Laparoscopic management of severe ureteral obstruction after vaginal hysterectomy and colposuspension

ConclusionsLaparoscopy can be a wise alternative option to manage ureteral obstruction secondary to vaginal colposuspension for genital organ prolapse.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research

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Funding Opportunity RFA-DK-20-506 from the NIH Guide for Grants and Contracts. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)s Urinary Stone Disease Research Network (USDRN) is conducting a multi-center randomized clinical trial and an observational clinical study to a) provide evidence on the effects of increased fluid intake and urine output on urinary stone disease recurrence through innovative adherence strategies, b) understand and mitigate ureteral stent-associated pain and urinary symptoms, and c) collect data and biological samples for future investigations. The purpose of this Limite...
Source: NIH Funding Opportunities (Notices, PA, RFA) - Category: Research Source Type: funding
Funding Opportunity RFA-DK-20-507 from the NIH Guide for Grants and Contracts. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)s Urinary Stone Disease Research Network (USDRN) is conducting a multi-center randomized clinical trial and an observational clinical study to a) provide evidence on the effects of increased fluid intake and urine output on urinary stone disease recurrence through innovative adherence strategies, b) understand and mitigate ureteral stent-associated pain and urinary symptoms, and c) collect data and biological samples for future investigations. The purpose of this Limite...
Source: NIH Funding Opportunities (Notices, PA, RFA) - Category: Research Source Type: funding
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]
Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
Conclusions: Spontaneous passage of distal ureteric calculi is dependent on stone size and location within the ureter. Provided a patient does not portray symptoms of uncontrollable pain, infection, obstruction, or declining renal function, it is reasonable to trial a period of expectant management. Follow-up should be arranged to ensure symptom resolution, and alternative treatment can be offered if required.Urol Int
Source: Urologia Internationalis - Category: Urology & Nephrology Source Type: research
Renal colic is an emergency symptom characterized by sudden onset of intense pain secondary to urinary stone disease. It is the most common urologic disease of patients seeking help in the emergency department (ED) [1]. The overall prevalence of urinary stone disease is reported as 14% in Turkey [2]. In the United States, over 1 million patients are examined and treated for renal colic every year [3].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
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]
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
Abstract PURPOSE: Alpha-blockers have been proven as an effective method for increasing the stone expulsion rate of distal ureteral stones. Limited studies have focused on doxazosin; its efficacy remained unclear. We performed this meta-analysis to investigate the efficacy and safety of doxazosin for patients diagnosed with distal ureteral stones less than 10mm. MATERIALS AND METHODS: We systematically searched Ovid MEDLINE®, Cochrane Library, EMBASE, and PubMed for articles comparing doxazosin and conventional care or tamsulosin for distal ureteral stones through October 2019. The outcome measures were s...
Source: Urology Journal - Category: Urology & Nephrology Authors: Tags: Urol J Source Type: research
ConclusionsThis condition can be managed conservatively, if the individual remains asymptomatic, by regular monitoring of renal function. Surgeons should remain alert for the development of infections, any obstructive manifestations leading to calculus formation, and any malignant changes. The individual should be careful in avoiding trauma to low-lying pelvic kidney. Extensive surgeries should be avoided and only selective procedures should be done so that the patient may lead a normal lifestyle.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
We report a rare case of 20-months-old female admitted with left-sided abdomen lump and mild abdominal pain. During surgery, supernumerary kidney with horseshoe component with grossly-dilated left-sided pelvicalyceal system and proximal 1-cm of left-ureter, distal to which whole of left-ureter was noncanalized, was seen.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Pediatric Case Report Source Type: research
Abstract Acute pyelonephritis is a bacterial infection of the kidney and renal pelvis and should be suspected in patients with flank pain and laboratory evidence of urinary tract infection. Urine culture with antimicrobial susceptibility testing should be performed in all patients and used to direct therapy. Imaging, blood cultures, and measurement of serum inflammatory markers should not be performed in uncomplicated cases. Outpatient management is appropriate in patients who have uncomplicated disease and can tolerate oral therapy. Extended emergency department or observation unit stays are an appropriate option...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
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