flow and the laser was placed 1 mm from the bottom. Combinations of 0.5-1.5 Joules, 10-20 and 40Hz, and long and short pulses were tested for 2 and 4 minutes...
April 22, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28436364/upper-pole-urologist-obtained-percutaneous-renal-access-for-pcnl-is-safe-and-efficacious
#18
Amar P Patel, Don Bui, John Pattaras, Kenneth Ogan
INTRODUCTION: Interventional radiologist may be hesitant to obtain upper pole access for percutaneous nephrolithotomy (PCNL) due to a higher complication rate. Renal access gained by urologists may achieve higher stone-free rates with similar complication rates. We evaluate our institution's contemporary results of percutaneous renal access in the upper pole for nephrolithotomy by urologists, which we believe both safe and efficacious. MATERIALS AND METHODS: This retrospective chart review included all PCNL's performed by fellowship-trained endourologists from 2003 to 2014 at a single institution...
April 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28427449/urolithiasis-analysis-in-a-multiethnic-population-at-a-tertiary-hospital-in-nairobi-kenya
#19
Francis K Wathigo, Alfred Hayombe, Daniel Maina
BACKGROUND: Urolithiasis is a global problem whose incidence is reported to be on the rise across the world. Previously, urolithiasis was reported as being rare among the indigenous African population but recent data suggest otherwise. This study reviewed the demographic and clinical characteristics of patients with urolithiasis seen at the Aga Khan University hospital Nairobi (AKUHN) as well as the chemical composition of the stones and the modalities of therapy used. METHODS: This was a retrospective study which utilized patients' clinical and laboratory records from 2013 to 2014...
April 20, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28418544/review-in-patients-with-ureteric-lithiasis-%C3%AE-blockers-increase-stone-expulsion
#20
Matthew Thompson, Terry Scott
No abstract text is available yet for this article.
April 18, 2017: Annals of Internal Medicine
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