704 results match your criteria Trauma Upper Genitourinary


[Laparoscopic ureteropyeloanastomosis in iatrogenic trauma of the upper pole ureter in a duplex kidney].

Urologiia 2019 Dec(5):109-111

Department of urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

In case of stricture of the lower third of ureter in patients with duplex kidney, ureteroneocystostomy or transureteroureterostomy can be used. Anastomosis of the injured ureter of the upper pole with the pelvis of the lower pole is considered nontypical. In this clinical observation, a 46-year-old patient with iatrogenic trauma of the pelvic part of the upper pole of a duplex kidney successfully undergone laparoscopic ureteropyelostomy. Read More

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December 2019

Urethral Catheterization Is Not Necessary During Nononcological Laparoscopic Pelvic Surgery.

J Patient Saf 2019 12;15(4):e21-e23

From the Department of Upper GI Surgery, North Cumbria Hospital.

Objectives: Expert opinion remains divided regarding whether routine urethral catheterization is required before nononcological laparoscopic pelvic surgery. Catheterization is thought to reduce the incidence of bladder injury when inserting a suprapubic laparoscopic port and prevent obstruction of the view of the pelvis because of bladder filling. However, catheterization comes with a risk of nosocomial infection and harbors financial cost. Read More

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http://dx.doi.org/10.1097/PTS.0000000000000612DOI Listing
December 2019

Ureteral obstruction and hydronephrosis caused by foreign body: A case report and literature review.

Medicine (Baltimore) 2019 Nov;98(44):e17780

Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.

Rationale: Foreign bodies related ureteral obstruction and hydronephrosis is rare and usually cause numerous problems for clinical physicians.

Patient Concerns: We report a 36-year-old female who was referred to our hospital due to a 4-year history of dull pain on the left back.

Diagnosis: X-ray and abdominal CT revealed a foreign body around the upper part of the left ureter with ureteral obstruction and hydronephrosis. Read More

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http://dx.doi.org/10.1097/MD.0000000000017780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946273PMC
November 2019

[Review of upper urinary modified minimal invasive surgical technology].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Aug;51(4):610-614

Department of Urology, Peking University First Hospital, Beijing 100034, China.

Upper urinary surgery is an important area of urology surgery. Open surgery used to be the gold standard of upper urinary surgery. With the development of medical techniques, minimal invasive surgeries including laparoscopic and robot assisted-laparoscopic surgery have gradually replaced the open surgery. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2019.04.002DOI Listing
August 2019
6 Reads

The spectrum of animal related injuries managed at a major trauma centre in South Africa.

S Afr J Surg 2019 Sep;57(3):54

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa and Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

Background: Humans come into contact and interact with an array of animals in a number of areas and environments. We set out to review our experience with animal-related injuries in Pietermaritzburg, KwaZulu-Natal, South Africa.

Method: All patients who sustained an injury secondary to an interaction with an animal in the period December 2012-December 2017 were identified from the Hybrid Electronic Medical Registry (HEMR). Read More

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September 2019
6 Reads

Evaluation of the Risks and Benefits of Computed Tomography Urography for Assessment of Gross Hematuria.

Urology 2019 Nov 27;133:40-45. Epub 2019 Jun 27.

University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.

Objective: To model the risk of radiation-induced malignancy from computed tomography urography (CTU) in evaluation of gross hematuria and contrast this with the benefits of urinary tract cancer detection when compared to renal ultrasound.

Methods: A PUBMED-based literature search was performed to identify model inputs. Estimates of radiation-induced malignancy rates were obtained from the Biological Effects of Ionizing Radiation VII report with dose extrapolation using the linear no-threshold model. Read More

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http://dx.doi.org/10.1016/j.urology.2019.04.055DOI Listing
November 2019
1 Read

The safety wire with a ureteral access sheath - does it hurt more than it helps?

Can J Urol 2019 04;26(2):9733-9735

Cleveland Clinic, Glickman Urological and Kidney Institute, Cleveland, Ohio, USA.

Introduction: Studies indicate that with a safety wire in the ureter, an increased amount of force is necessary to advance ureteral access sheaths up to the proximal ureter. Theoretically, the compression of the ureter with the wire could lead to an increase in number and severity of ureteral injuries secondary to placement of a sheath. This prospective study aims to evaluate if there is a correlation between the use of a safety wire and ureteral injury from sheath placement by evaluating the location of the wire in relation to the injury after ureteroscopy. Read More

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April 2019
3 Reads

Optical Metabolic Imaging for Assessment of Radiation-Induced Injury to Rat Kidney and Mitigation by Lisinopril.

