Comparison of the outcomes of laparoscopic pyeloplasty with and without concomitant pyelolithotomy

Conclusions Laparoscopic pyeloplasty with concomitant pyelolithotomy is a safe and effective intervention with associated good cosm etic results and high stone-free rates without significant increase in operative time or complications.
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research

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ConclusionsRALP combined with flexible cystoscope lithotomy is safe and effective alternatives for the simultaneous management of UPJO complicated by renal caliceal stones.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Conclusions: Laparoscopic pyeloplasty and concomitant flexible renoscopy through lowermost trocar with basket extraction is a simple, attractive alternative for the simultaneous treatment of ureteropelvic junction obstruction presenting with coexisting nephrolithiasis. This method is useful and feasible, with minimal invasiveness and an early post-operative recovery.
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
Conclusion: Although PCNL is the gold standard for intermediate-sized renal pelvic stones of 2-4 cm, laparoscopic pyelolithotomy is a suitable surgical technique in selected cases.
Source: Urology Annals - Category: Urology & Nephrology Authors: Source Type: research
In laparoscopic radical nephroureterectomy (RNU) for upper urinary tract urothelial cancer, endoscopic disinsertion of distal ureter is very common. However, several studies report a higher incidence of cancer recurrence in the bladder after endoscopic management of distal ureter. A single post-operative dose of chemotherapy, soon after surgery reduces the risk of bladder tumor recurrence within the first year post-RNU. However, bladder water tightness after endoscopic disinsertion of distal ureter is crucial for immediate administration of intravesical chemotherapy.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Urolithiasis & Endourology Source Type: research
ConclusionsOur preliminary exploration indicates that various advanced imaging modalities, when properly utilized and supported during surgery, can be useful in complementing the CT data and laparoscopic display. This study suggests that various imaging modalities, such as ones utilized in this case, can be beneficial intraoperatively depending on the surgical step involved and may be more helpful than 3D printed models. We also present factors to consider when evaluating advanced imaging modalities during complex surgery.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
ABSTRACT A 41-year-old male presented at Emergency Department (ED) with right flank pain associated with hematuria for 3 days. Patient had a previous history of nephrolithiasis. The physical examination and blood tests were normal. Urine analyses showed haematuria> 1.000.000/ μ L. After clinical evaluation, a computer tomography (CT) showed right ureteral dilatation caused by a 5 mm proximal stone and a distal intraluminal mass of 8 cm in length. In this setting, an ureteroscopic biopsy was performed and revealed a large polypoid lesion histologically suggestive of fibroepithelial polyp. Due to technical difficulties...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
ABSTRACT A 41-year-old male presented at Emergency Department (ED) with right flank pain associated with hematuria for 3 days. Patient had a previous history of nephrolithiasis. The physical examination and blood tests were normal. Urine analyses showed haematuria> 1.000.000/ μ L. After clinical evaluation, a computer tomography (CT) showed right ureteral dilatation caused by a 5 mm proximal stone and a distal intraluminal mass of 8 cm in length. In this setting, an ureteroscopic biopsy was performed and revealed a large polypoid lesion histologically suggestive of fibroepithelial polyp. Due to technical difficulties...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
ConclusionsThe nonspecific symptoms of ureteral endometriosis can result in incorrect diagnosis, with renal damage as a result of prolonged hydronephrosis. A high index of suspicion and use of imaging modalities enable earlier diagnosis and preservation of renal function.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
CONCLUSION: Laparoscopic pyelolithotomy and/or ureterolithotomy for bilateral stones is a feasible option in centers with experience in laparoscopy. PMID: 29101758 [PubMed - in process]
Source: Urology Journal - Category: Urology & Nephrology Authors: Tags: Urol J Source Type: research
Publication date: Available online 11 September 2017 Source:European Urology Supplements Author(s): Mesrur Selcuk Silay The advances in technological equipments in the last decade for the treatment of pediatric stone disease has significantly improved outcomes. A variety of nephroscopes of different sizes which can be used for different age groups are available on the market to treat kidney stones. Flexible ureteroscopes, ultrathin ureteroscopes, and other sizes of semirigid ureteroscopes are also available for the treatment of ureteral and upper urinary tract calculi in children. In addition to the advancement of the fin...
Source: European Urology Supplements - Category: Urology & Nephrology Source Type: research
More News: Kidney Stones | Laparoscopy | Ureter and Renal Pelvis Cancer | Urology & Nephrology