Urology Open Access Open Journal最新文献

Outcome of Rirs for Renal Pelvic Stones 1.5 to 2.0 cm using Semi-Rigid Uretero-Renoscopy 半硬输尿管-肾镜治疗1.5 ~ 2.0 cm肾盂结石的疗效

Urology Open Access Open Journal Pub Date : 2021-11-29 DOI: 10.33169/uro.uoaoj-2-120

H. Qureshi

{"title":"Outcome of Rirs for Renal Pelvic Stones 1.5 to 2.0 cm using Semi-Rigid Uretero-Renoscopy","authors":"H. Qureshi","doi":"10.33169/uro.uoaoj-2-120","DOIUrl":"https://doi.org/10.33169/uro.uoaoj-2-120","url":null,"abstract":"Background Retrograde Intrarenal Surgery (RIRS) is among the recommended treatment modality for stones located in renal pelvis and is of less than 2 cm. Renal Stones with Hounsfield units more than 1000 have low stone free rate with ESWL. Objective To determine the outcome of retrograde intrarenal surgery using semirigid ureteroscope in fragmentation of renal pelvic stone. Methods Patients with 1.5-2.0 cm stone located in renal pelvis of more than 1000 HU who underwent retrograde intrarenal surgery as primary procedure at Sindh Institute of Urology And Transplantation were included. Stone fragmentation was achieved with holmium-yttrium aluminum garnet laser. Secondary procedure was performed if complete stone fragmentation was not achieved. Statistical analysis was performed by SPSS version 20. Result Total 82 patients with mean size of pelvic renal stones 1.7 ± 0.53 cm were included. The mean operating time was 32.1±12.9 mins. The stone clearance rate at six weeks after the first procedure was 79.3%. Minor complications including flank pain, fever and hematuria were reported. Conclusion Retrograde intrarenal surgery performed with semi rigid ureteroscope in renal pelvic stones of more than 1000 HU is a technically safe and effective procedure. Keywords: Retrograde intrarenal surgery; Pelvic stone; Flexible ureteroscopy and holmium laser.","PeriodicalId":334481,"journal":{"name":"Urology Open Access Open Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125565601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrence of Aggressive Urothelial Carcinoma in an Ileal Neobladder without Involvement of Remaining Urothelium 回肠新膀胱侵袭性尿路上皮癌复发，未累及剩余尿路上皮

Urology Open Access Open Journal Pub Date : 2021-06-23 DOI: 10.33169/uro.uoaoj-2-119

A. M

引用次数: 0

The Effect of the Duration between Preoperative Bladder Urine Culture and Semirigid Ureteroscopic Lithotripsy on the Rate of Systemic Inflammatory Response Syndrome Postoperatively 术前膀胱尿培养与半硬输尿管镜碎石时间对术后全身炎症反应综合征发生率的影响

Urology Open Access Open Journal Pub Date : 2021-05-05 DOI: 10.33169/uro.uoaoj-2-118

F. Akkaş

{"title":"The Effect of the Duration between Preoperative Bladder Urine Culture and Semirigid Ureteroscopic Lithotripsy on the Rate of Systemic Inflammatory Response Syndrome Postoperatively","authors":"F. Akkaş","doi":"10.33169/uro.uoaoj-2-118","DOIUrl":"https://doi.org/10.33169/uro.uoaoj-2-118","url":null,"abstract":"Purpose The aim of this study is to analyze the preoperative and intraoperative factors that might induce systemic inflammatory response syndrome (SIRS) after semirigid ureteroscopic lithotripsy (SUL), and to evaluate the impact of duration between preoperative bladder urine culture (PBUC) and surgery on postoperative systemic inflammatory response syndrome (SIRS). Methods A retrospective review was conducted including patients who underwent SUL in our center between June 2015 and June 2020. Prior to surgery, PBUC were obtained from all patients and postoperatively patients were observed for signs of SIRS. Univariable and multivariable binary logistic regression analysis were implemented to demonstrate the factors that predict SIRS postoperatively. Results The entire study included a cohort of 572 patients. The rate of SIRS following SUL was 1.7%. Predictive factors for SIRS were listed as stone volume, surgical time, and history of recurrent urinary tract infection. No significant difference was detected in terms of the duration between PBUC and SUL when comparing the SIRS group with the other group. Conclusion The duration between PBUC and SUL is not efficacious factor for SIRS. It may be useful to conduct prospective studies to enlighten this issue as endourologists deal with this duration dilemma often in daily practice. Keywords: Semirigid ureteroscopic lithotripsy, Systemic inflammatory response syndrome, Preoperative bladder urine culture.","PeriodicalId":334481,"journal":{"name":"Urology Open Access Open Journal","volume":"251 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115864590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fibrous Pseudotumor of Para Testicular Region; A Rare Clinical Entity 睾丸旁区纤维性假瘤;罕见的临床实体

