6,931 results match your criteria Nephrostomy


Ultrasound for kidney access in percutaneous nephrolithotomy: a contemporary review.

Med Ultrason 2018 Dec;20(4):508-514

Center for Uronephrology and Renal Transplantation, Fundeni Clinical Institute, Bucharest, Romania, Urologic Surgery, Fundeni Clinical Institute,"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Nowadays percutaneous nephrolithotomy (PCNL) is the standard of care for renal staghorn calculus or large (>20 mm) pelvic or caliceal stones, as well as for the failure of other treatment options. This review aims to evaluate the contemporary use of ultrasound imaging in PCNL, by comparing it to conventional fluoroscopy, reviewing data regarding the complication and success rate of nephrostomy tract creation and stone free rate (SFR), as well as data concerning the learning curve for these procedures and cost indicators. The evidence acquired shows that the ultrasound guided access (USGA) is a comparable method with the classic fluoroscopic guided access (FGA), with a similar safety profile, with a significant reduction in radiation exposure, up to radiation free complete PCNL. Read More

View Article
December 2018

Robotic surgery in the management of complex pelvic endometriosis.

Int Braz J Urol 2018 Oct 20;44. Epub 2018 Oct 20.

Department of Urology, Hospital Universitario Marqués de Valdecilla, Santander, Spain.

Introduction: Endometriosis consists in the proliferation of endometrial tissue outside of the uterine cavity, predominantly in the ovaries but also in the urinary bladder or bowel. About 10% of fertile women are affected and the main symptoms are pain, menstrual disorders and infertility. Surgery is the treatment option for those symptomatic patients in which medical treatment had no success. Read More

View Article
October 2018
2 Reads

A New Twist on an Old Technique: Lawson Retrograde Endoscopic-Guided Nephrostomy Access for Percutaneous Nephrolithotomy in Prone Split-Leg Position.

J Endourol Case Rep 2018 29;4(1):190-194. Epub 2018 Nov 29.

Department of Urology, University of California, Irvine, California.

A minority of urologists performing percutaneous nephrolithotomy (PCNL) achieve their own nephrostomy access. In an effort to simplify the access part of PCNL, we herein describe our initial experience with endoscopic-guided retrograde percutaneous access in the prone split-leg position. After informed consent, a confirmed negative urine culture, and 1 week pretreatment with tamsulosin, four carefully selected PCNL patients underwent endoscopic-guided retrograde access in a prone split-leg position using the Lawson catheter. Read More

View Article
November 2018
2 Reads

Three-Dimensional Printing Facilitates Creation of a Biliary Endoscopy Phantom for Interventional Radiology-Operated Endoscopy Training.

Curr Probl Diagn Radiol 2018 Aug 29. Epub 2018 Aug 29.

Department of Interventional Radiology, University of California Los Angeles, 757 Westwood Plaza, Los Angeles, CA, 90095. Electronic address:

Purpose: To create a three-dimensional endoscopic model of the biliary tract from magnetic-resonance cholangiopancreatography imaging and to evaluate its effectiveness as a tool for training in endoscopic biliary interventions.

Materials And Methods: A magnetic-resonance cholangiopancreatography study was performed on a patient with biliary obstruction secondary to a distal bile duct cholangiocarcinoma. Using Vitrea, a three-dimensional volume-rendered image was created, and exported as a standard tessellated language file. Read More

View Article
August 2018
1 Read

Pilot Assessment of Immersive Virtual-Reality Renal Models as an Educational and Preoperative Planning Tool for Percutaneous Nephrolithotomy.

J Endourol 2018 Nov 21. Epub 2018 Nov 21.

Univ. of California, Irvine, Urology, Irvine, California, United States ;

Background: Percutaneous nephrolithotomy (PCNL) requires the urologist to have detailed knowledge of the stone and its relationship to the renal anatomy. Immersive virtual reality (iVR) provides patient-specific 3D models that might be beneficial in this regard. Our objective is to present the initial experience with immersive VR in surgeon planning and patient preoperative education for PCNL. Read More

View Article
November 2018
1 Read

An Enigmatic Route to the Contralateral Pelvicalyceal System on Antegrade Pyelogram.

J Indian Assoc Pediatr Surg 2018 Oct-Dec;23(4):236-238

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.

Introduction: The authors present the rare yet enigmatic phenomenon of 'pyelo-renal' backflow.