Ann Biomed Eng 2019 Jul 8;47(7):1564-1574. Epub 2019 Apr 8.

Department of Electrical Engineering, Biophotonics Lab, University of Wisconsin Milwaukee, Milwaukee, WI, USA.

The kidney is one of the most radiosensitive organs; it is the primary dose-limiting organ in radiotherapies for upper abdominal cancers. The role of mitochondrial redox state in the development and treatment of renal radiation injury, however, remains ill-defined. This study utilizes 3D optical cryo-imaging to quantify renal mitochondrial bioenergetics dysfunction after 13 Gy leg-out partial body irradiation (PBI). Read More

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http://dx.doi.org/10.1007/s10439-019-02255-8DOI Listing
July 2019
3 Reads

Sequential simulation computed tomography allows assessment of internal rectal movements during preoperative chemoradiotherapy in rectal cancer.

J Cancer Res Ther 2019 Jan-Mar;15(1):1-8

Department of Radiation Oncology, Anam Hospital, Korea University College of Medicine, Seoul, Korea.

Purposes: The purpose of this study was to assess the internal rectal movement and to determine the factors related to extensive internal rectal movement using sequential simulation computed tomography (CT) images.

Materials And Methods: From 2010 to 2015, 96 patients receiving long-course preoperative chemoradiotherapy were included in our retrospective study. The initial simulation CT (Isim-CT) and follow-up simulation CT (Fsim-CT) for a boost were registered according to the isocenters and bony structure. Read More

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http://www.cancerjournal.net/preprintarticle.asp?id=251620
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http://dx.doi.org/10.4103/jcrt.JCRT_227_17DOI Listing
July 2019
24 Reads

A Prospective Study Analyzing the Association Between High-grade Ureteral Access Sheath Injuries and the Formation of Ureteral Strictures.

Urology 2019 Jun 14;128:38-41. Epub 2019 Mar 14.

Cleveland Clinic, Glickman Urological and Kidney Institute, Cleveland, OH.

Objective: To assess the intermediate- and long-term effect of high-grade ureteral injuries from ureteral access sheaths.

Methods: Patients undergoing ureteroscopy for upper tract calculi were prospectively enrolled at 2 sites from 2010 to 2015. A 12/14 French sheath was used and the ureter was inspected with a flexible ureteroscope during withdrawal of the sheath and recorded. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.032DOI Listing
June 2019
9 Reads

Neurovascular and lymphatic vessels distribution in uterine ligaments based on a 3D reconstruction of histological study: to determine the optimal plane for nerve-sparing radical hysterectomy.

Arch Gynecol Obstet 2019 05 14;299(5):1459-1465. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, No. 1838, Guangzhou Avenue, Guangzhou, 510515, China.

Objective: To present the distribution of neurovascular and lymphatic vessels in uterine ligaments using 3D models based on the pathological staining of serial 2D sections of postoperative specimens.

Methods: Serial transverse sections of fresh uterine ligaments from a patient with stage IB1 cervical squamous cell carcinoma were studied using the computer-assisted anatomic dissection (CAAD) technique. The sections were stained with hematoxylin and eosin, Weigert elastic fibers, D2-40 and immunostainings (sheep anti-tyrosine hydroxylase and rabbit anti-vasoactive intestinal peptide). Read More

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http://link.springer.com/10.1007/s00404-019-05108-w
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http://dx.doi.org/10.1007/s00404-019-05108-wDOI Listing
May 2019
23 Reads

Organization of urological care for patients with iatrogenic ureteral injury.

Wiad Lek 2019;72(1):22-25

V.I. Shapoval Regional Clinical Center of Urology And Nephrology, Kharkiv, Ukraine.

Objective: Introduction: We conducted a retrospective assessment of diagnostic and therapeutic approaches in patients with iatrogenic ureteral injury, who were treated in a specialized medical center. The aim: The aim of the research was to determine the optimal treatment method for correction of iatrogenic ureteral defects.

Patients And Methods: Materials and methods: The study included 73 patients with iatrogenic ureteral injury. Read More

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August 2019
1 Read

Immunohistochemistry and morphometric analysis of pelviureteric junction complexes in children with hydronephrosis.

Indian J Pathol Microbiol 2019 Jan-Mar;62(1):49-53

Ashish Hospital and Research Centre, Jabalpur, Madhya Pradesh, India.

Aim: The study aimed to analyze the musculature and innervations of pelviureteric junction (PUJ) complex and upper ureter by morphometry and immunohistochemistry in surgically resected specimens of PUJ obstruction and compares the findings with normal controls.

