keyword
https://read.qxmd.com/read/38458327/surgeon-and-institution-characteristics-associated-surgical-preferences-in-the-pediatric-kidney-stone-pkids-care-improvement-network
#21
JOURNAL ARTICLE
Nicolas Fernandez, Jonathan S Ellison, Zi Wang, Jing Huang, David I Chu, Renea Sturm, Andrew A Stec, Ryan S Hsi, Wayland Wu, Caleb Nelson, Christina Ching, Brian Augelli, Matt Lorenzo, Jing Bi-Karchin, Gregory E Tasian
OBJECTIVE: To reveal barriers and opportunities to implement evidence for the management of pediatric kidney stone disease, we determined surgeon and institutional factors associated with preferences for the type of surgical intervention for kidney and ureteral stones. METHODS: We conducted a cross-sectional study of urologists participating in the Pediatric KIDney Stone Care Improvement Network (PKIDS) trial. Questionnaires ascertained strengths of urologists' preferences for types of surgery as well as characteristics of participating urologists and institutions...
March 6, 2024: Urology
https://read.qxmd.com/read/38453696/the-optimal-ratio-of-endoscope-sheath-diameter-with-negative-pressure-ureteral-access-sheath-an-in-vitro-research
#22
JOURNAL ARTICLE
Jingyu Shi, Ting Huang, Baiyang Song, Wanzhang Liu, Yue Cheng, Li Fang
PURPOSE: To maintain safe intrarenal pelvic pressure (IPP), the combination of flexible ureteroscope (fURS) and traditional ureteral access sheath (T-UAS) should maintain a basic rule that is the ratio of endoscope-sheath diameter (RESD) ≤ 0.75. However, the negative-pressure ureteral access sheath (NP-UAS) may break the rule of negative pressure suction. This study aimed to examine the effect of NP-UAS on IPP and flow rate (FR) with varying RESD. METHODS: In a 3D-printed renal model, flexible ureteroscopy lithotripsy (fURL) was replicated...
March 7, 2024: World Journal of Urology
https://read.qxmd.com/read/38445592/ocular-radiation-exposure-is-negligible-in-normal-volume-endourological-practice
#23
JOURNAL ARTICLE
J Peacock, J Henderson
INTRODUCTION: The annual dose limit for radiation exposure to the eye has been reduced recently; the eye is widely recognised as one of the most radiosensitive tissues in the body. There is minimal good quality research as to the radiation dose that the eye receives during endourological surgery and this study aimed to address this. METHODS: A prospective study was performed over an 8-month period at a single large teaching hospital in the UK. Three index procedures were included: ureteric stent insertion, ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL)...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38445376/prevention-diagnosis-and-treatment-of-urolithiasis-in-geriatric-patients-differences-similarities-and-caveats-in-comparison-to-the-general-population
#24
JOURNAL ARTICLE
Tarek A Schrag, Danielle Diarra, Julian Veser
PURPOSE OF THE REVIEW: Purpose of the review is to address management and prevention of urolithiasis in elderly patients examining the dynamic interplay between general measures, dietary adjustments, lifestyle modifications, and targeted pharmacological and/ or surgical interventions. The goal is to provide understanding of the evolving strategies required for effective urolithiasis prevention in the geriatric population. RECENT FINDINGS: Age-specific diagnostic considerations are necessary because urolithiasis in the elderly population is characterized by bigger stones, greater peri-operative risks, and heightened symptom severity...
March 6, 2024: Current Opinion in Urology
https://read.qxmd.com/read/38443863/forgotten-ureteral-stents-a-systematic-review-of-literature
#25
JOURNAL ARTICLE
Xiaochuan Wang, Zhengguo Ji, Peiqian Yang, Jun Li, Ye Tian
BACKGROUND: The forgotten ureteral stents (FUS) is one of the late complications of stent placement. This systematic review summarized different aspects of FUS and focused on the problems and solutions related to FUS. METHODS: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. PubMed® and Embase® were searched from inception until October 1st, 2022. Eligible studies were those defining FUS as a stent unintentionally left in situ longer than at least 2 months...
