Comparing micropercutaneous nephrolithotomy and retrograde intrarenal surgery in treating 1 –2 cm solitary renal stones in pediatric patients younger than 3 years
To compare the effects of micropercutaneous nephrolithotomy (micro-PCNL) and retrograde intrarenal surgery (RIRS) in treating 1 –2 cm solitary renal stones in pediatric patients aged less than 3 years.
Renal colic is a common complaint that presents to the emergency department. It is estimated that 13% of men and 7% of women will develop a renal stone. There is a high probability of recurrence, with 50% within 5 years. Computed tomographic scan of the abdomen and pelvis without contrast and the ultrasound of the kidneys, ureters, and bladder are the common diagnostic imaging modalities used for diagnosis. Initial treatment includes analgesics and medical expulsive therapy. Most of the patients will pass t heir stone spontaneously within 3 days. The remaining 20% will require urologic intervention.
ConclusionsThe non-synonymous SNP rs4236480 showed significant association with urolithiasis risk in West Bengal population of India. Future translational and larger population-based studies are required to validate our finding.
The new technique uses a laser beam to target the kidney stone and pop it into dust saving repeated visits to hospital. Existing treatments require two or three visits to hospital several weeks apart.
Abstract PURPOSE: To review the safety and effectiveness of tubeless percutaneous nephrolithotomy (PCNL) with an externalized ureteral catheter (EUC) compared with standard PCNL with nephrostomy tube and tubeless PCNL with double-J (DJ) stent following uncomplicated PCNL and the absence of residual stones. MATERIALS AND METHODS: Patients with kidney stones who underwent uncomplicated PCNL between January 2000 to December 2017 and had no residual stones were retrospectively evaluated. The 766 patients were divided into standard PCNL with nephrostomy tube (group 1; 350 patients), tubeless PCNL with DJ stent (gr...
Journal of Endourology,Volume 33, Issue 8, Page 639-640, August 2019.
Clinicians need to be more judicious when it comes to using CT for kidney stones,...Read more on AuntMinnie.comRelated Reading: Emergency CT usage rate soars for urinary stones Did Image Gently reduce CT use for kidney stones? Which modality works best for diagnosing kidney stones? AI gives one-stop shopping for urinary stone evaluation CT radiation dose levels in clinical trial surprise researchers
by Sven Lang, Tyler A. Hilsabeck, Kenneth A. Wilson, Amit Sharma, Neelanjan Bose, Deanna J. Brackman, Jennifer N. Beck, Ling Chen, Mark A. Watson, David W. Killilea, Sunita Ho, Arnold Kahn, Kathleen Giacomini, Marshall L. Stoller, Thomas Chi, Pankaj Kapahi Elevated uric acid (UA) is a key risk factor for many disorders, including metabolic syndrome, gout and kidney stones. Despite frequent occurrence of these disorders, the genetic pathways influencing UA metabolism and the association with disease remain poorly understood. In humans, elevated UA le vels resulted from the loss of the of the urate oxidase (Uro) gene around...
Image Gently ® has guided our practice for over a decade, while incident pediatric urolithiasis has increased. It was then inevitable that clever pediatric endourologists would test limits, follow our adult colleagues, and attempt to eliminate fluoroscopy from ureteroscopy.
Listen: Mayo Clinic Radio 8/10/19 On the Mayo Clinic Radio podcast, Dr. Gregory Poland, a Mayo Clinic infectious diseases and vaccine expert, gives an update on infectious disease hot topics, including Lyme disease, the ongoing concern about measles, the hope for a universal flu vaccine and new age guidelines for the HPV vaccine. Also on the podcast, Dr. John Lieske explains how kidney stones form and how [...]