Urology Open Access Open Journal Pub Date : 2021-03-05 DOI: 10.33169/uro.uoaoj-2-117

K. Bhatti

引用次数: 0

Acute Urinary Retention Following Primary VaricellaZoster Virus Infection 原发性水痘病毒感染后急性尿潴留

Urology Open Access Open Journal Pub Date : 2021-03-05 DOI: 10.33169/uro.uoaoj-2-116

Kamran Hassan Bhatti

引用次数: 0

Supine Mini- Percutaneous Nephrolithotripsy (Mini PCNL) for Renal Stones 0.5 – 2 CM in Pediatric Age Group: New Experience of TBRI 仰卧微型经皮肾镜碎石(Mini PCNL)治疗小儿年龄组0.5 - 2cm肾结石:TBRI的新经验

Urology Open Access Open Journal Pub Date : 2020-12-17 DOI: 10.33169/uro.uoaoj-i-110

H. Nour

{"title":"Supine Mini- Percutaneous Nephrolithotripsy (Mini PCNL) for Renal Stones 0.5 – 2 CM in Pediatric Age Group: New Experience of TBRI","authors":"H. Nour","doi":"10.33169/uro.uoaoj-i-110","DOIUrl":"https://doi.org/10.33169/uro.uoaoj-i-110","url":null,"abstract":"Objective To establish the new experience as well as to evaluate the safety and efficacy of mini percutaneous nephrolithotripsy (mini PCNL) in treatment of kidney stones 0.5-2 cm in pediatric age group. Patients and Methods Between December 2018 and October 2020 seventeen patients admitted to the Urology Department, presented with renal pelvis or calyceal stone (5-20 mm) were enlisted for mini PCNL. Achieving success of the technique is considered when stone free or radiologically insignificant residual fragments <4mm. Results The demographic data in this study is comparable with those in adults age group regarding the stone size with no statistical significance. Meanwhile, the operative time was 59.71 ± 19.44 min , and Fluoroscopy times had mean of 8.11 ± 2.05 min. The stone free rate was 96.2% in mini PCNL, one case of mini PCNL (5.9%) had significant bleeding and needed transfusion. One patient of mini PCNL (5.9%) had perforation in the renal pelvis which was resolved with insertion of Double J stent & nephrostomy. Conclusion Supine mini PCNL can be an effective and alternative option for treatment of renal stones 0.5-2 cm in pediatric age group. Supine mini PCNL has accepted operative and postoperative course. Larger numbers of patients will be more effective to confirm these results. Keywords: Pediatric; Mini percutaneous nephrolithotomy; Stone","PeriodicalId":334481,"journal":{"name":"Urology Open Access Open Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117222790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Three Years Experience of Bilateral Simultaneous Percutaneous Nephrolithotomy – A Single Center Study in Pakistan 双侧同时经皮肾镜取石术三年经验-巴基斯坦单中心研究

Urology Open Access Open Journal Pub Date : 2020-12-14 DOI: 10.33169/uro.uoaoj-i-108

S. Siddique

{"title":"Three Years Experience of Bilateral Simultaneous Percutaneous Nephrolithotomy – A Single Center Study in Pakistan","authors":"S. Siddique","doi":"10.33169/uro.uoaoj-i-108","DOIUrl":"https://doi.org/10.33169/uro.uoaoj-i-108","url":null,"abstract":"Objective To study the outcomes of simultaneous bilateral PCNLs in adult population and discussing therapeutical benefits and complications. Design A Retrospective Study. Setting The Kidney Centre ( The Post Graduate Training Institute, Karachi). Duration of Study Three years from January 2017 to December 2019. Methodology A retrospective chart review at one of the large urology institute in Karachi was conducted. The aim was to document the demographics, operation dynamics, outcomes and complications of simultaneous bilateral PCNL in adult population. Record of 60 patients who underwent simultaneous bilateral PCNL between January 2017 and December 2019 in our hospital were evaluated. Preoperative, post-operative laboratory values, operative time, stone clearance, complications and hospital stay were recorded. SPSS IBM version 20 was used for data entry and analysis. Results The mean age was 40.0±15.1 years. The mean hospital stay was 3.5 days and mean operative time was 144 minutes. The transfusion rate was observed 16.7% and infracostal approach was most frequently used approach. Conclusion Simultaneous bilateral PCNL is a safe, efficacious, and cost-effective option in cases of bilateral renal calculi and should be considered an acceptable treatment option for patients with bilateral stones due to low morbidity, overall short hospital stays, comparable stone free rates, cost effectiveness and early return-to-normal activity time.","PeriodicalId":334481,"journal":{"name":"Urology Open Access Open Journal","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115053086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0