Materials And Methods: Specimens of the PUJ were obtained from twenty patients with hydronephrosis due to PUJ obstruction undergoing surgical treatment in this unit from 2013 to 2015. In the control group, seven PUJ complexes were taken from patients who had nephrectomy due to trauma and Wilms tumor. Read More

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http://dx.doi.org/10.4103/IJPM.IJPM_535_17DOI Listing
May 2019
3 Reads

Treating fractures in upper limb gunshot injuries: The Cape Town experience.

Orthop Traumatol Surg Res 2019 05 9;105(3):517-522. Epub 2019 Jan 9.

Groote Schuur Hospital, Cape Town, South Africa.

Background: Upper extremity gunshot fractures are generally treated conservatively or surgically using open reduction and internal fixation (ORIF), intramedullary nails (IM) or external fixators. However, there is no gold standard for the management of these complex, multi-fragmentary upper extremity fractures. The aim was to describe and identify the injury patterns, management, complications and associated risk factors for upper extremity gunshot fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183035
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http://dx.doi.org/10.1016/j.otsr.2018.11.002DOI Listing
May 2019
27 Reads

Paediatric nephrectomy: Patterns, indications and outcome in a developing country.

Malawi Med J 2018 06;30(2):94-98

Sub-Department of Paediatric Surgery, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.

Background: Patterns of and indications for nephrectomy vary in different age groups, geographical locations and time periods. In some series nephrectomies were mainly for malignant conditions while in others they were predominantly for non-malignant conditions. Such data on patterns, indications, and outcomes of nephrectomy in children is limited in our environment. Read More

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https://www.ajol.info/index.php/mmj/article/view/174382
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http://dx.doi.org/10.4314/mmj.v30i2.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307073PMC
June 2018
24 Reads

Need for upper urinary tract stenting in cases of ureteral orifice injury during laser enucleation of the prostate.

Int Urol Nephrol 2019 Mar 7;51(3):459. Epub 2019 Jan 7.

Fortis Hospital Mulund, Mumbai, 400078, India.

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http://dx.doi.org/10.1007/s11255-018-02072-3DOI Listing
March 2019
2 Reads

[Renal Pelvic Cancer with Delayed Diagnosis Due to Left Renal Injury : A Case Report].

Hinyokika Kiyo 2018 10;64(10):403-407

The Department of Pathology, Osaka Rosai Hospital.

We report a case of renal pelvic cancer found after left renal trauma. A 63-year-old man was admitted to our hospital because of gross hematuria after he had fallen down the stairs two days earlier. He had asymptomatic severe anemia (Hb : 3. Read More

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http://dx.doi.org/10.14989/ActaUrolJap_64_10_403DOI Listing
October 2018
15 Reads

What's New in Cosmetic Dermatology.

Dermatol Clin 2019 Jan;37(1):117-128

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA; Dermatologic SurgiCenter, 1200 Locust Street, Philadelphia, PA 19107, USA. Electronic address:

Topical silicone gel is more beneficial than petrolatum-based products as an all-purpose wound dressing for granulating and sutured wounds, regardless of cause. Vaginal laser rejuvenation is effective in relieving genitourinary syndrome of menopause, stress urinary incontinence, vaginal relaxation syndrome, and related vulvar disorders. New cosmetic indications in the upper face for onabotulinumtoxinA have been approved by the Food and Drug Administration, whereas off-label treatments in the lower face increase in popularity. Read More

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http://dx.doi.org/10.1016/j.det.2018.08.002DOI Listing
January 2019
15 Reads

Need for upper urinary tract stenting in cases of ureteral orifice injury during laser enucleation of the prostate.

Int Urol Nephrol 2018 Dec 22;50(12):2173-2177. Epub 2018 Oct 22.

Department of Urology, UT Southwestern Medical Center, Dallas, TX, USA.

Introduction: Benign prostatic hyperplasia (BPH) can be associated with marked intravesical protrusion, placing ureteral orifices at risk for injury during bladder outlet procedures.

Aim: To determine whether ureteral stenting is necessary in cases of ureteral orifice injury during laser enucleation.

Materials And Methods: Retrospective study included 465 patients with bladder outlet obstruction (IPSS > 20, Qmax < 10) secondary to BPH who were managed with thulium fiber laser (ThuFLEP) or holmium laser enucleation of the prostate (HoLEP). Read More

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http://dx.doi.org/10.1007/s11255-018-2007-6DOI Listing
December 2018
12 Reads

Herniation of the amniotic sac through congenital uterine defect confirmed during operation: A case report.

J Obstet Gynaecol Res 2019 Feb 4;45(2):450-453. Epub 2018 Oct 4.