March 5, 2024: BMC Urology
https://read.qxmd.com/read/38443269/gender-differences-in-ergonomics-during-simulated-ureteroscopy
#26
JOURNAL ARTICLE
Erin Kim, Alec Sun, Juan Sebastian Rodriguez-Alvarez, Louisa Ho, Kyle O'Laughlin, Smita De
BACKGROUND: Female urologists report higher rates of work-related physical discomfort compared to male urologists. We compared ergonomics during simulated ureteroscopy, the most common surgery for kidney stones, between male and female urologists. METHODS: Surface electromyography was used to measure muscle activation during common ureteroscopic tasks in urology trainees and staff with different surgeon positions and ureteroscopes. Subjective workload was assessed using the NASA Task Load Index (NASA-TLX)...
February 22, 2024: American Journal of Surgery
https://read.qxmd.com/read/38435122/isolated-renal-aspergilloma
#27
Hasan Al-Ibraheem, George Shaker, Stella Roushias
Aspergilloma localised solely to the kidneys is very rare and poses diagnostic and therapeutic challenges. We present the case of a 35-year-old male with a background of urolithiasis, type II diabetes and chronic kidney disease, who was found to have isolated renal aspergilloma associated with obstructing uric acid renal tract calculi. After poor progress to clear the fungal infection and remaining stones with ureteroscopy, he was successfully treated by percutaneous nephrolithotomy (PCNL) to surgically remove fungal balls and calculi...
March 2024: Urology Case Reports
https://read.qxmd.com/read/38415239/use-of-artificial-stones-in-training-and-laboratory-studies-have-we-found-the-right-material-outcomes-of-a-systematic-review-from-the-european-school-of-urology
#28
JOURNAL ARTICLE
Panagiotis Kallidonis, Angelis Peteinaris, Domenico Veneziano, Amelia Pietropaolo, Konstantinos Pagonis, Constantinos Adamou, Athanasios Vagionis, Abdulrahman Al-Aown, Evangelos Liatsikos, Bhaskar Somani
OBJECTIVE: In this review, we investigated the current literature to find out which artificial stones (AS) are available in endourology, and in which experimental and training schemes they are used. MATERIALS AND METHODS: A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Twenty-one out of 346 studies met our inclusion criteria and are presented in the current review. The inclusion criteria were the existence of AS and their use for laboratory and training studies...
2024: Urology Annals
https://read.qxmd.com/read/38415236/the-saudi-urological-association-guidelines-on-urolithiasis
#29
JOURNAL ARTICLE
Wissam Kamal, Raed A Azhar, Saeed Bin Hamri, Abdulaziz H Alathal, Abdulaziz Alamri, Tarek Alzahrani, Hussain Abeery, Yasser A Noureldin, Mohammad Alomar, Abdulrahman Al Own, Mansour M Alnazari, Majid Alharthi, Mohannad A Awad, Abdulghafour Halawani, Hatem Hamed Althubiany, Abdulrahman Alruwaily, Phillipe Violette
AIMS: The Saudi Urolithiasis Guidelines are a set of recommendations for diagnosing, evaluating, and treating urolithiasis in the Saudi population. These guidelines are based on the latest evidence and expert consensus to improve patient outcomes and optimize care delivery. They cover the various aspects of urolithiasis, including risk factors, diagnosis, medical and surgical treatments, and prevention strategies. By following these guidelines, health-care professionals can improve care quality for individuals with urolithiasis in Saudi Arabia...
2024: Urology Annals
https://read.qxmd.com/read/38413652/comparison-of-the-effectiveness-of-two-adjustable-negative-pressure-ureteral-access-sheaths-combined-with-flex-ureteroscopy-for%C3%A2-%C3%A2-%C3%A2-2%C3%A2-cm-renal-stones
#30
JOURNAL ARTICLE
Deheng Cui, Qinghong Ma, Shengbiao Xie, Guangzhi Wang, Guanghai Li, Guoqiang Chen
To compare the safety and effectiveness of the combination of intelligent intrarenal pressure control platforms (IPCP) and flexible ureteral access sheath (FUAS) combined with retrograde intrarenal surgery (RIRS) for the treatment of renal stones less than 2 cm. We retrospectively collected 383 patients with renal stones who underwent RIRS in our department from June 2022 to October 2023. Inclusion criteria: stone length or the sum of multiple stone lengths ≤ 2 cm. Finally, 99 cases were included and divided into an IPCP group (n = 40) and FUAS group (n = 59) based on surgical methods...