Case Presentation: An eight-month-old boy with multiple congenital anomalies underwent left Anderson-Hynes Pyeloplasty for pelvi-ureteric junction obstruction. Antegrade dye-study done through the nephrostomy revealed obstruction at the level of the pelvi-ureteric junction, yet the contrast was visualized in the pelvis of contralateral kidney and urinary bladder (pyelo-venous backflow) masquerading as vesicoureteric reflux. Read More

View Article
November 2018

A rare complication of long-term vaginal prolapse.

Ceska Gynekol Fall 2018;83(4):271-275

Objective: Description of rare complication of long-term uterine prolaps. Desing: Case report.

Setting: Department of Obstetric and Gynecology, University Hospital Ostrava. Read More

View Article
November 2018
3 Reads

Tract creation using plasma vaporization versus metal dilatation in percutaneous nephrolithotomy: A propensity score-matched analysis.

Int J Urol 2018 Nov 14. Epub 2018 Nov 14.

Department of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Objectives: To share our 10-year experience of tract creation by using plasma vaporization compared with metal dilatation in percutaneous nephrolithotomy.

Methods: We retrospectively reviewed the medical records of 230 patients who had undergone 244 percutaneous nephrolithotomy procedures at Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, from January 2007 to December 2016, and divided the patients into the plasma (n = 130) and metal (n = 114) groups. All patients underwent percutaneous nephrolithotomy by either a bipolar resectoscope mounted with a plasma vaporization button electrode or metal dilatation for tract creation. Read More

View Article
November 2018
4 Reads

Contrast-enhanced ultrasound (CEUS) nephrostogram: utility and accuracy as an alternative to fluoroscopic imaging of the urinary tract.

Clin Radiol 2018 Nov 8. Epub 2018 Nov 8.

Department of Radiology, King's College Hospital, Denmark Hill, London SE5 9RS, UK.

Aim: To establish the feasibility and accuracy of contrast-enhanced ultrasound (CEUS) nephrostogram in comparison to the reference standard, fluoroscopic nephrostogram, in providing alternative imaging of the urinary tract post-nephrostomy insertion.

Materials And Methods: This prospective study was approved by the institutional and national ethics committee. All patients for whom a fluoroscopic nephrostogram was requested were included. Read More

View Article
November 2018
3 Reads

Risk factors for recurrent percutaneous nephrostomy catheter-related infections.

Infection 2018 Nov 7. Epub 2018 Nov 7.

Department of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1460, Houston, TX, 77030, USA.

Purpose: Percutaneous nephrostomy (PCN) catheters are mainly indicated for urinary tract obstructions. Unfortunately, the rate for infection and recurrence remains elevated. Our objective was to identify the risk factors leading to recurrent PCN-related infections (PCNI) in cancer patients. Read More

View Article
November 2018
6 Reads

Are there any predictive risk factors for failure of ureteric stent in patients with obstructive urolithiasis with sepsis?

Investig Clin Urol 2018 Nov 22;59(6):371-375. Epub 2018 Oct 22.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Purpose: To compare patients with sepsis due to obstructive urolithiasis (Sep-OU) and underwent drainage by percutaneous nephrostomy (PCN) or a double-J (DJ)-ureteral stent and to identify predictive risk factors of DJ stent failure in these patients.

Materials And Methods: We reviewed our records from January 2013 to July 2018 and identified 286 adult patients with Sep-OU out of which 36 had bilateral involvement, thus total 322 renal units were studied. Urologic residents in training carried out both ureteral stenting and PCN tube placement. Read More

View Article
November 2018
3 Reads

Simultaneous Pancreas-Kidney Transplant After Bricker Loop Urinary Diversion: A Case Report.

Exp Clin Transplant 2018 Nov 6. Epub 2018 Nov 6.

From the Leiden University Medical Centre, Department of Surgery, Division of Transplantation, Leiden, The Netherlands.

Simultaneous pancreas-kidney transplant is the ultimate therapy for patients who have uncontrolled and complicated type 1 diabetes mellitus with end-stage renal disease. The combined pancreas transplant provides a euglycemic milieu for the kidney and protects it from recurrence of diabetic complications. Our patient, a 41-year-old woman with end-stage diabetic nephropathy and history of multiple abdominal surgeries (ovarian cyst fenestration, adnexal extirpation, abdominal wall reconstruction), including urinary diversion (Bricker loop, above double J stent), underwent simultaneous pancreas-kidney transplant. Read More

View Article
November 2018
5 Reads

Impacted ureteric stone causing iliofemoral vein thrombosis: The first reported case.

