Crossed-fused renal ectopia in children: a review of clinical profile, surgical challenges and outcome
Crossed-fused renal ectopia is a rare congenital malformation, wherein both kidneys are present unilaterally, with the ureter of the crossed kidney opening into the bladder on the contralateral side. It has varied presentation from incidental detection to renal impairment. In this largest series of crossed-fused renal ectopia, we assessed the clinical profile of these children and also attempted to shed light on the challenges in the surgical management.
Journal of Endourology, Ahead of Print.
ConclusionsThe strength of evidence for the benefit of MET in ureteral stones is low, even for distal ureteral stones>5 mm. In the absence of further high-quality data, individual clinicians are required to decide for themselves whether to believe high-quality single trials or meta-analyses.Patient summaryWe evaluated the value of and future directions for medical expulsive therapy (MET) for ureteral stone disease. We found that outcomes varied between studies. Individual clinicians are required to decide for themselves which studies to believe. Alpha-blockers as MET may retain a role in a selective group of well-coun...
THURSDAY, Aug. 15, 2019 -- Renal pelvis dilatation (RPD) at the fetal anomaly scan (FAS) and persistent dilatation in later pregnancy or postpartum is associated with an increased risk for hospital admission in early childhood, according to a study...
CONCLUSION: The activation of the SphK1-S1P pathway may contribute to tubulointerstitial fibrosis in UUO kidneys by affecting fibrotic signaling within renal cells independent of immune modulation. PMID: 31416077 [PubMed - as supplied by publisher]
We present the management of a 72 year old male with small cell carcinoma of the upper urinary tract.
We presented a 57 year-old male with an elevated PSA and suspicious findings on a multiparametric MRI (mpMRI) who underwent transrectal ultrasound (TRUS) guided biopsies. The procedure led to an infection of the upper moiety of the duplicated left collecting system with ectopic ureter draining into the ejaculatory duct. CT-scan was used for the diagnosis and an urgent surgical treatment was performed. To our knowledge, no such case has ever been reported.
Publication date: Available online 13 August 2019Source: Journal of Vascular and Interventional RadiologyAuthor(s): Eung Tae Kim, Woo Jin Yang, Ji Hoon Shin, Yan Hua Wang, Lemuel NarciseAbstractAlthough a snare is the commonly used device for antegrade double J (DJ) stent removal, there are some cases in which DJ stent removal using only a snare is particularly difficult. In the present study, an unfavorable positioning of the proximal DJ stent tip and tip embeddedness were significantly associated with a simple snare technique failure; thus, present the modified snare technique to overcome the simple snare technique failu...
Indwelling ureteral stents are commonly placed in urologic surgeries where optimal urinary drainage is necessary. In the pediatric population, removing a stent without retrieval string (SWOS) requires a secondary operation and additional anesthetic exposure. While these burdens can be mitigated through the placement of stents with retrieval strings (SWS), fears of complications may prevent widespread adoption of this practice by pediatric urologists.
Although a snare is the commonly used device for antegrade double J (DJ) stent removal, there are some cases in which DJ stent removal using only a snare is particularly difficult. In the present study, an unfavorable positioning of the proximal DJ stent tip and tip embeddedness were significantly associated with a simple snare technique failure; thus, present the modified snare technique to overcome the simple snare technique failure. By applying these 2 techniques together, we can increase the overall technical success rate up to 97% (196/202).
CONCLUSION: Although frequently challenging, surgical revisions for ureteral complications after renal transplantation give good results, with a low rate of graft loss and mortality. LEVEL OF EVIDENCE: 4. PMID: 31400962 [PubMed - as supplied by publisher]