February 27, 2024: Scientific Reports
https://read.qxmd.com/read/38413490/comparing-outcomes-of-single-use-vs-reusable-ureteroscopes-a-systematic-review-and-meta-analysis
#31
REVIEW
Mikhael Belkovsky, Carlo Camargo Passerotti, Ronaldo Soares Maia, Everson Luiz de Almeida Artifon, José Pinhata Otoch, Jose Arnaldo Shiomi Da Cruz
Flexible ureterolithotripsy is a frequent urological procedure, usually used to remove stones from the kidney and upper ureter. Reusable uretero-scopes were the standard tool for that procedure, but recent concerns related to sterility and maintenance and repair costs created the opportunity to develop new technologies. In 2016, the first single-use digital flexible ureteroscope was introduced. Since then, other single-use ureteroscopes were developed, and studies compared them with the reusable ureteroscopes with conflicting results...
February 28, 2024: Urolithiasis
https://read.qxmd.com/read/38408492/urologic-presentation-of-unicentric-pediatric-castleman-disease-in-the-setting-of-acute-renal-colic
#32
Joanna Orzel, Lindel Dewberry, Carol Holman, Yutaka Sato, Julia Shelton, Angelena Edwards
11-year-old otherwise healthy female presented with renal colic and during computed tomography (CT) imaging evaluation, she was found to have a right distal ureteral stone with associated hydroureteronephrosis, medially deviated ureter, and 4 cm solid retroperitoneal mass. The mass was palpable on physical exam and was further categorized with magnetic resonance imaging (MRI), ultrasound, and laboratory testing. A multidisciplinary team approach including pediatric surgery, radiology, oncology, and urology led to the patient undergoing a right retrograde pyelogram, ureteroscopy with stent placement, and laparoscopic excision of retroperitoneal mass...
February 24, 2024: Urology
https://read.qxmd.com/read/38408491/novel-anti-reflux-relief-stent-to-prevent-vesicoureteral-reflux
#33
JOURNAL ARTICLE
Michael Callegari, Anish Patel, Andrew Drozd, Steven Rhodes, Hannah Ahrendt, Erin Jesse, Helen Sun, Nicholas Sellke, Kimberly Tay, Karishma Gupta, Irina Jaeger, Kyle Scarberry
OBJECTIVE: To assess efficacy, comfort, & symptoms of a novel ureteral stent (RELIEF) substituting the distal semirigid coil of a traditional double-J (DJ) for a floating, monofilament tether allowing coaptation of the ureteral orifice. Ureteral instrumentation notoriously cause discomfort, urgency, frequency, dysuria & hematuria; prolonged morbidity is likely related to stent-associated vesicoureteral reflux (VUR). We hypothesized this design would eliminate VUR, be safe & provide comfort following intervention...
February 24, 2024: Urology
https://read.qxmd.com/read/38405421/is-suction-the-future-of-endourology-overview-from-eau-section-of-urolithiasis
#34
EDITORIAL
Victoria Jahrreiss, Carlotta Nedbal, Daniele Castellani, Vineet Gauhar, Christian Seitz, Guohua Zeng, Patrick Juliebø-Jones, Etienne Keller, Lazaros Tzelves, Rob Geraghty, Karan Rangarajan, Olivier Traxer, Joe Philip, Andreas Skolarikos, Panagiotis Kallidonis, Ewa Bres-Niewada, Bhaskar Somani
No abstract text is available yet for this article.
2024: Therapeutic Advances in Urology
https://read.qxmd.com/read/38404560/left-endoscopic-combined-intrarenal-surgery-with-electrocoagulation-hemostasis-and-right-flexible-ureteroscopic-lithotripsy-for-bilateral-upper-urinary-tract-stones-a-case-report
#35
Lin Xiong, Kristine J S Kwan, Xiang Xu, Geng-Geng Wei, Yuan Yuan, Zhen-Quan Lu
BACKGROUND: Percutaneous nephrolithotomy (PCNL) is the first-line treatment for large renal stones. However, multi-tract or staged procedures may be necessitated in bilateral or anatomically-complex stones to achieve stone clearance. Endoscopic combined intrarenal surgery (ECIRS) integrates the advantages of PCNL and retrograde intrarenal surgery. In this article, we detail a hybrid surgical technique adopted for the management of complex simultaneous bilateral upper urinary tract stones...