Int J Surg Case Rep 2018 Oct 31;53:147-150. Epub 2018 Oct 31.

Sulaymaniyah, Surgical Teaching Hospital, Urology Department, Iraq.

Introduction: Extrinsic compression with resulting obstruction of the iliac veins is recognized as a crucial cause of deep vein thrombosis (DVT). We report a case of impacted ureteric stone causing DVT.

Case Report: A 65-year-old man presented with left lower limb swelling that diagnosed and treated as extensive DVT. Read More

View Article
October 2018

Complications of percutaneous nephrostomy in a district general hospital.

Turk J Urol 2018 Nov;44(6):478-483

Department of Urology, Countess of Chester Hospital, Chester, UK.

Objective: Percutaneous nephrostomy (PCN) is one of the commonest procedures performed. There are currently no European recommendations on the accepted rate of complications. The aim of the present study is to report the complication rate of PCN with the specific emphasis on sepsis and septic shock, the causative organisms, sensitivities to antibiotics, and associated risk factors. Read More

View Article
November 2018
8 Reads

Cytoreductive and Palliative Radical Prostatectomy, Extended Lymphadenectomy and Bilateral Orchiectomy in Advanced Prostate Cancer with Oligo and Widespread Bone Metastases: Result of a Feasibility, Our Initial Experience.

Urol J 2018 Nov 3. Epub 2018 Nov 3.

Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, 9th Boostan, Pasdaran avenue, Tehran, Iran.

Purpose: to evaluate the feasibility of cytoreductive radical prostatectomy (RP), lymphadenectomy, and bilateral orchiectomy in patients with advanced prostate cancer (PCa) with oligo- and poly-metastases. Furthermore, the functional and oncological outcomes of these patients in comparison with the control group that underwent treatment only with systemic therapy (ST group) is investigated in a well-selected, prospective cohort study.   Material and methods: A total of 26 patients were enrolled in CRP (cytoreductive radical prostatectomy) group and 23 patients in ST group. Read More

View Article
November 2018
3 Reads

Use of ileum for complex ureteric reconstruction: Assessment of long-term outcome, complications, and impact on renal function.

Urol Ann 2018 Oct-Dec;10(4):369-374

Department of Urology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Introduction: Defect in ureteral continuity can be due to various etiologies. The surgical options for management of complex long-segment ureteric defects are limited. Use of ileum is indicated in these cases; however, the technique is challenging and outcomes need to be assessed in detail. Read More

View Article
November 2018
1 Read

Percutaneous retropelvic endopyelotomy for treatment of ureteropelvic junction obstruction.

Urol Ann 2018 Oct-Dec;10(4):358-362

Department of Urology, College of Medicine, Imam Abdulrahaman Bin Faisl University, Dammam, Saudi Arabia.

Purpose: A new minimally invasive approach for endopyelotomy for the treatment of ureteropelvic junction obstruction (UPJO) is described. The results are compared with those of other lines of treatment.

Materials And Methods: A total of 39 patients with UPJO underwent percutaneous retropelvic endopyelotomy. Read More

View Article
November 2018
4 Reads

Robot assisted intra-corporeal ileocalicostomy ureteral substitution for complex uretero-pelvic junction obstruction: a novel and feasible innovation.

J Robot Surg 2018 Oct 31. Epub 2018 Oct 31.

Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

A 33-year-old female presented to the emergency department of our hospital with urosepsis and hematuria with clot retention secondary to a complicated pyelolithotomy for left-sided pelvic calculus. A percutaneous nephrostomy was placed for drainage as a DJ stent could not be traversed into the left renal pelvis with retrograde pyelography demonstrating complete cut-off at L4-L5 level. After stabilization, she was found to have uretero-pelvic junction obstruction (UPJO) in left solitary functioning kidney with long-segment upper ureteric stricture and nadir serum creatinine 1. Read More

View Article
October 2018
2 Reads

[Blunt abdominal trauma causing acute pancreatitis: presentation of the case study].

Pan Afr Med J 2018 13;30:126. Epub 2018 Jun 13.

