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https://www.readbyqxmd.com/read/28101159/clinical-effects-of-furl-and-pcnl-with-holmium-laser-for-the-treatment-of-kidney-stones
#1
Zhi-Gang Li, Yan Zhao, Tao Fan, Lin Hao, Cong-Hui Han, Guang-Hui Zang
In the present study, the clinical effects of flexible ureteroscopy lithotripsy (FURL) and percutaneous nephrolithotomy (PCNL) for the treatment of kidney stones of ≤2 cm was studied. Seventy-two patients with kidney stones were randomly divided into the FURL group (n=39) under ureteroscope lithotripsy with holmium laser and PCNL group (n=33) under PCNL with holmium laser and compared their clinical effects. At 3 months after the operation, the stone removal rate of the FURL group was significantly higher than that of the PCNL group...
December 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28095709/worldwide-trends-of-urinary-stone-disease-treatment-over-the-last-two-decades-a-systematic-review
#2
Robert Geraghty, Patrick Jones, Bhaskar K Somani
INTRODUCTION: Numerous studies have reported on regional or national trends of stone disease treatment. However, no paper has yet examined the global trends of intervention for stone disease. METHODS AND MATERIALS: A systematic review of papers from 2004 to September 2016 for all English language articles reporting on trends of surgical treatment of stone disease was performed. Authors were contacted in the case of data not being clear. If the authors did not reply, data was estimated from graphs or tables...
January 17, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28057984/prospective-randomized-comparison-between-fluoroscopy-guided-ureteroscopy-versus-ureteroscopy-with-real-time-ultrasonography-for-the-management-of-ureteral-stones
#3
Vishwajeet Singh, Bimalesh Purkait, Rahul Janak Sinha
CONTEXT AND AIMS: Ureteroscopy is the definitive management for ureteric stone. Conventional ureteroscopy uses fluoroscopy guidance which has radiation exposure to patients as well as hospital staff. Ultrasound is a good radiation-free alternative for using in the urological procedure. With this background, we executed a prospective randomized trial comparing fluoroscopy-guided ureteroscopy versus ultrasound-guided ureteroscopy. SUBJECTS AND METHODS: Patients were randomized into two groups (41 into fluoroscopy and 41 into ultrasound group after exclusion) in a single center from July 2014 to March 2015...
October 2016: Urology Annals
https://www.readbyqxmd.com/read/28052697/are-you-familiar-with-the-flow-of-the-roboflex-avicenna-pump-allow-me-to-explain
#4
Salvatore Butticè, Silvia Proietti, Laurian Dragos, Olivier Traxer
Flexible ureteroscopy in the last few years has become a valid alternative to extracorporeal shock-wave and percutaneous nephrolithotomy even for larger renal calculi. Since 2012, ELMED (Ankara, Turkey) has been working on a robot specifically designed for flexible ureteroscopy. Today we know of the mechanics and electronic parts of Roboflex, what is unknown is the flow rate that the pump develops. We've taken a container connected to the irrigation system of the pump and we measured the quantity of saline solution for each speed...
January 4, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28049356/pushing-stones-uphill-why-patients-are-lost-to-follow-up-after-uncomplicated-ureteroscopy
#5
Nathan A Brooks, Charles J Paul, George M Ghareeb, Chad Robert Tracy
INTRODUCTION: We sought to determine the rate of and factors associated with patient non-adherence to prescribed follow-up after uncomplicated ureteroscopy. METHODS: The records of 247 consecutive patients who underwent ureteroscopy at a tertiary referral center from November 2010 to February 2016 were reviewed. Bivariate and Multivariate analysis was performed to determine the impact of demographic, procedural, socioeconomic, and environmental factors on the rate of compliance with secondary prevention counseling...
January 3, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28049343/defining-the-rate-of-negative-ureteroscopy-in-the-general-population-treated-for-upper-tract-urinary-stone-disease
#6
Remy W Lamberts, Simon L Conti, John T Leppert, Christopher S Elliott
INTRODUCTION: Ureteroscopy is increasingly used to treat upper tract urinary stone disease. A negative ureteroscopy is a ureteroscopy performed with the intent of removing a kidney or ureteral stone, but in which ultimately no stone is removed. Negative ureteroscopy may occur when the stone is found to have already passed, or the presumed stone is found to be outside of the collecting system. We sought to determine the rate of negative ureteroscopy in a large population-based sample as well as factors associated with its use...