Department of Obstetrics, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Herniation of the amniotic sac into the peritoneal cavity or bladder is a rare but serious condition during pregnancy, which has not been reported in pored congenital uterine anomaly. Here, we report a rare case to draw obstetricians' attention to the atypical uterine rupture. A primigravida at 35 weeks of gestation was admitted for upper abdominal pain. Read More

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http://dx.doi.org/10.1111/jog.13834DOI Listing
February 2019
14 Reads

Misplaced Foley catheter in ureter in a female with neurogenic bladder: a rare complication report.

BMJ Case Rep 2018 Aug 17;2018. Epub 2018 Aug 17.

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

Accidental placement of Foley catheter in ureter is a rare phenomenon. It is more common in females with neurogenic bladder who have hypocontractile bladder or there can be iatrogenic placement during surgical procedures. We describe a case of a female suffering from upper motor neuronal lesion due to trauma at T8 level (American Spinal Injury grade A) following which she developed neurogenic bladder. Read More

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http://dx.doi.org/10.1136/bcr-2018-226144DOI Listing
August 2018
6 Reads

What is the utility of urodynamics, including ambulatory, and 24 h monitoring, in predicting upper urinary tract damage in neuro-urological patients and other lower urinary tract dysfunction? ICI-RS 2017.

Neurourol Urodyn 2018 06 19;37(S4):S25-S31. Epub 2018 Jul 19.

Hospital Universitario de Canarias, Universidad de La Laguna, Canary Islands, Spain.

Aims: This article focuses on how, and if, urodynamics can help to identify which kidneys are in danger of deteriorating in function and also gives recommendations for future research.

Methods: At the International Consultation on Incontinence-Research Society (ICI-RS) in 2017, a multi-disciplinary group presented a literature search of what is known about the utility of Urodynamics, including ambulatory, and 24 h monitoring, in predicting upper urinary tract damage in neuro-urological patients and other lower urinary tract dysfunctions. Wider discussions regarding knowledge gaps, and ideas for future research ensued and are presented in this paper along with a review of the evidence. Read More

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http://dx.doi.org/10.1002/nau.23599DOI Listing
June 2018
20 Reads

Young Adult With Upper Abdominal Pain.

Ann Emerg Med 2018 07;72(1):e3-e4

Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

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http://dx.doi.org/10.1016/j.annemergmed.2018.01.038DOI Listing
July 2018
1 Read

Delayed hydronephrosis due to retroperitoneal hematoma after a seatbelt injury: A case report.

Medicine (Baltimore) 2018 Jun;97(23):e11022

Advanced Emergency and Critical Care Medical Center, Okayama University Hospital.

Rationale: Hydronephrosis caused by retroperitoneal hematoma after a seatbelt injury is a unique clinical entity.

Patient Concerns: A 21-year-old man, who had been wearing a seatbelt, was brought to our hospital after a motor vehicle collision, complaining of abdominal pain. Computed tomography (CT) revealed retroperitoneal hematoma in the upper pelvic region. Read More

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http://dx.doi.org/10.1097/MD.0000000000011022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999472PMC
June 2018
5 Reads

Surveillance and management of urologic complications after spinal cord injury.

World J Urol 2018 Oct 29;36(10):1545-1553. Epub 2018 May 29.

USC Institute of Urology, 1441 Eastlake Avenue, suite 7414, Los Angeles, CA, 90033, USA.

Purpose: Neurogenic bladder due to spinal cord injury has significant consequences for patients' health and quality of life. Regular surveillance is required to assess the status of the upper and lower urinary lower urinary tracts and prevent their deterioration. In this review, we examine surveillance techniques in neurogenic bladder, describe common complications of this disease, and address strategies for their management. Read More

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http://link.springer.com/10.1007/s00345-018-2345-0
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http://dx.doi.org/10.1007/s00345-018-2345-0DOI Listing
October 2018
44 Reads

Personalizing Polymyxin B Dosing Using an Adaptive Feedback Control Algorithm.

Antimicrob Agents Chemother 2018 07 26;62(7). Epub 2018 Jun 26.

University at Buffalo, Buffalo, New York, USA

Polymyxin B is used as an antibiotic of last resort for patients with multidrug-resistant Gram-negative bacterial infections; however, it carries a significant risk of nephrotoxicity. Herein we present a polymyxin B therapeutic window based on target area under the concentration-time curve (AUC) values and an adaptive feedback control algorithm (algorithm) which allows for the personalization of polymyxin B dosing. The upper bound of this therapeutic window was determined through a pharmacometric meta-analysis of polymyxin B nephrotoxicity data, and the lower bound was derived from murine thigh infection pharmacokinetic (PK)/pharmacodynamic (PD) studies. Read More

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http://dx.doi.org/10.1128/AAC.00483-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021635PMC
July 2018
62 Reads

Clinical reappraisal and state of the art of nephropexy.

