Minimally invasive management of concomitant vesicovaginal and ureterovaginal fistulas after transabdominal hysterectomy: Laparoscopic fistula repair with ureteroneocystostomy using Boari flap
Conclusion With adequate laparoscopic experience and patient counseling, complex genitourinary fistulas can be approached with minimally invasive techniques. Laparoscopic approach provides excellent exposure to a poorly exposed area of retrovesical space while minimizes the bladder manipulation.
CONCLUSIONS: The vmPCNL seems to be sustainable, safe and feasible for kidney stones treatment in the pediatric population. PMID: 33016029 [PubMed - as supplied by publisher]
This study explored the risk factors for renal atrophy after percutaneous nephrolithotomy (PCNL), and provides a reference for clinical prevention of renal atrophy after PCNL. MATERIAL AND METHODS According to the inclusion and exclusion criteria, the clinical data of 816 patients who underwent PCNL in our hospital from May 2013 to February 2018 were retrospectively collected. Depending on whether the patient had kidney atrophy, they were divided into a renal atrophy group and a non-renal atrophy group. We collected and analyzed data on patient sex, age, kidney location, duration of disease, stone size, hydronephrosis, ren...
AbstractTo investigate the reliability of newly defined CT-related parameters and cardiovascular risk factors in groups adjusted for stone size and location to predict spontaneous stone passage (SP) of uncomplicated ureteral stones ≤ 10 mm. The data of 280 adult patients with solitary unilateral ureteral stones ≤ 10 mm in diameter in non-contrast computed tomography were prospectively recorded. All patients undergoing a four-week observation protocol with medical expulsive therapy using tamsulosin were divided i nto two groups according to SP or no SP. Demographic, clinical and ...
Rationale: The indwelling ureteral stents is a common procedure in routine urological practice. The double-J (D-J) stent is the most common type of stents used and is indicated mainly for short-term urinary drainage and prevention of obstruction and infection. However, prolonged indwelling stents may result in disastrous complications, such as hematuria, infection, encrustation, and stone formation. In this context, the persistence of stent in situ might play a key role as a nidus in deposition of urinary sediment, then forming calculus. Although the encrustation may become more serious as time goes on, large bladder sto...
Publication date: Available online 11 September 2020Source: Gynecologic Oncology ReportsAuthor(s): Mathilde Del, Martina Aida Angeles, Charlotte Syrykh, Carlos Martínez-Gómez, Alejandra Martínez, Gwénaël Ferron, Erwan Gabiache, Lucie Oberic
Conclusion: Our study presents a case of nephrogenic diabetes insipidus caused by urinary obstruction. Differential diagnoses for diabetes insipidus as well as the relationship between nephrogenic diabetes insipidus and urinary obstruction are also considered in this study.
CONCLUSION: Metastatic lesions in the ureter are extremely rare, even less frequent the ones with breast origin with around ten cases published worldwide. With the previous diagnosis of breast carcinoma, the probable ureteral compromise should be considered especially in patients with clinical and radiological symptoms of urinary tract obstruction. A well-timed and proper diagnosis may influence in prognosis and survival. PMID: 32886081 [PubMed - as supplied by publisher]
CONCLUSIONS: Diabetic patients are under greater risk to develop postoperative UTI following URS. Those patients with UTI history and HbA1c level higher than 6.9% must be followed carefully. PMID: 32886078 [PubMed - as supplied by publisher]
n T Abstract A 52-year-old man with flank pain on the right side presented to the emergency room. A computer tomography of the abdomen showed a right ureterolithiasis with 3.5 mm stone in the proximal ureter with consecutive grade 2 hydronephrosis. After standard treatment of the right ureterolithiasis, there was a relapse on the left side and throughout the entire upper and lower urinary tract with struvite stones due to a persistent infection with Proteus mirabilis. PMID: 32876698 [PubMed - as supplied by publisher]
CONCLUSION: Utilizing direct visual semi-rigid ureteroscopic dilation with a semi-ridged ureteroscope prior to flexible ureteroscopy leads to successful primary ureteroscopy for renal stone treatment in most patients. This technique is an effective, safe and possibly cost-effective method of obtaining ureteral access to facilitate primary URS for renal stone treatment. PMID: 32861259 [PubMed - in process]