We present the case of a 37-year-old lady who presented with severe colicky left sided flank pain associated with vomiting, chills and rigors. A non-contrast Computed Tomography of the Kidney Ureter and Bladder was performed which showed a 2-3 mm stone in the pelvic part of the left ureter. Following 2 days of conservative treatment she was still complaining of increasingly severe pain. A contr...

A 55-year-old man was referred to our department for incidental left hydronephrosis diagnosed on ultrasonography. A kidney, ureter, and bladder radiograph showed four calcifications in the left urinary tract: one in the middle ureter (U2) and three in the lower ureter (U3) (Picture 1). A noncontrast-enhanced computed tomography (NCCT) scan revealed that the calcification in U2 was a bone island...

OBJECTIVE To assess the feasibility and safety of diagnostic or therapeutic semirigid ureteroscopy without ureteral meatus dilatation. MATERIALS AND METHODS A comparative, retrospective study was conducted of patients undergoing ureteroscopy from January 2000 to May 2008. For data analysis purposes, the population was divided into two groups based on whether ureteroscopy had been performed wi...

OBJECTIVE To evaluate ureteroscopy as a treatment option for women presenting ureteral calculi during pregnancy. MATERIALS AND METHODS Eighteen pregnant patients presenting renal colic and indication of surgical treatment for ureteral calculi were analyzed. Patients were 20 to 34 years old (medium = 28), and the gestation period ranged from 12 to 34 weeks (medium = 18). Lumbar pain was presen...

A 66-year-old woman had a 22 mm right kidney stone accompanied with a horseshoe kidney. The size of this stone had been increasing gradually from 7 mm to 22 mm during the past 5 years. Although apparent pelviuretic junction stenosis could not be identified by intravenous urography, external pelvis was dilated in both kidneys. Complete excretion of fragmented stones by extracorporeal shockwave l...

Introduction: Animal studies have shown that nicotine affects the peristalsis of the ureter. The aim of the study is to analyze the effect of smoking on spontaneous passage of distal ureteral stones. Material & Methods: 88 patients in whom distal ureteral stone below 10mm diameter diagnosed with helical computerized tomography enhanced images were reviewed. Patients were grouped as either smoke...

Urolithiasis is an ancient disease with global distribution. It refers to stones originating anywhere in the urinary system. Urinary calculi or stones are the most common cause of acute urinary system obstruction. The study was aimed with finding out the common site of urinary calculus in kidney ureter bladder (KUB) region. This was a prospective cross-sectional study conducted from June 2012 t...

PURPOSE To present our experience in the management of symptomatic ureteral calculi during pregnancy. MATERIALS AND METHODS Twenty-three pregnant women, aged between 19 and 28 years presented to the obstetric and urology departments with renal colic (17 cases, 73.9%) and fever and renal pain (6 cases, 26.1%); suggesting ureteric stones. The diagnosis was established by ultrasonography (abdomi...

We report our early experience with a new device for endoscopic stone disintegration: the Swiss lithoclast. This device was used to treat 200 patients with stones in kidney, ureter, and bladder. Its effectiveness was 100% when the stone could be approached irrespective of size or composition, and no complication was encountered. Prof. A. Kostakopoulos, Department of Urology, Sismanoglion Genera...

advancing an access sheath into the transplant ureter, a Storz Flex-X2 fiber optic flexible ureteroscope was used to access the collecting system over one of the wires. A 365-micron holmium laser fiber was used to fragment the stone into small pieces. The largest stone fragments were extracted using a basket, however due to the lack of an access sheath to assist in passing the ureteroscope in a...