January 3, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28043312/ureteroscopy-for-management-of-ureteric-stones-in-children-a-single-centre-experience
#7
Nadeem Iqbal, Ijaz Hussain, Sehrish Waqar, Rizwana Sadaf, Ravale Tashfeen, Nur -Un- Nisa Nabil, Saeed Akhter
OBJECTIVE: To determine the outcomes of pediatric patients who underwent ureteroscopic removal of ureteric stones in terms of stone free rates and complications. STUDY DESIGN: Descriptive case series. PLACE AND DURATION OF STUDY: Urology Department at Shifa International Hospital, Islamabad, from January 2012 to December 2014. METHODOLOGY: A retrospective analysis of 37 patients, who underwent ureteroscopy for the treatment of ureteral calculi at the study centre, was conducted...
December 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28031102/1-9-%C3%AE-m-thulium-laser-treats-ureteral-carcinoma-via-rigid-ureteroscopy
#8
Jin Wen, Zhi-Gang Ji, Han-Zhong Li
No abstract text is available yet for this article.
June 20, 2016: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
https://www.readbyqxmd.com/read/28028425/should-surgeons-control-fluoroscopy-during-urology-procedures
#9
Jeremy Setterfield, James Watterson, Mathew Playfair, Luke T Lavallée, Matthew Roberts, Brian Blew, J Stuart Oake
INTRODUCTION: Our study explored the impact of switching from surgeon- to radiation technologist (RT)-controlled fluoroscopy on fluoroscopy and operative times. We also identified factors impacting fluoroscopy and operative times for ureteroscopy (URS) with laser lithotripsy. METHODS: Patients undergoing urological procedures requiring fluoroscopy six months before and after the change from surgeon- to RT-controlled fluoroscopy were identified. Median fluoroscopy and operative times were compared between cohorts...
November 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28027075/single-use-and-disposable-flexible-ureteroscopes
#10
Esteban Emiliani, Olivier Traxer
PURPOSE OF REVIEW: Flexible ureteroscopy has been widely developed in the last decade been nowadays one of the first line treatment options for urolithiasis and conservative management for upper tract urothelial tumors. Even though some unfavorable features of the reusable flexible scopes can limit the surgical procedure such as their availability, lack of sterilization or costly repairs. Disposable scopes have been developed with the intention of improving such problems. RECENT FINDINGS: To our knowledge, seven devices have been developed...
December 23, 2016: Current Opinion in Urology
https://www.readbyqxmd.com/read/28012707/effectiveness-of-ureteroscopy-among-the-youngest-patients-one-centre-s-experience-in-an-endemic-region-in-turkey
#11
Mehmet Mazhar Utanğaç, Mansur Dağgülli, Onur Dede, Ahmet Ali Sancaktutar, Yaşar Bozkurt
BACKGROUND: In recent years, the incidence of urinary stone disease reportedly has been increasing. The use of shockwave lithotripsy has seen low success rates, the inefficacy of a single session, and the need for general anaesthesia in children; additionally, children are exposed to radiation. These suboptimal treatment conditions have all led to ureteroscopy (URS) becoming the treatment method of choice for paediatric ureter stones. The aim of this study is to examine the effectiveness of 4...
November 19, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28001097/perirenal-haematoma-after-ureteroscopy-a-systematic-review
#12
Lily Alice Whitehurst, Bhaskar K Somani
INTRODUCTION: With the broadening indications of ureteroscopy (URS) for complex stones and high-risk patients, more ureteroscopy is being performed and hence there is an increasing risk of major potentially life-threatening complications. We wanted to define the incidence, predisposing factors, management and long term sequelae for post-URS perirenal haematoma (PRH). MATERIAL AND METHODS: We conducted a systematic review of literature according to Cochrane and PRISMA guidelines for all studies reporting on post-URS PRH from 1980 to September 2016...