January 31, 2024: Translational Andrology and Urology
https://read.qxmd.com/read/38398427/urological-guidelines-for-kidney-stones-overview-and-comprehensive-update
#36
REVIEW
Mahir Akram, Victoria Jahrreiss, Andreas Skolarikos, Robert Geraghty, Lazaros Tzelves, Esteban Emilliani, Niall F Davis, Bhaskar K Somani
BACKGROUND: Evidence-based guidelines are published by urological organisations for various conditions, including urolithiasis. In this paper, we provide guidance on the management of kidney stone disease (KSD) and compare the American Urological Association (AUA) and European Association of Urologists (EAU) guidelines. METHODS: We evaluate and appraise the evidence and grade of recommendation provided by the AUA and EAU guidelines on urolithiasis (both surgical and medical management)...
February 16, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38387515/determining-the-stone-free-rate-of-retrograde-intrarenal-surgery-which-radiological-technique-rirsearch-study-group
#37
JOURNAL ARTICLE
Cenk Murat Yazici, Aysun Korcan Gönen, Oktay Ozman, Hakan Cakir, Cem Basatac, Haci Murat Akgul, Onder Cinar, Duygu Siddikoglu, Hulusi Sıtkı Dayısoylu, Eyup Burak Sancak, Barbaros Baseskioglu, Bulent Onal, Haluk Akpinar
OBJECTIVE: To evaluate the sensitivity and specificity of ultrasonography and kidney ureter bladder radiography(KUB) for the determination of stone free status of retrograde intrarenal surgery(RIRS) according to different stone free status definitions. MATERIALS AND METHODS: The patients who underwent RIRS between September 2021 and September 2022 were prospectively included in the study. All patients underwent a KUB radiography, urinary system ultrasonography and non-contrast abdominal tomography(NCCT) at the postoperative first month of the surgery...
February 20, 2024: Urology
https://read.qxmd.com/read/38381935/development-of-a-synchronous-motion-tracking-and-video-capture-tool-for-flexible-ureteroscopy
#38
JOURNAL ARTICLE
Jessica Trac, Jonguk Lee, Kai-Ho Fok, Brian Carrillo, Monica Farcas
INTRODUCTION: Hand/instrument motion-tracking in surgical simulation provides valuable data to improve psychomotor skills and can serve as a formative evaluation tool. Motion analysis has been well-studied in laparoscopic surgery; however, there are essentially no studies looking at motion-tracking for flexible ureteroscopy (fURS), a common surgical procedure requiring hand dexterity and 3D spatial awareness. We aimed to design a synchronized motion-tracking and video capture system for fURS capable of collecting objective metrics for use in surgical skills training...
December 21, 2023: Canadian Urological Association Journal
https://read.qxmd.com/read/38381927/incidence-and-trends-in-the-treatment-of-kidney-stones-in-canada-a-population-based-cohort-study
#39
JOURNAL ARTICLE
Michael Ordon, Andrea Lantz Powers, Ben H Chew, Jason Y Lee, Michael Kogon, Sri Sivalingam, Shubha De, Naeem Bhojani, Sero Andonian
INTRODUCTION: Our objective was to assess the incidence of kidney stones requiring acute care, trends in the surgical treatment of stones, and the demographics of stone formers in Canada. METHODS: We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health Information. We included Canadian residents age >18, outside of Quebec, who presented between January 1, 2013, and December 31, 2018, with a kidney stone episode...
February 15, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38376761/-imaging-in-nephroureterolithasis
#40
JOURNAL ARTICLE
Julia Peters, David Oswald, Christian Eiben, Christian Ramesmayer, Michael Abenhardt, Manuela Sieberer, Roland Homberg, Andreas J Gross, Thomas R W Herrmann, Arkadiusz Miernik, Benedikt Becker, Karin Lehrich, Jan-Thorsten Klein, Gencay Hatiboglu, Lukas Lusuardi, Christopher Netsch
In the acute diagnostics of a suspected nephroureterolithiasis, ultrasonography should be the examination modality of choice. In cases of suspected urolithiasis, unclear flank pain with fever or in cases of a solitary kidney, a noncontrast computed tomography (CT) scan should always subsequently be performed. If the sonography findings are inconclusive in pregnant women a magnetic resonance imaging (MRI) examination can be considered. If there are indications for urinary diversion, a retrograde imaging study should be performed as part of the urinary diversion...
February 20, 2024: Urologie
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