Urologia 2018 Nov 11;85(4):135-144. Epub 2018 Apr 11.

2 Department of Surgery, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

The diffusion of minimally invasive techniques for renal surgery has prompted a renewed interest in nephropexy which is indicated to prevent nephroptosis in symptomatic patients and to mobilize the upper ureter downward in order to bridge a ureteral defect. Recent publications have been reviewed to present the state of the art of the diagnosis and management of these two challenging conditions and to try to foresee the next steps. The evaluation of patients with mobile kidney can be made relying on diagnostic criteria such as ultrasound with color Doppler and measurement of resistive index, conventional upright X-ray frames after a supine uro-computerized tomography scan and both static and dynamic nuclear medicine scans, always with evaluation in the sitting or erect position. Read More

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http://journals.sagepub.com/doi/10.1177/0391560317749191
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http://dx.doi.org/10.1177/0391560317749191DOI Listing
November 2018
14 Reads

Antibiotics in primary care in England: which antibiotics are prescribed and for which conditions?

J Antimicrob Chemother 2018 02;73(suppl_2):ii2-ii10

Modelling and Economics Unit, National Infection Service, Public Health England, London, UK.

Objectives: To analyse antibiotic prescribing behaviour in English primary care with particular regard to which antibiotics are prescribed and for which conditions.

Methods: Primary care data from 2013-15 recorded in The Health Improvement Network (THIN) database were analysed. Records with a prescription for systemic antibiotics were extracted and linked to co-occurring diagnostic codes, which were used to attribute prescriptions to clinical conditions. Read More

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http://dx.doi.org/10.1093/jac/dkx504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890730PMC
February 2018
28 Reads

The Impact of Preoperative α-Adrenergic Antagonists on Ureteral Access Sheath Insertion Force and the Upper Limit of Force Required to Avoid Ureteral Mucosal Injury: A Randomized Controlled Study.

J Urol 2018 06 2;199(6):1622-1630. Epub 2018 Feb 2.

Department of Urology, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address:

Purpose: Excessive bulking force during primary access of the ureteral access sheath may induce ureteral injury. We investigated the efficacy of preoperative α-blockade to reduce ureteral access sheath insertion force and determine the upper limit required to avoid ureteral injury.

Materials And Methods: In this randomized controlled trial 135 patients from a single institution who had ureteropelvic junction or renal pelvis stones and were scheduled to undergo retrograde intrarenal surgery were prospectively enrolled from December 2015 to January 2017. Read More

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http://dx.doi.org/10.1016/j.juro.2017.09.173DOI Listing
June 2018
11 Reads

Value of urodynamic findings in predicting upper urinary tract damage in neuro-urological patients: A systematic review.

Neurourol Urodyn 2018 06 2;37(5):1522-1540. Epub 2018 Feb 2.

Department of Urology, Hospital Universitario de Canarias, Universidad de La Laguna, Santa Cruz de Tenerife, Spain.

Aim: The main goals of neurogenic lower urinary tract dysfunction (NLUTD) management are preventing upper urinary tract damage (UUTD), improving continence, and quality of life. Here, we aimed to systematically assess all available evidence on urodynamics predicting UUTD in patients with NLUTD.

Methods: A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was performed in March 2017. Read More

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http://dx.doi.org/10.1002/nau.23501DOI Listing
June 2018
42 Reads

Normal reference values for bladder wall thickness on CT in a healthy population.

Abdom Radiol (NY) 2018 09;43(9):2442-2445

University of California Davis Medical Center, 4860 Y Street Suite 3100, Sacramento, CA, 95817, USA.

Purpose: To determine normal bladder wall thickness on CT in patients without bladder disease.

Materials And Methods: Four hundred and nineteen patients presenting for trauma with normal CTs of the abdomen and pelvis were included in our retrospective study. Bladder wall thickness was assessed, and bladder volume was measured using both the ellipsoid formula and an automated technique. Read More

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http://dx.doi.org/10.1007/s00261-018-1463-xDOI Listing
September 2018
5 Reads

Selective nonoperative management of liver gunshot injuries.

Eur J Trauma Emerg Surg 2019 Apr 24;45(2):323-328. Epub 2018 Jan 24.

Trauma Center, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.

