Cost and outcome assessment of primary ureteral calculi. Percutaneous nephrolithotomy Percutaneous nephrolithotomy involves creating an access tract into the renal collecting system through which nephroscopy can be performed. Tamsulosin treatment increases clinical success rate of single extracorporeal shock wave lithotripsy of renal stones. Box 2 Indications for urgent intervention Presence of infection with urinary tract obstruction Urosepsis Intractable pain or vomiting, or both Impending acute renal failure Obstruction in a solitary or transplanted kidney Bilateral obstructing stones. Received Mar 12; Accepted Apr
Tamsulosin treatment increases clinical success rate of single extracorporeal shock wave lithotripsy of renal stones. National Kidney Foundation www. Proximal ureteral calculi Several endourological options are available for the treatment of proximal ureteral stones: Ureteritis cystica UC is a rare, benign condition of the ureters consisting of multiple, small submucosal cysts. Percutaneous nephrolithotomy involves creating an access tract into the renal collecting system through which nephroscopy can be performed. What are the guidelines for treatment selection? Nicole L Miller , fellow in endourology and minimally invasive surgery and James E Lingeman , physician and surgeon.
Volume, pH, calcium, oxalate, citrate, uric acid, phosphate, sodium, potassium, magnesium, ammonium, chloride, sulfate, and creatinine. Although percutaneous nephrolithotomy is thought to be more invasive than other treatments, a large meta-analysis has demonstrated its safety and efficacy, particularly when stones are large, multiple, or complex.
Management of kidney stones
BJU Int ; Urol Clin North Am ; Diabetes mellitus and hypertension associated with shock wave lithotripsy of renal and proximal ureteral stones at 19 years of follow up. A critical review of extracorporeal shock-wave lithotripsy failures. Introduction Ureteritis cystica UC is a rare, benign condition of the ureters consisting of multiple, small scribbd cysts.
UC may be associated with chronic urothelial irritation. Provenance and peer review: The introduction of shock wave lithotripsy in the early s revolutionised the treatment of nephrolithiasis. Rothschild JG, Wu G.
Management of kidney stones
We performed a literature search to identify information on the management of urolithiasis. Recurrence after a single renal stone in a community practice.
Once a stone passes into the ureter, obstruction may cause reduced glomerular filtration rate and renal blood flow. Minerva Urol Nefrol ; Ureteroscopy is the preferred treatment in pregnant, morbidly obese, or patients with coagulopathy. We searched databases scrjbd Medline and the Cochrane Library to assemble appropriate evidence based reference material.
Although the likelihood of spontaneous passage of stones is highest in the distal ureter, intervention with ureteroscopy or shock wave lithotripsy is often necessary. Low urolithiaais rate of repeat shock wave lithotripsy for ureteral stones after failed initial treatment.
Prospective comparison of unenhanced spiral computed tomography and intravenous urogram in the evaluation of acute flank pain.
Biopsies were taken and showed signs of chronic inflammatory changes consistent with this diagnosis.
Ureteritis Cystica: An Unusual Presentation in an Otherwise Healthy Female
The patient was successfully treated with percutaneous nephrolithotomy. Sources and selection criteria We performed a literature search to identify information on the management of urolithiasis We searched databases including Medline and the Cochrane Library to assemble appropriate evidence based reference material.
We present an unusual bilateral case of UC in a year-old healthy woman with no history of the predisposing risk factors mentioned above. Assessment should include measurement of vital signs because fever may be an indication for acute intervention box 2. The characteristics of the stones size, number, location, and compositionrenal anatomy, and clinical factors are all considered when selecting a treatment approach for renal calculi. If urgent intervention is not needed see box 2the patient and clinician must decide whether to intervene or proceed with expectant management.
There have been isolated cases reporting UC causing obstruction in the literature but this seems to be a rare occurrence [ 6 – 7 ]. Ureteroscopy Ureteroscopy involves retrograde visualisation of the collecting system using a rigid, semi-rigid, or flexible endoscope.
European Association of Urology, Ureteral stones clinical urolithiasus panel summary report on the management of ureteral calculi. Consent was obtained by all participants in this study. Urolithiasiz Urological Association-Urology Health www.
Medical expulsive therapy This treatment comprises the use of drugs to help the spontaneous passage of ureteral calculi. Renal calculi The characteristics of the stones size, number, location, and compositionrenal anatomy, and clinical factors are all considered when selecting a treatment approach for renal calculi.
Urinalysis should be performed in all patients. Tamsulosin and corticosteroid was the most efficacious combination—stones were passed more quickly and the need for analgesics was reduced.