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Specialty: Urology & Nephrology
Therapy: Pain Management
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Total 1233 results found since Jan 2013.
Comparison of current guidelines on medical management of stone disease.
CONCLUSIONS: Despite methodological heterogeneity and subjective rating of recommendations, an acceptable degree of consensus was noted on Guidelines regarding medical management of stone disease.
PMID: 33459633 [PubMed - in process]
Source: Archivos Espanoles de Urologia - January 21, 2021 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
Shared Medical Appointments for Patients with Kidney Stones New to Medical Management Decrease Appointment Wait Time and Increase Patient Knowledge
Purpose: Urolithiasis is associated with pain and other health related quality of life decrements. Lack of access to multidisciplinary care is a barrier to prevention. We developed a shared medical appointment to improve access as well as patient education and exposure to multidisciplinary care.Materials and Methods: A total of 112 patients (51 ± 14 years, range 19 to 87) were seen in 27 shared medical appointments during 14 months. Patients were seen using existing clinic space, staff and providers. We targeted new patients for the shared medical appointments. We incorporated presentations as well as multidisciplinary ro...
Source: The Journal of Urology - May 24, 2013 Category: Urology & Nephrology Authors: R. Allan Jhagroo, Stephen Y. Nakada, Kristina L. Penniston Tags: Urolithiasis/Endourology Source Type: research
Management of "stone pain" between the 18th and 19th centuries: A brief history of a medical prescription in the Viceroyalty of New Granada
CONCLUSIONS: There is scientific evidence that could explain the anti-inflammatory and antioxidant effects of all plant-derived medicines used in this prescription. Abundant water intake to increase urine volume was an essential part of treatment. However, the lack of more precise data related to the prescription and the evolution of the patients makes it difficult to analyze its therapeutic efficacy.PMID:33744022 | DOI:10.1016/j.acuro.2020.11.005
Source: Actas Urologicas Espanolas - March 21, 2021 Category: Urology & Nephrology Authors: E Tuta-Quintero J C Mart ínez-Lozano I Brice ño-Balcázar G Guerron-G ómez A G ómez-Gutiérrez Source Type: research
Implementation of Enhanced Recovery after Surgery (ERAS ®) protocol in radical cystectomy at the University Medical Center Mainz.
CONCLUSIONS: Prospective data analysis will be the next step in order to establish the effectiveness of the protocol especially regarding postoperative complications and median duration of hospital stay.
PMID: 33432371 [PubMed - as supplied by publisher]
Source: Der Urologe. Ausg. A - January 11, 2021 Category: Urology & Nephrology Authors: Fischer ND, Epple S, Wittenmeier E, Betz U, Haferkamp A, Jäger W Tags: Urologe A Source Type: research
Mp08-07 improved pain control with local anesthetic after percutaneous nephrostolithotomy: a resident driven quality improvement study
Postoperative patient management after percutaneous nephrostolithotomy (PCNL) can be challenging. Post surgical pain control has been shown to affect overall patient satisfaction. Injection of local anesthetic after PCNL has been tried in the past with varying results. We aimed to implement a resident driven quality project to improve postoperative PCNL pain control and determine if pain control was improved with injection of local anesthetic at the time of the procedure. The project served to meet resident training requirements for quality improvement participation as set by the Accreditation Council for Graduate Medical Education.
Source: The Journal of Urology - March 28, 2016 Category: Urology & Nephrology Authors: James Mason, Rishi Modh, Akira Yamamoto, Vincent Bird Tags: General & Epidemiological Trends Socioeconomics: Quality Improvement Patient Safety II Source Type: research
Management of testicular torsion in the ER: Lessons learned from medical professional liability claims.
CONCLUSIONS: Late consultations, wrong diagnosis and late diagnosis are claimed. When medical professional liability are claimed by means of non-criminal law, the existence of responsibility is frequently considered, even more in those cases when the consultation took place before 6h of evolution with no ancillary tests having been performed.
PMID: 33581908 [PubMed - as supplied by publisher]
Source: Actas Urologicas Espanolas - February 10, 2021 Category: Urology & Nephrology Authors: Vargas-Blasco C, Martin-Fumadó C, Benet-Travé J, Gómez-Durán EL, Arimany-Manso J Tags: Actas Urol Esp Source Type: research
Comparative efficacy of 22 drug interventions as medical expulsive therapy for ureteral stones: a systematic review and network meta-analysis
AbstractTo perform a systematic review and meta-analysis for the evaluation of 22 drug interventions in the management of ureteral stones, MEDLINE, Web of Science, EMBASE, and Cochrane central databases were searched to identify RCTs focusing on the evaluation of the efficacy of multiple drug interventions in medical expulsive therapy (MET) for ureteral stones, with no restrictions on year or language. Study quality assessment and data extraction were performed by independent reviewers. Major outcome measures were the stone expulsion rate, stone expulsion time, and pain episodes during treatment. A total of 78 RCTs with 14...
Source: Urolithiasis - September 10, 2019 Category: Urology & Nephrology Source Type: research
Medical Expulsive Therapy: Worthwhile or Wishful Thinking
AbstractPurpose of ReviewWe set out to provide an overview of the most recent evidence for medical expulsive therapy (MET). Conflicting level 1 evidence for and against the use of MET has been published.Recent FindingsThe largest double-blind randomized control trial (1110 patients) comparing placebo, tamsulosin, and nifedipine found no benefit for MET in preventing the need for secondary intervention. A recent meta-analysis of 55 randomized trials using alpha-blockers suggests that no benefit is seen with smaller ureteric calculi, but patients with larger ureteric calculi experience shorter times to stone passage, fewer e...
Source: Current Urology Reports - February 28, 2017 Category: Urology & Nephrology Source Type: research
Medical management of chronic pain.
PMID: 29875040 [PubMed]
Source: Canadian Urological Association Journal - June 1, 2018 Category: Urology & Nephrology Authors: Peng P Tags: Can Urol Assoc J Source Type: research
Summary: International Kidney Cancer Symposium
Conclusions:
Ideal ischemia time is 20-25 minutes or less improves short and long term renal function. >25 minutes carried 5 year risk of new onset stage 4 CKD
No differences on GFR for cold vs. warm ischemia times
Preoperative GFR and the percent of kidney preserved was a better predictor of post op GFR.
No ischemia preserves renal function better than warm.
Longer cold ischemia times were equivalent to shorter warm ischemia times.
Quality and quantity of the remaining kidney is associated with ultimate renal function.
Robotics in RCC Surgery
Gennady Bratslavsky, MD
The...
Source: Kidney Cancer Association - December 15, 2011 Category: Urology & Nephrology Source Type: news
Navigating the Treatment Landscape
for Advanced-stage Kidney Cancer
Mayer N. Fishman, MD, PhD
For the patient with advanced-stage kidney cancer, deciding on a course of treatment presents diverse choices. The physician must weigh how quickly the cancer is spreading, the pattern of that spread, and relative risks from other medical conditions against the patient’s individual treatment goals and medical needs. In many cases of patients with advanced disease, there are therapies that can realistically be used to meet the goals of longer survival, longer time to disease progression, and tumor shrinkage. While choosing a kidney cancer treatment can be a...
Source: Kidney Cancer Association - December 3, 2014 Category: Urology & Nephrology Source Type: news
