Treatment of fragmented and severely encrusted ureteral double-J stent forgotten for 11 years through multimodal endourological methods

Abdülkadir Kandemir, Mehmet Giray SönmezUrology Annals 2019 11(3):310-313 Ureteral catheters are frequently used in urology clinics for intrinsic or extrinsic pathologies which cause ureteral obstruction to provide urinary drainage from the kidney to the bladder. With the increase in stent use, an increase is observed in complications occurring due to ureteral stents in direct proportion with this increase, and ureteral double-J (DJ) stents forgotten in the urinary system are observed commonly in urological cases when the patients do not refer to a health institution in this condition and may cause severe problems, such as infection, stent fragmentation, migration, kidney failure, encrustation, and hydronephrosis conditions. A 30-year-old male patient referred to our clinic with right-side pain, dysuria, and incontinence complaints. It was learned that the patient had endoscopic stone surgery due to right ureteral stone and kidney stone 11 years before the presentation. In the imaging methods of the patient, it was observed that the DJ stent forgotten had separated into three parts, and stones were observed in the right ureter. Cystoscopy was made under general anesthesia. The torn distal end of DJ stent was observed in distal urethra. The foreign object was removed with forceps. Then with ureterorenoscope, the stones integrated with the stent at the end of the piece of DJ stent in the ureter were fragmented with pneumolithotriptor. Stone pieces and the second remo...
Source: Urology Annals - Category: Urology & Nephrology Authors: Source Type: research

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Hello, I am a current fellow. I have been talking with a group (PMR) and they are asking me to take call. I don't know exactly how this works from a monetary standpoint and I was hoping someone could fill me in. It is 1:4 call and it is a week on at a time. Rounding Sat and Sun on a unit of around 10-12. I am assuming I don't get paid for taking call at night which means I will only make what I bill on the weekends. Is that correct? If there is anyone who has done this as a PMR doc does this... Advice on Taking Call
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
In reviewing the content outline for the OSCE, all of the sections make sense except for the ethics one. It just seems like a laundry list of potential ethical issues in no particular order, and I can't imagine what the graders will want me to demonstrate in the standardized patient interaction. Without violating any confidentiality agreements with the ABA, can anyone help give me some idea of what to expect? I... Ethics OSCE
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
I know how everyone feels about these huge AMCs, but unfortunately they seem to have control over certain locations/markets. I've heard a few people say USAP is one of the "less evil" AMCs. Just wondering, if you were forced to take a job with an AMC such as USAP, would you even roll the dice and enter the partnership track? Or would you strictly take an employed job with them with set hours/call, with no chance of partnership. I say partnership, realizing that there is no "true... USAP - Partner track worth it?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Conclusion: Hypothetical risk factors for obstruction of the vermifor m appendix detected on CT were not associated with acute appendicitis. That suggests that factors other than those related to mechanical obstruction are implicated in the pathogenesis of acute appendicitis.Resumo Objetivo: Avaliar a correla ção de critérios morfológicos do apêndice cecal por tomografia computadorizada (TC) e o risco de apendicite aguda. Materiais e Métodos: Casos foram definidos como apendicite aguda confirmada cirurgicamente que tiveram pelo menos dois exames de TC: um no diagnóstico de ap...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Publication date: Available online 19 August 2019Source: Aggression and Violent BehaviorAuthor(s): Heng Choon Chan, Rebecca W.Y. WongAbstractAnimal cruelty has been a growing concern worldwide, and is broadly defined as all socially unacceptable behaviors that are intentionally perpetrated to cause unnecessary pain, suffering, distress, and/or death to an animal. This review synthesizes more than 87 research studies identified through online databases and manual search of specific studies. Findings denote that beating, hitting, or kicking, shooting, strangling or smothering, stabbing, and sexual abusing are reported to be ...
Source: Aggression and Violent Behavior - Category: Psychiatry & Psychology Source Type: research
Uvodich M, Schwend R, Stevanovic O, Wurster W, Leamon J, Hermanson A. Patterns of Pain in Adolescents with Slipped Capital Femoral Epiphysis. J Pediatr 2019;206:184-9.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Current Best Evidence Source Type: research
Conclusion Auricular acupuncture is a promising practice for the treatment of chronic back pain in adults.
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
More News: Anesthesia | Anesthesiology | Cystoscopy | Hydronephrosis | Incontinence | Kidney Stones | Pain | Ureter and Renal Pelvis Cancer | Urology & Nephrology