Read by QxMD icon Read

Renal Stone management

Sandeep Gupta, Arun Kuamr Maurya, Dilip Kumar Pal
OBJECTIVE: To evaluate surgical outcome and spinal anesthetic feasibility of supine percutaneous nephrolithotomy (PCNL) by tubeless and totally tubeless method. MATERIAL AND METHODS: This observational study included a totally 53 patients. Initial diagnosis of renal stone was based on urinary ultrasonography, kidney, ureter and bladder X-ray, and later confirmed by computed tomography urography. PCNL was done with the patient in Galdakao-modified supine Valdivia position...
December 4, 2018: Turkish Journal of Urology
Dominique Joly
Management of a patient with polycystic kidney disease. In patients with autosomal dominant polycystic kidney disease, the nephrologist is typically asked to treat hypertension, urological complications (pain, stones, infections), progressive renal failure and its consequences, and finally initiate renal replacement therapy (hemodialysis, peritoneal dialysis, kidney transplant) for those reaching end-stage renal failure, most often in the second part of their life. We should now consider a more modern vision: in at risk subjects, an early diagnosis (around 20 years of age) will help to provide dietary advice (water intake, salt and protein intake), detect hypertension, fight against cardiovascular risk factors, detect intracranial aneurysms; in women, to give advice on contraception, pregnancies, and to detect massive polycystic liver disease; finally, to discuss advances in cystic blocking research and to propose the first of these, tolvaptan, to eligible patients...
May 2018: La Revue du Praticien
Thomas Knoll, Peter Alken
Urolithiasis is an urologist's daily business. This article provides an overview of the developments in the management of urinary stone disease since the 1970s. While conventional KUB X-rays and intravenous pyelography were standard imaging procedures in the past, computed tomography is the first choice today. Conservative treatments such as medical expulsive therapy were established to facilitate ureteral stone passage, but have come into discussion in the past few years. Fifty years ago, open stone surgery was the standard procedure to access renal stones...
February 28, 2019: Aktuelle Urologie
Francesca Kum, Kathie Wong, David Game, Matthew Bultitude, Kay Thomas
Higher blood pressures (mean systolic difference 16.8 mmHg) when compared to matched individuals are already reported in patients with calcium urolithiasis. We present the prevalence of hypertension and renal impairment in patients with cystinuria from our specialist single centre. We analysed our prospective database of adult patients with cystinuria who attend our cystinuria service. This included details of the medical and operative management of their disease. Descriptive statistics were used to analyse and present the data...
February 25, 2019: Urolithiasis
Ahmed Al-Sharefi, Elizabeth Glenister, Margaret Morris, Richard Quinton
Oral calcium salts are recommended for the treatment of chronic hypoparathyroidism (HypoPT), although dosimetry is variable between individual patients and clinicians. However, patient feedback on calcium salts can be negative, particularly due to gastrointestinal side-effects and hypercalciuria-related complications. We begin with a clinical case of a HypoPT patient taking oral calcium salts following thyroid surgery, who requested support in reducing her dose of these with a view to stopping entirely. To evaluate her request, we first describe the usual treatment of HypoPT according to current guidance, and then present data from (a) a case notes review of a cohort of 24 HypoPT patients managed with a "no calcium" treatment regimen by single physician (b) a comprehensive online survey of HypoPT patients' treatment and experiences (n-330)...
February 23, 2019: Clinical Endocrinology
Katherine H Chan, Benjamin M Whittam, Amy Krambeck, Stephen M Downs, Rosalia Misseri, Mark P Cain, William E Bennett
OBJECTIVE: To determine the most cost-effective approach to the management of distal ureteral stones in children given the potential for recurrent renal colic during a trial of passage versus potential stent discomfort and complications of ureteroscopy. METHODS: We developed a decision tree to project costs and clinical outcomes associated with observation, medical explusive therapy (MET), and ureteroscopy for the management of an index patient with a 4mm distal ureteral stone...
February 18, 2019: Urology
Thomas A A Skinner, Luke Witherspoon, Ali Dergham, Jeffery E Warren, James Watterson, Brian Blew
INTRODUCTION: Ureteropelvic junction obstruction (UPJO) is a condition characterized by partial or complete obstruction of urine transport from the renal pelvis to the ureter and can present with intermittent flank pain, recurrent urinary tract infections, renal stones, or renal dysfunction. While historically, open pyeloplasty was the gold standard for surgical management, laparoscopic methods to repair UPJO have largely taken over as the preferred approach for adolescent and adult patients...
