Evolution from Percutaneous nephrolithotomy to Mini-PCNL in supine position on the treatment of complex renal calculi: feasibility study.
CONCLUSIONS: Mini-NLP can manage kidney stones and even large staghorn calculi without nephrostomy in a high percentage of patients. The technical evolution towards a small caliber approach maintains the effectiveness of the procedure without impacting its safety, with benefits perceived by patients such as less postoperative pain. PMID: 28613206 [PubMed - in process]
ConclusionYoung adults are subject to repetitive CT imaging to monitor urogenital, intestinal, hepatobiliary, and pancreatic disorders during non-operative management to detect and follow up abdominal emergencies requiring surgical intervention and to assess post-surgical complications. In this population, the risk of accruing high cumulative radiation exposure should be considered.
CONCLUSIONS: The twinkling artifact is a very useful color Doppler ultrasound tool for the detection of small urinary stones. We suggest the routine use of color Doppler in all suspicious cases in order to avoid unnecessary irradiating and expensive radiological methods. PMID: 28845492 [PubMed - in process]
Conclusion Our study indicated that renal stone contributed to a significantly higher risk of ER-visiting rate to patients than did ureteral stone, following outpatient ESWL within 48 h. This study confirmed that Outpatient ESWL is a safe treatment for renal or ureteral stones, while inpatient ESWL is not absolutely necessary.
“Be glad you can use your legs now. You might not always be able to.” That’s what Morgan Gautreau was told by a neurosurgeon in Alabama six years ago, one of many doctors she had seen seeking a solution for her nearly constant back pain caused by a tethered spinal cord due to spina bifida occulta. Luckily, she and her family didn’t take his words to heart, but kept looking for help. Early surgeries Morgan’s journey with back pain began when she was in fourth grade. “I was at a Louisiana State University game and I realized my back was hurting. It just came out of the blue,” Morgan...
Kidney stone-induced renal colic is accounted for millions of patient visits to emergency departments (ED), globally. As a standard of care, the first goal of medical management for these patients direct towards immediately pain control with safe and effective analgesics agents prior to being discharged or undergoing the required procedures .
ConclusionsNephrolithiasis is a rare complication of pediatric DKA, and should be considered in children with DKA who develop hematuria, flank pain, or suprapubic pain. Nephrolithiasis can increase insulin resistance due to increased pain and inflammation, so these patients should be monitored closely for recurrence of DKA. As patients with diabetes have increased risk of chronic kidney disease and nephrolithiasis can cause kidney injury, risk factors for nephrolithiasis should be identified and addressed to avoid subsequent kidney damage.
Study author Saiful Miah, clinical lecturer in urology at Imperial College Healthcare NHS Trust, London, said: ‘The majority thought their kidney stone pain was a lot worse than childbirth.'
CONCLUSION: This case supports the previous reports describing the associoation between the use of topiramate and the developmenrt of hallucinations. Even though the average daily topiramate dose associated with the development of hallucinations in previously reported cases was 150 mg in women and 181.25 mg in men, hallucinations can occur at lower doses (as low as 50 mg daily) as well. PMID: 28699493 [PubMed - as supplied by publisher]
Fatih Yanaral, Arif Ozkan, Nusret Can Cilesiz, Baris NuhogluUrology Annals 2017 9(3):293-295Spontaneous rupture of the urinary collecting system with extravasation of the urine is a very rare condition. This situation is commonly associated with an obstructing urinary stone. Herein, we report a case of an 86-year-old patient who has admitted to the emergency service with left flank pain continuing for 7 days and pain has exacerbated in the past 24 h. The patient had nausea, vomiting, and tenderness on the left side of the abdomen and left flank region. The patient was diagnosed with an 8 mm left kidney stone a month ago, a...
AbstractPain management is one of the essentials of emergency care. Renal colic secondary to urinary stone disease forms one of the most intense pain types. The present study aimed to compare the effect of intravenous ibuprofen to paracetamol in ceasing renal colic. This randomised double-blind study was composed of two intervention arms, intravenous paracetamol and intravenous ibuprofen. Study subjects were randomised to receive a single dose of either paracetamol, 1 g in 100 ml normal saline, or ibuprofen (800 mg in 100 ml normal saline) in a blinded fashion. Subjects reported pain intensity on a vis...