Principles of urinary tract reconstructive surgery.
CONCLUSIONS: With the worldwide expansion of minimally invasive surgery in the area of laparoscopy and robotics, it has been possible to reproduce many of the reconstructive techniques that have followed the evolutionary course of surgery from the open to the robot assisted technique, which has made clear that such therapeutic options exist and are reproducible with good results. PMID: 28530617 [PubMed - in process]
In this issue ofJAMA Internal Medicine, Meltzer and colleagues report the results of a randomized clinical trial assessing the role of an α-blocker, tamsulosin, among patients presenting to the emergency department with renal colic secondary to a ureteral stone. In the absence of indications for immediate intervention (eg, pyelonephritis, obstruction of a solitary kidney, intractable pain), a trial of conservative treatment is warran ted in this population, given that many patients will pass their stones spontaneously. However, since a number will fail conservative treatment and require a procedure for stone removal,...
In this randomized clinical trial, participants were randomized to treatment with either tamsulosin, 0.4 mg, or matching placebo daily for 28 days to determine if tamsulosin promotes the passage of urinary stones within 28 days among emergency department patients.
Publication date: July 2018 Source:European Urology Supplements, Volume 17, Issue 5 Author(s): D. Chernysheva, S.V. Popov, I.N. Orlov, P.V. Vyazovtsev
Publication date: July 2018 Source:European Urology Supplements, Volume 17, Issue 5 Author(s): J. Purvaneckas, A. Želvys
Publication date: July 2018 Source:European Urology Supplements, Volume 17, Issue 5 Author(s): E. Demirelli, E. Öğreden, C. Bayraktar, A. Tosun, U. Oğuz
CONCLUSION: The decrease in lasing time achieved by the Moses system does not translate into sufficient cost savings to off-set the higher cost of the laser fiber and software. PMID: 29900818 [PubMed - in process]
ConclusionUreteral substitution with ileum is an effective reconstructive option for radiation-induced ureteral strictures in carefully selected patients.
No abstract available
Interventional endoscopy and interventional radiology have led to the development of minimally invasive techniques for management of kidney and ureteral diseases in the dog and cat including idiopathic renal hematuria, ureteral obstruction, and ectopic ureters. Sclerotherapy is a renal-sparing chemical cauterization technique used in cases of idiopathic renal hematuria. Diagnosis of ureteral obstruction is challenging in some cases based on ultrasound alone and antegrade pyelography should be considered. Treatment options for obstructions include nephrostomy tubes, ureteral stents, and subcutaneous ureteral bypass devices....
CONCLUSION Ureteric injury has significant morbidity and is the commonest reason for litigation following hysterectomy with an estimated risk of 0.02 - 0.4%. [1,2] Ureterolysis is infrequently practiced by benign gynaecologists however, is necessary during complex surgery. Benign pathology requiring hysterectomy such as endometriosis, fibroids, large uteri and adnexal masses are recognised risk factors for ureteric injury.  Most injuries occur during division of the uterine artery at the level of the internal cervical os. The average distance between the ureter and cervix is 2 cm but it is 0.5 cm in 3.2% of the populati...