Is multiple tracts percutaneous nephrolithotomy (PCNL) safe modality in management of complex renal stones: A prospective study? Single center experience

ConclusionNumber of percutaneous tracts needed for stone clearance was increased with the increase in stone size and complexity. Surgeon experience, accurate choosing puncture site and carefully performed multiple tracts will decrease the intra-operative and postoperative complications or transfusion requirements.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

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Renal colic is a prevalent emergency department presentation resulting from urolithiasis. Clinical decision rules for the diagnosis of urolithiasis were developed to help clinicians with better judgment. In this systematic review, we assessed the performance of prediction rules on urolithiasis diagnosis and prognosis. MEDLINE, Embase, Web of Science, and Scopus were searched for studies on the performance of a clinical decision tool for diagnosis or prognosis of urolithiasis. Performance and accuracy of the rules were the key outcomes of interest. Databases were searched from inception to March 2019. Of the 4980 articles r...
Source: European Journal of Emergency Medicine - Category: Emergency Medicine Tags: Review Articles Source Type: research
In conclusion, the CNN differentiated ureteral stones from phleboliths with higher accuracy than the mean of seven radiologists’ assessments using local features. However, more than local feature s are needed to reach optimal discrimination.
Source: Urolithiasis - Category: Urology & Nephrology Source Type: research
ConclusionsIn our population-based sample of childhood kidney stone formers, the stone recurrence rate is similar to that reported for adults. The observed rise in stone recurrence with time may be related to closer patient follow-up in recent years or increased stone risk in general.
Source: Urolithiasis - Category: Urology & Nephrology Source Type: research
The objective is to establish whether a pattern of intestinal dysbiosis exists in calcium oxalate (CaOx) lithiasis and, if so, to identify its characteristics and explore whether there are differences in the pattern between CaOx dihydrate (COD) and monohydrate (COM) lithiasis. With this aim 24 patients diagnosed with CaOx lithiasis by means of optical microscopy and spectrometry were prospectively recruited. Faecal analysis was carried out by means of RT-PCR 16S rRNA assay and agar plate culture according to the methodology proposed by theInstitute of Microecology(Herborn, Germany). The total number of bacteria was deplete...
Source: Urolithiasis - Category: Urology & Nephrology Source Type: research
Conditions:   Kidney Stone;   Nephrolithiasis Interventions:   Procedure: Ureteroscopy;   Procedure: Percutaneous Nephrolithotomy;   Procedure: Shock Wave Lithotripsy Sponsors:   Children's Hospital of Philadelphia;   Patient-Centered Outcomes Research Institute Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Nephrolithiasis Interventions:   Drug: Mirabegron 50 MG;   Drug: Placebo oral tablet Sponsors:   St. Michael's Hospital, Toronto;   Canadian Urological Association Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Kidney Stone;   Nephrolithiasis Interventions:   Procedure: Ureteroscopy;   Procedure: Percutaneous Nephrolithotomy;   Procedure: Shock Wave Lithotripsy Sponsors:   Children's Hospital of Philadelphia;   Patient-Centered Outcomes Research Institute Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Nephrolithiasis Interventions:   Drug: Mirabegron 50 MG;   Drug: Placebo oral tablet Sponsors:   St. Michael's Hospital, Toronto;   Canadian Urological Association Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Urolithiasis Intervention:   Behavioral: Parents'Health-Education Handbook Sponsor:   Guohua Zeng Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: Aresta C, Passeri E, Corbetta S Abstract Current primary hyperparathyroidism (PHPT) clinical presentation is asymptomatic in more than 90% of patients, while symptoms concern osteoporosis and rarely kidney stones. Here, we retrospectively investigated the prevalence of PHPT patients presenting with hypercalcemic-related symptoms (HS-PHPT) as cognitive impairment, changes in sensorium, proximal muscle weakness, nausea and vomiting, constipation, and severe dehydration, in a single center equipped with an emergency department and described their clinical features and outcome in comparison with a series of as...
Source: International Journal of Endocrinology - Category: Endocrinology Tags: Int J Endocrinol Source Type: research
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