Purpose: Nonoperative management (NOM) of gunshot liver injuries (GLI) is infrequently practiced. The aim of this study was to assess the safety of selective NOM of GLI.

Methods: A prospective, protocol-driven study, which included patients with GLI admitted to a level 1 trauma center, was conducted over a 52-month period. Read More

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http://dx.doi.org/10.1007/s00068-018-0913-zDOI Listing
April 2019
201 Reads
0.380 Impact Factor

Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) adnexectomy for benign pathology compared with laparoscopic excision (NOTABLE): a protocol for a randomised controlled trial.

BMJ Open 2018 01 10;8(1):e018059. Epub 2018 Jan 10.

Department of Gynaecology, Imelda Hospital, Bonheiden, Belgium.

Introduction: Natural orifice transluminal endoscopic surgery (NOTES) uses natural orifices to access the cavities of the human body to perform surgical interventions. NOTES limits the magnitude of surgical trauma and potentially reduces postoperative pain. Our group published a protocol on a randomised study comparing transvaginal NOTES (vNOTES) versus laparoscopy for hysterectomy (HALON). Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-01805
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http://dx.doi.org/10.1136/bmjopen-2017-018059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780723PMC
January 2018
24 Reads

The Morbidity of Ureteral Strictures in Patients with Prior Ureteroscopic Stone Surgery: Multi-Institutional Outcomes.

J Endourol 2018 04;32(4):309-314

1 Department of Urology, University of Washington , Seattle, Washington.

Purpose: Nephrolithiasis is an increasingly common ailment in the United States. Ureteroscopic management has supplanted shockwave lithotripsy as the most common treatment of upper tract stone disease. Ureteral stricture is a rare but serious complication of stone disease and its management. Read More

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http://www.liebertpub.com/doi/10.1089/end.2017.0657
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http://dx.doi.org/10.1089/end.2017.0657DOI Listing
April 2018
27 Reads

[Interrater reliability and clinical impact of the Post-Ureteroscopic Lesion Scale (PULS) grading system for ureteral lesions after ureteroscopy : Results of the German prospective multicenter BUSTER project].

Urologe A 2018 Feb;57(2):172-180

Urologische Kliniken, Ruppiner Kliniken GmbH, Hochschulklinikum der MHB, Neuruppin, Deutschland.

Background: The Post-ureteroscopic Lesion Scale (PULS) was designed as a standardized classification system for ureteral lesions after uretero(reno)scopy (URS). This study evaluates its routine use and a possible clinical impact based on a representative patient cohort.

Materials And Methods: Data of 307 patients in 14 German centers within the BUSTER project were used to test 3 hypotheses (H): PULS score shows a high interrater reliability (IRR) after independent assessment by urologic surgeon and assistance personnel (H1); PULS score is correlated with the frequency of postoperative complications during hospital stay (H2); post-URS stenting of the ureter is associated with higher PULS scores (H3). Read More

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http://dx.doi.org/10.1007/s00120-017-0565-3DOI Listing
February 2018
16 Reads
0.440 Impact Factor

Delayed Diagnosis of Ureteral Injury Following Penetrating Abdominal Trauma: A Case Report and Review of the Literature.

Am J Case Rep 2017 Dec 23;18:1377-1381. Epub 2017 Dec 23.

Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman.

BACKGROUND Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747955PMC
http://dx.doi.org/10.12659/ajcr.905702DOI Listing
December 2017
13 Reads

Vitamin C plus hydrogel facilitates bone marrow stromal cell-mediated endometrium regeneration in rats.

Stem Cell Res Ther 2017 Nov 21;8(1):267. Epub 2017 Nov 21.

Department of Obstetrics and Gynecology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.

Background: Intrauterine adhesion (IUA) is a common uterine cavity disease which can be caused by mechanical damage that may eventually lead to infertility and pregnancy abnormalities. Since the effect of therapeutic drugs appears disappointing, cell therapy has emerged as an alternative choice for endometrium regeneration. The aim of this study is to investigate whether the combination of hydrogel Pluronic F-127 (PF-127), Vitamin C (Vc), and a bone marrow stromal cell (BMSC) mixture could be a feasible strategy to improve the endometrial regeneration in a mechanical damage model of IUA in rats. Read More

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http://dx.doi.org/10.1186/s13287-017-0718-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697119PMC
November 2017
41 Reads

Urinary melamine excretion and increased markers of renal tubular injury in patients with calcium urolithiasis: A cross-sectional study.

Environ Pollut 2017 Dec 20;231(Pt 2):1284-1290. Epub 2017 Sep 20.