January 21, 2019: Canadian Urological Association Journal
V A Malkhasyan, I V Semenyakin, V Yu Ivanov, S O Sukhikh, N K Gadzhiev
To date, percutaneous nephrolithotomy (PNL) is the standard treatment modality for large-volume renal stones and staghorn stones in patients with urolithiasis. Despite low invasiveness, this method is not without complications. This review discusses the most common complications and suggests methods for their prevention and appropriate management. To unify the study of complications they were categorized based on the modified Clavien classification. According to the available data, about 80% of the PNL complications belong to grade I-II complications and does not require any additional treatment...
October 2018: Urologii︠a︡
O V Teodorovich, M N Shatokhin, M I Abdullaev, A V Krasnov, M R Khommyatov
This article presents a case of a 59-year-old patient with a primary tumor of the right kidney with bladder and liver metastases. The patient was treated in three-stages. In the first stage, he underwent ureteral stone extraction, laser resection of the tumor with subsequent vaporization. In the second stage, a repeat laser resection and vaporization of the tumor was performed. During the third stage, the patient underwent TUR of the bladder wall with the tumor, followed by laser vaporization of the tumor bed...
October 2018: Urologii︠a︡
Edward Assaf, Rawad Abou Zahr, Elie Ghabi, Imad Ghantous
Subcapsular hematoma is an exceedingly rare complication of extracorporeal shockwave lithotripsy (ESWL) for renal stones with cases demonstrating evidence of active arterial bleeding even more so. A 49-year-old male presented with acute onset right flank pain two hours following ESWL. CT scan with contrast revealed active contrast extravasation consistent with arterial bleeding. The patient was managed with arterial embolization and recovered uneventfully following a 4-day hospitalization.
2019: Case Reports in Urology
Chao Cai, Yang Liu, Wen Zhong, Wei Zhu, Zhijian Zhao, Wenqi Wu, Yongda Liu, Guohua Zeng
PURPOSE: To evaluate the safety and efficacy of new generation super-mini percutaneous nephrolithotomy (New-SMP) in the treatment of ≥20 mm renal stone. METHODS: We retrospectively analyzed the New-SMP procedures (14F) performed in the cases with ≥20 mm renal stone between 1st April, 2016 to 1st July, 2018. The cases with ipsilateral DJ stent and/or nephrostomy tube preoperatively, ipsilateral ureteric stone, uncorrected coagulopathy, active urinary tract infection, congenital abnormalities, urinary diversion were excluded...
February 6, 2019: Journal of Endourology
Jae Hwi Choi, Sol Yoon, Sin Woo Lee, Seong Uk Jeh, Jeong Seok Hwa, Jae Seog Hyun, Ky Hyun Chung, Deok Ha Seo, Chunwoo Lee, Sung Chul Kam, See Min Choi
OBJECTIVES: The aim of this study was to investigate the risk factors for postoperative urinary retention (POUR) among female patients by evaluating its occurrence in women who underwent laparoscopic cholecystectomy in Gyeongsang National University Hospital. METHODS: The medical records of female patients who had undergone laparoscopic cholecystectomy for gallbladder stones between March 2014 and February 2018 were reviewed. Information was collected regarding patient age, body mass index (BMI), creatinine, absolute neutrophil count, duration of the operation and anesthesia, the amount of fluid infused, American Society of Anesthesiologists (ASA) classification, and medical comorbidities, such as hypertension, diabetes, and lung, liver, heart, renal, and neurologic disease...
February 3, 2019: Lower Urinary Tract Symptoms
Kalpesh Mahesh Parmar, Shantanu Tyagi, Shrawan Kumar Singh, Gopal Sharma
The genitourinary system for reasons unknown is more likely to have birth defects than any other system. The anomaly of collecting system draining the kidney represent mystifying subset of congenital anomalies. Pelviureteric junction obstruction (PUJO) is most common. Chronic obstruction can lead to stasis, urinary infection and stone formation in PUJO. Extrarenal calyces, which is characterised by presence of calyces and renal pelvis outside the renal parenchyma is one of the rare anomalies seen among the collecting system right gonadal vein drains into inferior vena cava...
January 28, 2019: BMJ Case Reports
B Kaleeswaran, S Ramadevi, R Murugesan, S Srigopalram, T Suman, T Balasubramanian
Pedalium murex (L.) is a traditional herb, commonly used for the treatment of kidney stone related problems. Struvite stone can swiftly grow and become 'staghorn calculi' in kidney and its associated areas, which is the most aching urological disorder. The present study investigated the anti-urolithiasis activities of ethyl acetate extract of P. murex L. (EAEP) against struvite crystal. The antibacterial activity of EAEP examined against several urease producing bacteria. It showed the minimum bactericidal concentration (MBC) against Escherichia coli and Staphylococcus aureus (>125)...