Service des Urgences Hôpital Régional de Kasserin, Tunisie.

Acute pancreatitis is a serious disease having a guarded prognosis. Its etiology involves either bladder or alcohol. Traumatic origin is extremely rare and it is often associated with other intra-abdominal lesions. Read More

View Article
November 2018
3 Reads

Rare extraspinal cause of acute lumbar radiculopathy.

BMJ Case Rep 2018 Oct 28;2018. Epub 2018 Oct 28.

College of Medicine, University of Science, Art and Technology, Olveston, BWI, Montserrat.

A 60-year-old man presented to an outpatient pain management clinic with antalgic gait and left lower extremity (LLE) radiculopathy from an unknown aetiology. A lumbar MRI revealed minimal disc protrusion at L3 and a partially visualised left-sided kidney abnormality. Abdominal and pelvic CT demonstrated severe hydronephrosis of the left kidney compressing the left psoas major. Read More

View Article
October 2018
3 Reads

Minimally invasive surgical treatment on delayed uretero-vaginal fistula.

BMC Urol 2018 Oct 29;18(1):96. Epub 2018 Oct 29.

Department of Urology, The Fourth Hospital of China Medical University, 4 Chongshan Road, Shenyang, 110032, China.

Objective: To evaluate the procedure of endoscopic surgery for ureterovaginal fistula (UVF) and its clinical efficacy.

Materials And Methods: A retrospective analysis of 46 patients needing treatment for UVF with endourology technology was conducted (all patients had unilateral ureteric injury, 27 left and 19 right). Transurethral retrograde ureteric stenting or realignment retrograde/antegrade approach stenting was used to treat the fistula, and the relation between treatment and prognosis was analyzed. Read More

View Article
October 2018
5 Reads

Postoperative Pain Score of Bupivacaine versus Placebo in Patients Undergoing Percutaneous Nephrolithotomy.

J Coll Physicians Surg Pak 2018 Nov;28(11):858-861

Department of Urology, The Kidney Centre, Postgraduate Training Institute, Karachi, Pakistan.

Objective: To compare postoperative mean pain score of bupivacaine versus placebo in patients undergoing percutaneous nephrolithotomy.

Study Design: An experimental study.

Place And Duration Of Study: Department of Urology, The Kidney Centre, Postgraduate Training Institute (PGTI), Karachi, from November 2014 to December 2015. Read More

View Article
November 2018
2 Reads

[Clinical research about needle-tract assisted standard percutaneous nephrolithotomy for the treatment of complicated upper urinary tract calculi].

Zhonghua Wai Ke Za Zhi 2018 Oct;56(10):768-771

Department of Urology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China.

To investigate the safety and efficacy of needle-tract assisted standard percutaneous nephrolithotomy (PCNL) for the treatment of complicated upper urinary tract calculi. The clinical data of 1 562 patients with complicated upper urinary calculi who received standard PCNL from December 2013 to December 2017 at Department of Urology, the First Affiliated Hospital of Xiamen University were retrospectively analyzed. There were large residual stones in 256 patients through B-ultrasound exploration after standard PCNL, could't be detected with nephoscope in standard PCNL tracts. Read More

View Article
October 2018
4 Reads

[Clinical investigation of ultrasound-guided percutaneous nephrolithotomy accessed by SVOF-principle and two-step puncture techniques].

Zhonghua Wai Ke Za Zhi 2018 Oct;56(10):764-767

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

To evaluate the safety and effectiveness of ultrasound-guided percutaneous nephrolithotomy (PCNL) accessed by SVOF-principle and two-step puncture techniques. A total of 838 cases with upper urinary stones underwent percutaneous nephrolithotomy successfully accessed by ultrasound-guided between June 2007 and December 2015 at Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology. Of all cases were divided in two groups: hydronephrosis calyces puncture group include 425 cases and SVOF-principle puncture group include 413 cases. Read More

View Article
October 2018
5 Reads

Antepartum nephrolithiasis and the risk of preterm delivery.

Urolithiasis 2018 Oct 27. Epub 2018 Oct 27.

Department of Urology, Loyola University Medical Center, Maywood, IL, 60153, USA.