Research Center for Environmental Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan; Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung City, Taiwan; Department of Community Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan. Electronic address:

Environmental low-dose melamine exposure has been associated with urolithiasis risk in adults, but it is unclear if this exposure can cause early renal damage. This cross-sectional study investigated the association of this exposure and early renal damage in patients with calcium urolithiasis. We recruited patients diagnosed with upper urinary tract calcium urolithiasis from three hospitals in southwestern Taiwan between November 2010 and January 2015. Read More

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http://dx.doi.org/10.1016/j.envpol.2017.08.091DOI Listing
December 2017
11 Reads

Application of data mining techniques to explore predictors of upper urinary tract damage in patients with neurogenic bladder.

Braz J Med Biol Res 2017 Aug 17;50(10):e6638. Epub 2017 Aug 17.

Shenzhen Hospital, Southern Medical University, Shenzhen, China.

This study proposed a decision tree model to screen upper urinary tract damage (UUTD) for patients with neurogenic bladder (NGB). Thirty-four NGB patients with UUTD were recruited in the case group, while 78 without UUTD were included in the control group. A decision tree method, classification and regression tree (CART), was then applied to develop the model in which UUTD was used as a dependent variable and history of urinary tract infections, bladder management, conservative treatment, and urodynamic findings were used as independent variables. Read More

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http://dx.doi.org/10.1590/1414-431X20176638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561813PMC
August 2017
3 Reads

Multimodality imaging spectrum of complications of horseshoe kidney.

Indian J Radiol Imaging 2017 Apr-Jun;27(2):133-140

Department of Body Imaging, University of Texas Health Science Center, San Antonio, Texas, USA.

Horseshoe kidney is the most common congenital renal fusion anomaly with an incidence of 1 in 400-600 individuals. The most common type is fusion at the lower poles seen in greater than 90% of the cases, with the rest depicting fusion at the upper poles, resulting in an inverted horseshoe kidney. Embryologically, there are two theories hypothesizing the genesis of horseshoe kidney - mechanical fusion theory and teratogenic event theory. Read More

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http://www.ijri.org/text.asp?2017/27/2/133/209210
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http://dx.doi.org/10.4103/ijri.IJRI_298_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510309PMC
July 2017
12 Reads

Lateral Transpsoas Approach to the Lumbar Spine and Relationship of the Ureter: Anatomic Study with Application to Minimizing Complications.

World Neurosurg 2017 Aug 19;104:674-678. Epub 2017 May 19.

Seattle Science Foundation, Seattle, Washington, USA; Department of Anatomical Sciences, St. George's University, St. George, Grenada, West Indies.

Background: Complications from lateral lumbar interbody fusion procedures range from neurologic deficits to organ and blood vessel injuries. Injury to the ureter has been reported though uncommon. The present study was performed to elucidate the anatomic relationship of the ureter to this surgical approach. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.05.062DOI Listing
August 2017
18 Reads

Complete upper urinary tract obstruction caused by penetrating pellet injury of the ureterintroduction.

Niger J Clin Pract 2017 05;20(5):642-644

Department of Urology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Dumlupınar, Kadıköy/ıstanbul, Turkey.

Ureteral injuries due to gunshots are tend to be misdiagnosed because of concomitant vascular and intraabdominal organ wounds. Our case is a 23-year-old man who was admitted to the hospital with multiple abdominal gunshot wounds. Laboratory findings showed worsening anemia, and the computed tomography (CT) scan showed multiple lead bullets inside the abdomen and retroperitoneum. Read More

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http://dx.doi.org/10.4103/1119-3077.206365DOI Listing
May 2017
2 Reads

Ureter Injury as a Complication of Oblique Lumbar Interbody Fusion.

World Neurosurg 2017 Jun 17;102:693.e7-693.e14. Epub 2017 Apr 17.

Department of Neurosurgery, Wiltse Memorial Hospital, Suwon, Korea.

Background: Oblique lumbar interbody fusion is a commonly used surgical method of achieving lumbar interbody fusion. There have been some reports about complications of oblique lumbar interbody fusion at the L2-L3 level. However, to our knowledge, there have been no reports about ureter injury during oblique lumbar interbody fusion. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.04.038DOI Listing
June 2017
19 Reads

[Retrospective analysis on 337 cases of 
Henoch-Schönlein purpura].

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2017 Jan;42(1):72-77

Department of Dermatology, Second Xiangya Hospital, Central South University, Changsha 410011, China.

