Robotic correction of iatrogenic ureteral stricture: preliminary experience from a tertiary referral centre.
Conclusions: Robot-assisted correction procedures can be done safely with good perioperative outcomes and a high post-operative success rate in a tertiary referral center. Further randomized clinical trials are mandatory to confirm the safety of this procedure. PMID: 31469016 [PubMed - as supplied by publisher]
Rationale: The indwelling ureteral stents is a common procedure in routine urological practice. The double-J (D-J) stent is the most common type of stents used and is indicated mainly for short-term urinary drainage and prevention of obstruction and infection. However, prolonged indwelling stents may result in disastrous complications, such as hematuria, infection, encrustation, and stone formation. In this context, the persistence of stent in situ might play a key role as a nidus in deposition of urinary sediment, then forming calculus. Although the encrustation may become more serious as time goes on, large bladder sto...
ConclusionThe genitourinary risks potentially associated with aniridia necessitate prompt genetic analysis to evaluate for WAGR syndrome.
Antenatal hydronephrosis (ANH) is defined as dilatation of the renal pelvis with or without dilatation of calyces in the developing fetus. Although second trimester scan is more sensitive in detecting congenital anomalies of kidney and urinary tract (CAKUT), it has been suggested that third trimester scan is more predictive of postnatal outcome.
Conclusions: Laparoscopic ureteroneocystostomy with or without bladder flap (Boari) provides good functional outcomes with excellent success rates and minimal morbidity comparable to open surgery in patients with ureteric stricture.
Conclusion: Combination of traditional 99mTcDTPA renal dynamic scintigraphy and renogram with SPECT/CT could provide not only anatomical and functional information of kidneys and ureters in the evaluation of obstructive uropathy and may also show the causes of the disease. Our study indicated that the added value of a simultaneous CT imaging renal scintigraphy and SPECT had a clear added value of confidence in daily clinical practice.
Authors: Bazić-Đorović B, Radulović M, Šišić M, Jauković L, Dugonjić S, Pucar D, Janković Z, Beatović S, Janković M, Krstić Z, Ajdinović B Abstract OBJECTIVE: The purpose of this study was to evaluate damage of the kidney with technetium-99m-dimercaptosuccinic acid (99mTc-DMSA) scintigraphy in children with congenital hydronephrosis (CH) and the influence of other postnatal associated diagnoses on abnormal 99mTc-DMSA findings. SUBJECTS AND METHODS: 99mTc-DMSA scintigraphy in 54 children (17 girls and 37 boys), aged from 2 months to 5 years (median 11 months) with 66 congenital hydronep...
We report 3 patients presenting with acute scrotal pain who had normal scrotal color Doppler ultrasound scans; subsequent ultrasound of the ipsilateral kidney revealed hydronephrosis, which ultimately led to the clinically unsuspected diagnosis of ureteral colic. We conclude that ureteral colic should be included in the differential diagnosis of acute scrotal pain, and we further suggest that a survey ultrasound of the kidney on the side of the pain should be performed in patients presenting with acute scrotal pain and a normal color Doppler ultrasound examination of the scrotum.
ConclusionsHydronephrosis may be caused by uncommon reasons, such as ureteral endometriosis, which can even cause silent loss of renal function. Routine ultrasound scanning of the upper urinary tract for severe stages of endometriosis is very important in order to detect any potential ureteral lesions. Ureterolysis should be considered as the first surgical step, not only to avoid iatrogenic ureteral injuries but also to better evaluate ureter involvement for further procedures. To warrant tension‐free and lesion‐free anastomosis, it is wise to perform ureteroneocystostomy for long‐term sound results.
Conclusion: Combination of traditional 99mTc-DTPA renal dynamic scintigraphy and renogram with SPECT/CT could provide not only anatomical and functional information of the kidneys and ureters in the evaluation of obstructive uropathy and may also show the causes of the disease. Our study indicated that the added value of a simultaneous CT imaging on renal scintigraphy and SPECT had a clear added value of confidence in daily clinical practice. Research Support: see attachment
Lymphedema distichiasis syndrome (LDS) is a rare, autosomal dominant genetic condition, characterized by lower limb lymphedema and distichiasis. Other associated features that have been reported include varicose veins, cleft palate, congenital heart defects, and ptosis. We update a previously reported family with a pathogenic variant in FOXC2 (c.412‐413insT) where five affected individuals from the youngest generation had congenital renal anomalies detected on prenatal ultrasound scan. These included four fetuses with hydronephrosis and one with bilateral renal agenesis. A further child with LDS had prominence of the lef...