Antepartum nephrolithiasis presents a complex clinical scenario which often requires an intervention such as ureteral stent or percutaneous nephrostomy tube (PCNT) placement, especially in the setting of urinary tract infection (UTI). We assess the risk of UTI and preterm labor in the setting of antepartum nephrolithiasis. A retrospective review of an administrative dataset for California and Florida was performed, which included pregnant women admitted for a delivery between 2008 and 2011. Read More

View Article
October 2018
7 Reads

Perioperative and long-term results of retroperitoneal laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for staghorn calculi: a single-center randomized controlled trial.

World J Urol 2018 Oct 25. Epub 2018 Oct 25.

Department of Urology, XinQiao Hospital, Third Military Medical University, 37 XinQiao Street, Shapingba District, Chongqing, 400037, China.

Purpose: To compare the perioperative and long-term outcomes of retroperitoneal laparoscopic pyelolithotomy (RLP) and percutaneous nephrolithotomy (PCNL) for the treatment of staghorn calculi.

Methods: From May 2011 to March 2017, eligible patients with staghorn calculi were randomly assigned to two groups: RLP and PCNL. Patients underwent the operations prospectively. Read More

View Article
October 2018
5 Reads

Urinoma: Prompt Diagnosis and Treatment Can Prevent Abscess Formation, Hydronephrosis, and a Progressive Loss of Renal Function.

Case Rep Emerg Med 2018 25;2018:5456738. Epub 2018 Sep 25.

Department of Emergency Medicine, Rowan University SOM/Jefferson, Stratford, NJ, USA.

This case describes a 70-year-old female who presented with right flank pain around the site where a stent had been placed in her right kidney at an outside hospital several months earlier. The patient arrived tachycardic with a leukocytosis and a lactic acidosis. Further imaging revealed a very hydronephrotic right kidney and an extremely large fluid collection in the right retroperitoneum extending into the right flank consistent with leakage of urine from the obstructed right kidney. Read More

View Article
September 2018
5 Reads

Acute mechanical duodenal obstruction due to giant hydronephrosis: an unusual cause of acute abdomen.

BMJ Case Rep 2018 Oct 21;2018. Epub 2018 Oct 21.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Giant hydronephrosis (GH) is a rare clinical entity with about 600 cases and defined as the adult renal pelvis containing greater than 1 L of fluid, or at least 1.6% of the body weight or kidney occupying the hemiabdomen. The pelvic-ureteric junction (PUJ) obstruction is the most frequent cause of GH. Read More

View Article
October 2018
2 Reads

Rituximab for idiopathic and IgG4-related retroperitoneal fibrosis.

Medicine (Baltimore) 2018 Oct;97(42):e12631

Department of Medicine.

Retroperitoneal fibrosis (RPF) refers to a fibro-inflammatory lesion in the retroperitoneum, often anterolateral to the aorta. Most cases are due to IgG4-related disease (IgG4-RD) or are idiopathic. RPF can lead to severe morbidity. Read More

View Article
October 2018
13 Reads

Anterograde irrigation - assisted ureteroscopic lithotripsy in patients with percutaneous nephrostomy.

Int Braz J Urol 2018 Aug 10;44. Epub 2018 Aug 10.

St. Vincent's Hospital, College of Medicine, The Catholic University of Korea.

In complicated urinary tract infection with ureteral calculi, urinary diversion is inevitable. So, stenting or percutaneous drainage can be an option. In hemodynamically unstable patients, percutaneous drainage is superior to ureteral stenting (1). Read More

View Article
August 2018
1 Read

Transplant uretero-inguinal hernia resulting in urosepsis.

Radiol Case Rep 2019 Jan 3;14(1):14-17. Epub 2018 Oct 3.

Division of Vascular and Interventional Radiology, The Johns Hopkins Hospital, Baltimore, MD, USA.

Uretero-inguinal hernias are rare and can be difficult to diagnose. We present a case of a rare transplant kidney uretero-inguinal hernia. An 81-year-old male presented with urosepsis and was found to have an obstructed transplanted kidney secondary to herniation of the ureter into an inguinal hernia. Read More

View Article
January 2019
1 Read

The comparison of oxidative stress effect in classic and tubeless percutaneous nephrolithotomy.

Int Urol Nephrol 2018 Dec 9;50(12):2145-2152. Epub 2018 Oct 9.

Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, 3 Maja Street 13-15, 41-800, Zabrze, Poland.