Objective: To determine differences in incidence, causes, clinical manifestation,prognosis between children and adults in patients with Henoch-Schönlein purpura (HSP).
 Methods: We retrospectively analyzed clinical data of 337 patients who hospitalized in the Department of Dermatology, Peace Hospital affiliated to Changzhi Medical College from Feb. 2013 to Jan. Read More

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http://dx.doi.org/10.11817/j.issn.1672-7347.2017.01.012DOI Listing
January 2017
11 Reads

Pregnancy After Urinary Diversion at Young Ages-Risks and Outcome.

Urology 2017 06 14;104:220-224. Epub 2017 Feb 14.

Department of Pediatric and Adolescent Urology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Objective: To assess the urologic and obstetric outcomes during and after pregnancy following urinary diversion (UD) performed during childhood or adolescence.

Materials And Methods: From our UD database, we identified 25 women who became pregnant between 1981 and 2013. Reasons for UD were neurogenic bladder, exstrophy, trauma, sinus urogenitalis, and interstitial cystitis. Read More

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http://dx.doi.org/10.1016/j.urology.2017.01.033DOI Listing
June 2017
22 Reads

The feasibility study of extradural nerve anastomosis technique for canine bladder reinnervation after spinal cord injury.

J Spinal Cord Med 2016 11;39(6):679-685

a Department of Orthopedics , The First Affiliated Hospital of Nanjing Medical University , Nanjing , Jiangsu , China.

Objective: Intradural nerve anastomosis for bladder innervation has been demonstrated to be useful. However, its clinical application remains limited because of the complex surgery, its complications and extensive bony destruction. The purpose of the current study was to demonstrate the feasibility of extradural spinal root anastomosis for bladder innervation in canines. Read More

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http://dx.doi.org/10.1080/10790268.2016.1209889DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137576PMC
November 2016
18 Reads

Genitourinary injuries and extremity amputation in Operations Enduring Freedom and Iraqi Freedom: Early findings from the Trauma Outcomes and Urogenital Health (TOUGH) project.

J Trauma Acute Care Surg 2016 Nov;81(5 Suppl 2 Proceedings of the 2015 Military Health System Research Symposium):S95-S99

From the US Army Institute of Surgical Research (N.S.N., J.C.J., J.C.R.), JBSA Fort Sam Houston, Texas; Urology Service, Department of Surgery (S.J.H.), and Department of Orthopaedics (J.C.R.), San Antonio Military Medical Center, JBSA Fort Sam Houston, Texas; Technology Office (E.A.L.), Defence Equipment and Support, Ministry of Defence, Bristol, United Kingdom; Surgical Services (D.W.S.), San Antonio Military Medical Center, JBSA Fort Sam Houston, Texas; Joint Trauma System (J.A.O.), US Army Institute of Surgical Research, JBSA Fort Sam Houston, Texas; Department of Epidemiology and Biostatistics (J.A.O.), University of Texas Health Science Center at San Antonio, San Antonio, Texas.

Background: In Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF), genitourinary (GU) wounds have occurred in unprecedented numbers. Severe concomitant injuries, including extremity amputations, are common. The epidemiology of GU injury and extremity amputation in OEF/OIF has not been described. Read More

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http://dx.doi.org/10.1097/TA.0000000000001122DOI Listing
November 2016
31 Reads

Delayed Partial Nephrectomy for Hydronephrosis After Renal Trauma.

Urology 2017 Mar 17;101:158-160. Epub 2016 Oct 17.

University of Virginia, Charlottesville, VA.

Delayed sequelae following conservative management of renal trauma in the pediatric population are uncommon. Reports of delayed operations to manage these sequelae are even less common. Here we present the case of a 16-year-old male patient who had delayed development of upper urinary tract obstruction with recurrent infections following high-grade renal trauma managed conservatively. Read More

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http://dx.doi.org/10.1016/j.urology.2016.10.006DOI Listing
March 2017
11 Reads

Pharmacological Properties of Propiverine Contribute to Improving Lower Urinary Tract Dysfunctions in Rats with Spinal Cord Injuries.

Drug Res (Stuttg) 2016 Sep 17;66(9):464-469. Epub 2016 Oct 17.

Drug Discovery & Development II, Taiho Pharmaceutical Co., Ltd., Tsukuba, Japan.

Patients with spinal cord injury (SCI) usually develop lower urinary tract dysfunctions, including detrusor overactivity which is also known to be a risk factor for upper urinary tract dysfunction. Antimuscarinic agents, such as propiverine, have been used clinically for the treatment of detrusor overactivity. Also, propiverine has been known to possess antagonistic activity against L-type Ca channels and transient receptor potential vanilloid subtype 1 (TRPV1), in addition to activity against muscarinic receptors. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-110855
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http://dx.doi.org/10.1055/s-0042-110855DOI Listing
September 2016
5 Reads