PURPOSE The objective was to determine whether stone density on plain radiography (kidney-ureter-bladder, KUB) could predict the outcome of extracorporeal shockwave lithotripsy (ESWL) for ureteral stones. MATERIALS AND METHODS A total of 223 patients treated by ESWL for radio-opaque ureteral stones of 5 to 20 mm were included in this retrospective study. All patients underwent routine blood a...

Three hundred and ninety five cases in 358 consecutive patients (male-232, female-126) with renal and ureteric stones were treated with extracorporeal shockwave lithotripsy (ESWL) from March to November 1988. They either had ESWL alone, or in combination with stone manipulation or debulking percutaneous nephrolithotripsy (PCNL). Seventy five percent of the stones were found in the pelvicalyceal...

OBJECTIVES A project was initiated by the Health Care Office of the European Association of Urology in order to formulate common recommendations and guidelines for the treatment of patients with urolithiasis. The basic task for the working group therefore was to extract and evaluate evidence from the literature in order to reach a consensus on how these patients could best be managed. METHODS...

Introduction: Hysterectomies are the second most common major surgical procedure among women in their reproductive years. Ureteral injury is a known complication of this surgery. Intraoperative cystoscopy is not yet used routinely to evaluate the ureteral function before concluding a benign hysterectomy. Case Description: A 40-year-old woman had a laparoscopy-assisted vaginal hysterectomy with ...

We report a case in which retroperitoneoscopic pyelolithotomy was the procedure selected to treat a large stone in the upper urinary tract. A 71-year-old woman who had multiple cerebral infarction and dementia was admitted with a persistent high fever unresponsive to antibiotics. The diagnosis was pyelonephritis and urosepsis associated with ureteral calculus. A large calculus(3.0 x 2.0 cm)was ...

Pleural effusions due to pleural injury following supracostal percutaneous nephrolithotomy (PCNL) occur in upwards of 15% of patients; however, these effusions are invariably diagnosed immediately postoperative or during the hospital stay. Herein, we report our initial experience with a delayed nephropleural fistula. A 52-year-old female underwent an uneventful supracostal right PCNL staghorn s...

Endoscopic lithotripsy for upper urinary tract stones is the cornerstone of treatment and a routine procedure for practicing urologists. Although highly effective in reducing or eliminating stone burden, ureteroscopy is associated with a significant risk of infectious complications, namely, fever, pyelonephritis, and rarely sepsis [1]. Although prophylactic administration of antibiotics is reco...

To cite: Prakash J, Goel A, Kumar M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200168 DESCRIPTION A 42-year-old man presented with a 2-day history of severe colicky pain in the left flank with vomiting. X-ray (figure 1A) and ultrasonography showed a 13 mm left vesicoureteric junction calculus (figure 1B) with moderate hydroureteronephrosis and sma...

BACKGROUND Many minimally invasive interventional techniques as well as expectant treatment exist for the management of lower ureteric calculi. This study was conducted to evaluate th efficacy of tamsulosin as an expulsive pharmacologic therapy for the treatment of distal uretern stone. METHODS This randomized control trial included 100 patients over 18 years of age wit stone Size > or = mm i...