Purpose: Surgical stone treatment induces oxidative stress in kidney tissue. We hypothesized that tubeless percutaneous nephrolithotomy (tPCNL) may induce less oxidative stress than classic percutaneous nephrolithotomy (cPCNL) with nephrostomy tube.

Methods: Seventy-two consecutive patients with kidney stones qualified for PCNL were enrolled in the study. Read More

View Article
December 2018
2 Reads

Supracostal access tubeless percutaneous nephrolithotomy: minimizing complications.

World J Urol 2018 Oct 9. Epub 2018 Oct 9.

Department of Urology, The Ohio State University Wexner Medical Center, 915 Olentangy River Road, Columbus, OH, 43212, USA.

Introduction And Objective: Supracostal access in percutaneous nephrolithotomy (PCNL) may be avoided due to concern for thoracic complications. The objective of the study is to report the safety and efficacy of supracostal access utilizing a tubeless (stent only) PCNL technique.

Patients And Methods: Retrospective review of perioperative outcomes of 70 patients (76 renal units) who underwent a supracostal tubeless PCNL. Read More

View Article
October 2018
8 Reads

Ureteral stents for malignant extrinsic ureteral obstruction: outcomes and factors predicting stent failure.

Int J Clin Oncol 2018 Oct 8. Epub 2018 Oct 8.

Department of Urology, Mie Prefectural General Medical Center, 5450-132 Hinaga, Yokkaichi, Mie, 510-8561, Japan.

Background: This study investigated the clinical outcomes of stent placement for malignant extrinsic ureteral obstruction (MUO) and predictive factors for stent failure.

Methods: We retrospectively analyzed clinical data for 91 patients with radiologically significant hydronephrosis due to MUO who underwent successful stent placement. In total, 132 ureters were stented for the decompression. Read More

View Article
October 2018
2 Reads

Treatment of Renal Fungal Ball with Fluconazole Instillation Through a Nephrostomy Tube: Case Report and Literature Review.

Am J Case Rep 2018 Oct 4;19:1179-1183. Epub 2018 Oct 4.

Division of Urology, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar.

BACKGROUND Urinary tract candida infection can be due either to hematogenous dissemination of the organism or a retrograde infection. In debilitated or immunosuppressed septic patients, who have upper urinary tract obstruction with renal filling defect, fungal infection should be considered. We report on a patient with sepsis and renal fungal ball who was treated with percutaneous nephrostomy and intravenous antifungal agent, but the patient did not respond so instillation of fluconazole through nephrostomy was given. Read More

View Article
October 2018
2 Reads

Nephrostomy tube placement prior to percutaneous nephrolithotomy does not impact outcomes.

Can J Urol 2018 Oct;25(5):9497-9502

Department of Urology, Boston Medical Center, Boston, Massachusetts, USA.

Introduction: This study aims to compare outcomes of percutaneous nephrolithotomy (PCNL) performed with a nephrostomy tube placed prior to surgery versus access at the time of surgery.

Materials And Methods: Between March 2005 and August 2014, 233 PCNLs were performed. One hundred and nine of those cases underwent placement of nephrostomy tubes at least 1 day prior to surgery (Group A), and the remaining 124 cases were performed in which access was obtained at the time of PCNL (Group B). Read More

View Article
October 2018
2 Reads

Obstructive urosepsis secondary to ureteric herniation into the sciatic foramen.

BMJ Case Rep 2018 Sep 27;2018. Epub 2018 Sep 27.

Department of Urology, St George's Hospital, London, UK.

A 65-year-old female patient presented with a 2-day history of worsening right-sided abdominal pain and clinical signs of sepsis, on the background of a recent admission for pancolitis. Imaging revealed right ureteric herniation through the sciatic foramen with subsequent hydroureteronephrosis and radiological signs of severe pyelonephritis. The patient underwent emergency decompression with a percutaneous nephrostomy, followed by insertion of an antegrade stent to correct the ureteric hernia once the sepsis was appropriately treated. Read More

View Article
September 2018
3 Reads

A case of urinary bladder agenesis and bilateral ectopic ureters: a case report.

BMC Urol 2018 Sep 26;18(1):83. Epub 2018 Sep 26.

Pediatric department and Pediatric Nephrology Center of Excellence, King Abdulaziz University, PO Box 80215, Jeddah, 21589, Kingdom of Saudi Arabia.

