PURPOSE To determine the efficiency of slow delivery rate of shockwaves (SW) on stone fragmentation and treatment outcomes in patients with renal and ureteral calculi. PATIENTS AND METHOD Using the Siemens Lithostar Multiline, we treated 843 patients (229 renal and 614 ureteral stones) at a fast delivery rate (120 SW/min, between October 2003 and August 2006), 448 patients (139 renal and 309 ...

INTRODUCTION Our aim was to compare transabdominal ultrasonography (US) and intravenous urography (IVU) in the evaluation of patients with hematuria. MATERIALS AND METHODS Two hundred patients with hematuria were assessed by US and IVU, and if needed, by cystoscopy, ureteroscopy, and CT scan, to determine the definite cause of hematuria. The results of US and IVU were compared according to th...

Robotic-assisted ureteral reimplantations were performed on 3 patients at a single institution, 2 with Boari flap and psoas hitch and 1 with psoas hitch alone. These were for urothelial carcinoma of the distal ureter, ureteral obstruction caused by distal ureteral endometriosis, and ureteral transaction during gynecologic surgery. We used intraoperative ureteroscopy to confirm tumor margins as ...

BACKGROUND Stone retropulsion represents a challenge for intracorporeal lithotripsy of ureteral calculi. The consequences are an increased duration and cost of surgery as well as decreased stone-free rates. The use of additional tools to prevent proximal stone migration entails further costs and risks for ureteral injuries. We present the simple technique of using a coil of the routinely used g...

PURPOSE To review the feasibility of laparoscopic ureteroneocystostomy with extracorporeal eversion of the ureteral end in various distal ureteral lesions. MATERIALS AND METHODS We conducted a retrospective review of 5 laparoscopic procedures of ureteroneocystostomy with extracorporeal eversion of the ureteral end. Of these, 4 patients (range, 45 to 54 years) had distal ureter stricture or ob...

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...

Purpose: To present our experience of laparoscopic ureteral reimplantation using intracorporeal ureteral tapering for management of distal ureteral stricture. Materials and Methods: Between April 2005 and October 2008, six patients, including 3 children and 3 adults, underwent laparoscopic modified Lich-Gregoir type extravesical ureteral reimplantation for distal ureteral stricture. Significant...

Introduction: Our aim was to compare transureteral lithotripsy (TUL) and extracorporeal shock wave lithotripsy (SWL) in the management of upper ureteral calculi larger than 5 mm in diameter. Materials and Methods: Patients who had upper ureteral calculi between 5 mm and 10 mm in diameter were enrolled in this clinical trial. The calculi had not responded to conservative or symptomatic therapy. ...