January 2019: Journal of Traditional and Complementary Medicine
Salvatore Minisola, Laura Gianotti, Sanjay Bhadada, Shonni J Silverberg
Traditionally, classical complications of primary hyperparathyroidism are mainly represented by skeletal, kidney and gastrointestinal involvement. The old picture of osteitis fibrosa cystica is no longer commonly seen, at least in the western world. However, new imagining techniques have highlighted deterioration of skeletal tissue in patients with primary hyperparathyroidism not captured by traditional DXA measurement. Concerning the kidney, the most common consequences of excessive parathyroid hormone secretion are hypercalciuria and kidney stones; however, the exact pathogenesis of urinary stone formation is still unknown...
December 2018: Best Practice & Research. Clinical Endocrinology & Metabolism
Cheng Yang, Jun Zhou, Zhao Xiang Lu, Zongyao Hao, Jianzhong Wang, Li Zhang, Chaozhao Liang
OBJECTIVE: To present our experience of combining transperitoneal robot-assisted laparoscopic pyeloplasty (RALP) and concomitant flexible cystoscope lithotomy for ureteropelvic junction obstruction (UPJO) complicated by renal caliceal stones in the same session. PATIENTS AND METHODS: Between October 2014 and November 2017, RALP combined with flexible cystoscope lithotomy was performed in 16 patients with UPJO and ipsilateral renal caliceal stones. Stone location and size were preoperatively assessed...
January 19, 2019: World Journal of Urology
(no author information available yet)
No abstract text is available yet for this article.
February 2019: BJU International
Ibrahim Alnadhari, Mohammed Ahmed Alwan, Morshed Ali Salah, Abdulelah M Ghilan
OBJECTIVES: We conducted this study to evaluate patients with retained encrusted ureteral stents, identify the predisposing factors and present our experience in the management of such challenging problem. MATERIALS AND METHODS: This prospective study was carried out in the period from May 2007 to February 2011 at the Urology and Nephrology Center, Al-Thawra General Hospital, Sana'a, Yemen. 40 patients with retained encrusted ureteric stents were treated at our center...
January 18, 2019: Archivio Italiano di Urologia, Andrologia
Nina Mann, Daniela A Braun, Kassaundra Amann, Weizhen Tan, Shirlee Shril, Dervla M Connaughton, Makiko Nakayama, Ronen Schneider, Thomas M Kitzler, Amelie T van der Ven, Jing Chen, Hadas Ityel, Asaf Vivante, Amar J Majmundar, Ankana Daga, Jillian K Warejko, Svjetlana Lovric, Shazia Ashraf, Tilman Jobst-Schwan, Eugen Widmeier, Hannah Hugo, Shrikant M Mane, Leslie Spaneas, Michael J G Somers, Michael A Ferguson, Avram Z Traum, Deborah R Stein, Michelle A Baum, Ghaleb H Daouk, Richard P Lifton, Shannon Manzi, Khashayar Vakili, Heung Bae Kim, Nancy M Rodig, Friedhelm Hildebrandt
BACKGROUND: Whole-exome sequencing (WES) finds a CKD-related mutation in approximately 20% of patients presenting with CKD before 25 years of age. Although provision of a molecular diagnosis could have important implications for clinical management, evidence is lacking on the diagnostic yield and clinical utility of WES for pediatric renal transplant recipients. METHODS: To determine the diagnostic yield of WES in pediatric kidney transplant recipients, we recruited 104 patients who had received a transplant at Boston Children's Hospital from 2007 through 2017, performed WES, and analyzed results for likely deleterious variants in approximately 400 genes known to cause CKD...
February 2019: Journal of the American Society of Nephrology: JASN
Zhu Zewu, Yu Cui, Zeng Feng, Li Yang, Hequn Chen
PURPOSE: To systematically assess the effectiveness and safety of retrograde flexible ureteroscopy (FURS) versus percutaneous nephrolithotomy (PCNL) in treating intermediate-size renal stones (2-3cm). MATERIALS AND METHODS: PubMed, Ovid MEDLINE, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL) and EMBASE were researched to identify relevant studies up to May 2018. Article selection was performed through the search strategy based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria...
January 5, 2019: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"