Background: Urinary bladder agenesis is a very rare congenital anomaly with very few cases reported in the literature.

Case Presentation: We report a one-month-old baby presenting with ambiguous genitalia and recurrent urinary tract infections. Her clinical course was complicated by renal impairment. Read More

View Article
September 2018
7 Reads

New classification of hydronephrosis on 18F-FDG-PET/CT predicts post-operative renal function and muscle-invasive disease in patients with upper urinary tract urothelial carcinoma.

Jpn J Clin Oncol 2018 Nov;48(11):1022-1027

Department of Urology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.

Objectives: To evaluate the value of a classification of hydronephrosis on 18F-flurodeoxyglucose (FDG)-PET/CT in predicting post-operative renal function and pathological outcomes among patients with upper urinary tract urothelial carcinoma.

Methods: We retrospectively reviewed 71 patients treated with nephroureterectomy (NU) for upper urinary tract urothelial carcinoma after FDG-PET/CT between 2010 and 2016. Eight patients treated with ureteral stent or nephrostomy at the time of FDG-PET/CT were excluded. Read More

View Article
November 2018
1 Read

Percutaneous nephrostomy vs ureteral stent for hydronephrosis secondary to ureteric calculi: impact on spontaneous stone passage and health-related quality of life-a prospective study.

Urolithiasis 2018 Sep 15. Epub 2018 Sep 15.

Urology Department, Hospital de Braga, Rua das Sete Fontes, São Victor, Braga, Portugal.

Ureteral calculi can be associated with urinary drainage blockage, requiring urinary diversion with percutaneous nephrostomy (PCN) or retrograde ureteral stent (RUS). Currently no evidence exists to support the superiority of one method over the other. This study proposes to compare both approaches regarding the probability of spontaneous stone passage (SSP) and its effect on patient's quality of life (QoL). Read More

View Article
September 2018
14 Reads

Outcomes of Elective Ureteroscopy for Ureteric Stones in Patients with Prior Urosepsis and Emergency Drainage: Prospective Study over 5 yr from a Tertiary Endourology Centre.

Eur Urol Focus 2018 Sep 12. Epub 2018 Sep 12.

University Hospital Southampton NHS Trust, Southampton, UK; University of Southampton, Southampton, UK. Electronic address:

Background: Elective treatment of ureteric stones is needed after emergency drainage of urosepsis.

Objective: We wanted to look at the outcomes of elective ureteroscopic stone treatment in patients with prior sepsis and emergency drainage via retrograde ureteric stent (RUS) or percutaneous nephrostomy (PCN).

Design, Setting, And Participants: Data of all patients who underwent elective ureteroscopy (URS) for stone disease over 5 yr (March 2012-December 2016) were prospectively collected. Read More

View Article
September 2018
10 Reads

Prone transradial catheterization for combined single-session endovascular and percutaneous interventions: approach, technical success, safety, and outcomes in 15 patients.

Diagn Interv Radiol 2018 Sep;24(5):276-282

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Michigan, USA.

Purpose: We aimed to report approach, safety, technical success, and clinical outcomes of prone trans- radial access (PTRA) and demonstrate feasibility for procedures requiring simultaneous arterial intervention and prone percutaneous access.

Methods: Fifteen patients underwent PTRA, seven females (47%) and eight males (53%), mean age of 55 years (range, 19-78 years). All patients underwent PTRA for combined transarterial and posterior-approach percutaneous interventions. Read More

View Article
September 2018
1 Read

Early urological complications after kidney transplantation: An overview.

World J Transplant 2018 Sep;8(5):142-149

Faculty of Health and Science, Institute of Learning and Teaching, University of Liverpool, Liverpool L69 3BX, United Kingdom.

Urological complications, especially urine leaks, remain the most common type of surgical complication in the early post-transplant period. Despite major advances in the field of transplantation, a small minority of kidney transplants are still being lost due to urological problems. Many of these complications can be traced back to the time of retrieval and implantation. Read More

View Article
September 2018
2 Reads

Management of Large Proximal Ureteral Calculi: A Three-year Multicenter Experience of Simultaneous Supine Percutaneous Nephrolithotomy and Retrograde Ureterolithotripsy.

Urol J 2018 Sep 11. Epub 2018 Sep 11.

Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Purpose: To share our multicenter experience using a safe and effective method for treating large proximal ureteral calculus by simultaneous supine percutaneous nephrolithotomy (sPCNL) and retrograde ureterolithotripsy (URSL) in the Galdakao-modified supine Valdivia position.

Materials And Methods: Between December 2014 and August 2017, all patients with large proximal ureteral stones (> 15 mm) who underwent simultaneous sPCNL and retrograde URSL at three medical centers were retrospectively reported. The ureter stone was pushed back (retrograde) with the ureteroscope and was retrieved using forceps with a nephroscope through an Amplatz sheath. Read More

View Article
September 2018
2 Reads

Enterovaginal and colovesical fistulas as late complications of pelvic radiotherapy.

J Gen Fam Med 2018 Sep 21;19(5):166-169. Epub 2018 Jun 21.

Department of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.

A 72-year-old Japanese woman presented with a fever, diarrhea, intermittent spotting, and constant fluid discharge from the vagina. Imaging studies revealed an enterovaginal fistula. She underwent radical hysterectomy and radiotherapy 35 years previously. Read More

View Article
September 2018
1 Read

[Symptomatic urinary obstruction in patients with metastatic malignancies].

Aktuelle Urol 2018 Sep 5;49(5):422-428. Epub 2018 Sep 5.

Universitätsklinik für Urologie, Medizinische Universität Innsbruck, Innsbruck.

Symptomatic urinary obstruction, characterised by decreased or absent urinary outflow, is a common concomitant disease in patients with urological malignancies or carcinomas forming abdominal metastases. While acute urinary obstruction is associated with renal colics, chronic urinary obstruction often goes unnoticed for a long time. In addition to intrinsic causes such as upper urinary tract tumours, this condition is often caused by external compression of the ureter by tumour masses. Read More

View Article
September 2018
2 Reads

[The significance of palliative surgery in castration-resistant prostate cancer].

Aktuelle Urol 2018 Sep 5;49(5):405-411. Epub 2018 Sep 5.

Klinik für Urologie, Uro-Onkologie, spezielle urologische und roboter-assistierte Chirurgie, Universitätsklinikum Köln, Köln.

If prostate cancer recurs after primary treatment, deprivation therapy with LHRH analogues or antagonists is the treatment of choice in men with metastatic prostate cancer. However, this treatment only achieves palliative results. Median time to progression ranges between 11 and 78 months. Read More

View Article
September 2018
1 Read

The effect of percutaneous nephrostomy implementation on the outcome of ureteroscopic stone treatment.

Urol J 2018 Aug 26. Epub 2018 Aug 26.

Department of Urology, Ege University School of Medicine, Izmir 35100, Turkey.

Purpose: We aimed to investigate the effect of percutaneous nephrostomy (PCN) implementation on the second ureteroscopy (URS) outcomes after a failed URS.

Materials And Methods: The data of four hundred forty-eight patients with an unsuccessful URS history were evaluated. Patients were divided into two groups; patients who underwent PCN before second URS (Group A) and patients who did not (Group B). Read More

View Article
August 2018
7 Reads

Ureteroscope-aided Reinsertion of Dislodged Pigtail Nephrostomy Tube Through Collapsed Tract.

Urol J 2018 Aug 26. Epub 2018 Aug 26.

Department of Urology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.

Purpose: To introduce an alternative method for the reinsertion of pigtail catheter for collapsed nephrostomy tract.

Materials And Methods: Between January 2013 and October 2016, a total of ten patients with collapsed nephrostomy tract underwent ureteroscope-aided reinsertion of the pigtail catheter after the failure of manual reinsertion by guidewire. Under local anesthesia, the ureteroscope was inserted through a percutaneous nephrostomy (PCN) opening. Read More

View Article
August 2018
8 Reads

tricuspid valve endocarditis in an elderly patient without known predisposing factors.

BMJ Case Rep 2018 Sep 1;2018. Epub 2018 Sep 1.

University of Pikeville Kentucky College of Osteopathic Medicine, Pikeville, Kentucky, USA.

A 73-year-old man with history of nephrolithiasis was admitted after a witnessed cardiac arrest. In the emergency department, the patient had several runs of ventricular fibrillation treated with defibrillation and amiodarone infusion. Echocardiography revealed reduced ejection fraction with multiple mobile structures attached to the tricuspid valve leaflets. Read More

View Article
September 2018
6 Reads