December 21, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27979532/re-comparison-of-minimally-invasive-percutaneous-nephrolithotomy-and-flexible-ureteroscopy-for-the-treatment-of-intermediate-proximal-ureteral-and-renal-stones-in-the-elderly
#13
https://www.readbyqxmd.com/read/27979525/re-the-use-of-apnea-during-ureteroscopy
#14
Dean G Assimos
No abstract text is available yet for this article.
January 2017: Journal of Urology
https://www.readbyqxmd.com/read/27974887/the-single-wire-ureteral-access-sheath-both-safe-and-economical
#15
REVIEW
Joan C Delto, George Wayne, Ajaydeep Sidhu, Rafael Yanes, Akshay Bhandari, Alan M Nieder
Introduction. Novel disposable products for ureteroscopy are often inherently more expensive than conventional ones. For example, the Cook Flexor(©) Parallel™ (Flexor) access sheath is designed for ease and efficiency of gaining upper tract access with a solitary wire. We analyze the cost combinations, efficiency, and safety of disposable products utilized for upper tract access, including the Flexor and standard ureteral access sheath. Methods. We performed a retrospective review from January 2014 to October 2014 of patients undergoing URS for nephrolithiasis, who were prestented for various reasons (e...
2016: Advances in Urology
https://www.readbyqxmd.com/read/27958764/death-of-the-safety-guidewire
#16
Steeve Doizi, Thomas Herrmann, Olivier Traxer
No abstract text is available yet for this article.
January 16, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27917317/flexible-ureteroscopy-for-renal-stone-without-preoperative-ureteral-stenting-shows-good-prognosis
#17
Jiaqiao Zhang, Chuou Xu, Deng He, Yuchao Lu, Henglong Hu, Baolong Qin, Yufeng Wang, Qing Wang, Cong Li, Shaogang Wang, Jihong Liu
PURPOSE: To clarify the outcome of flexible ureteroscopy (fURS) for management of renal calculi without preoperative stenting. METHODS: A total of 171 patients who received 176 fURS procedures for unilateral renal stones were reviewed. All procedures were divided into two groups depending on whether they received ureteral stenting preoperatively. Baseline characteristics of patients, stone burden, operation time, stone-free rates, and complications were compared between both groups...
2016: PeerJ
https://www.readbyqxmd.com/read/27913238/contemporary-ureteroscopic-management-of-renal-stones
#18
S Proietti, T Knoll, G Giusti
The advancements in the endourological armamentarium and the evolution of ureteroscopes with the advent of fiberoptic first and then digital technology, the introduction of holmium laser lithotripters, together with the increasing number of requests for minimally invasive procedures has ameliorated outcomes, patients' safety and comfort, making the use of flexible ureteroscopy for urinary calculi increasingly attractive and widespread among urological community. Due to its high stone-free rates and low morbidity, flexible ureteroscopy has become a viable option for the treatment of renal stones...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27912973/micro-ureteroscopy-for-the-treatment-of-distal-ureteral-calculi-in-children
#19
Mehmet Mazhar Utanğaç, Ahmet Ali Sancaktutar, Abdulkadir Tepeler
OBJECTIVE: The objective of this study was to demonstrate the efficacy and safety of micro-ureteroscopy (micro-URS) in the management of distal ureteral stones in the pediatric population. MATERIALS AND METHODS: A total of 11 children, who had undergone micro-URS between September 2015 and April 2016 with the indication of distal ureteral calculi in two referral centers, were retrospectively evaluated. The procedures were performed with the patient in the lithotomy position under general anesthesia using the standard URS technique with a micro-ureteroscope that has a caliber of 4...
November 17, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27900939/incidence-and-implications-of-silent-hydronephrosis-following-percutaneous-nephrolithotomy%C3%A2
#20
Lawrence Dagrosa, Rachel Moses, Vernon M Pais
OBJECTIVE: While routine renal imaging following ureteroscopy for urinary calculi has been recommended to screen for asymptomatic "silent" obstruction, the rate of silent obstruction following percutaneous nephrolithotomy (PCNL) remains poorly defined, and no consensus recommendations exist on routine postoperative imaging. At our institution, we sought to assess the incidence of silent hydronephrosis (SH), as a screen for obstruction, following PCNL. METHODS: The records of all 162 patients who met study inclusion criteria were reviewed...
January 2017: Clinical Nephrology
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