scholarly journals Treatment Management of COVID‐19 Positive Patients with Renal Colic Secondary to Distal Ureteral Stone

Author(s):  
Saban Oguz Demirdogen ◽  
Ahmet Emre Cinislioglu ◽  
Nazan Cinislioglu ◽  
Mehmet Sefa Altay ◽  
Ibrahim Karabulut ◽  
...  
2016 ◽  
Vol 88 (1) ◽  
pp. 7 ◽  
Author(s):  
Paolo Beltrami ◽  
Andrea Guttilla ◽  
Lorenzo Ruggera ◽  
Patrizia Bernich ◽  
Filiberto Zattoni

Aim: In the last thirty years, the treatment for renal and ureteral calculi has undergone profound variations. The objective of this study has been to evaluate the existence of parameters which can affect the spontaneous expulsion of a symptomatic ureteral stone in a reasonably brief period of time and to identify whether certain parameters such as sex, age, the location and dimension of the stone, the presence of dilation in the urinary tract together with the administered therapy, can be used for a correct clinical management of the patient. Methods: In a period of 9 months, 486 cases of renal colic were registered at emergency department. Results: The cases of renal colic due to ureteral calculus were 188 (38.7%). The patients’ charts, complete of all data and therefore, valid for this research, resulted to be 120 (64%). In the presence of a symptomatic ureteral stone, the correct approach must first of all, focalize on the dimension of the calculus itself; less importance instead, is given to the location, as reported in other studies, the presence of hydroureteronephrosis, sex and the side. Conclusion: In the cases when the pain symptoms cannot be solved by means of the administration of analgesics, it is then reasonable to take into consideration an immediate endourological treatment. If the pain symptoms are promptly solved, an attentive wait of 4 weeks should be considered reasonable in order to allow spontaneous expulsion of the calculus.


2021 ◽  
Author(s):  
He Maomao ◽  
Ming Lei ◽  
Lin Xiaoting ◽  
Xiaolan Xu ◽  
Zhihui He

Abstract Objectives: To analyze clinical data and stone-related factors to identify predictive factors for surgical intervention in pregnant women with renal colic. Methods: We conducted a retrospective review of 212 pregnant women presenting with renal colic between 1st January 2009 and 31st December 2019. Patients were grouped according to surgical intervention and a range of demographic, clinical, laboratory, and ultrasound data were obtained. Univariate and multivariate analyses identified a range of predictive variables for surgical intervention. In addition, we used receiver operating characteristic (ROC) curve analysis to evaluate the predictive power of our model and created a nomogram for clinical application. Results: Of the 212 patients presenting with acute renal colic in pregnancy, 100 patients (47.2%) underwent surgical intervention and 112 patients (52.8%) were treated conservatively. Univariate analysis identified significant differences between the two groups with regards to fever, the duration of pain, white blood cells (WBCs), C-reactive protein (CRP), ureteral stone size, hydronephrosis, and stone location. Multivariate analysis further identified a number of independent predictors for surgical intervention, including fever, a duration of pain ≥4 days, a ureteral stone size ≥ 8 mm, and moderate or severe hydronephrosis.Conclusions: We identified several independent predictors for surgical intervention for renal colic in pregnancy. Fever, a duration of pain ≥4 days, a ureteral stone size ≥8 mm, and moderate/severe hydronephrosis, play significant roles in predicting surgical intervention. Our nomogram can help to calculate the probability of surgical intervention in a simple and efficient manner. Prospective studies are now required to validate our model.


2014 ◽  
Vol 43 (1) ◽  
pp. 61-64
Author(s):  
Bacilius Agung Priyosantoso ◽  
Sawkar Vijay Pramod

Background. Laparoscopic ureterolithotomy has become an alternative to open surgery for removing large stones that is not amenable to endoscopic treatment. In most of the published literature, laparoscopic ap- proach for lower ureteric stone is described to be less successful than middle and upper ureter. Identifica- tion in anatomical landmarks and exposing the distal ureter has been the major boundaries in establishing laparoscopic distal ureteral stone. We hope to provide clarity and feasibility that may increase our knowledge in laparoscopic ureterolithotomy for large distal ureteral stone. Aim. The obbjective is to share our experience in laparoscopic ureterolithotomy for large distal ureteric stone with transperitoneal approach Methods. A 37 years old male has been diagnosed with a right hydronephrosis due to proximal ureterolithiasis and stone at left calyx inferior, first and stone migrated to right distal ureter on 12 hours prior surgery. He underwent laparoscopic ureterolithotomy with transperitoneal approach. Results. We successfully perform laparoscopic ureterolithotomy with transperitoneal approach on a 37 y.o male patient who diagnosed with a a right hydronephrosis due to distal ureterolithiasis and stone at left calyx inferior. Duration of operation was 45 minutes. Patient was discharged at 2nd postoperative day without any complications. Conclusion. A Transperitoneal laparoscopic ureterolithotomy for distal ureteric stone is a safe and feasible technique that should be an options on every patients who plan to undergo distal ureterolithotomy especially large stone


2013 ◽  
Vol 7 (7-8) ◽  
pp. 511 ◽  
Author(s):  
Ayhan Karakose ◽  
Ozgu Aydogdu ◽  
Yusuf Ziya Atesci

Complete duplex ureters opening separately into the urinary bladder is extremely rare; they can be embryologically explained as a development of two ureteral buds separately from a single mesonephric duct. We describe a case of unilateral complete ureteral duplication with distally localized ureteral stone in a 49-year-old male who presented with right flank pain.


2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Fatih Akbulut ◽  
Metin Savun ◽  
Burak Ucpinar ◽  
Murat Sahan ◽  
Burak Arslan ◽  
...  

Duplex collecting systems are the most commonly encountered anomaly of the urinary system. Complete duplex system with an H shaped ureter is a very rare situation. There are only two reported H ureter cases in the literature. Herein, we aimed to present an H shaped ureter case, which was identified while performing ureterorenoscopy to a 48-year-old female patient due to a right distal ureteral stone.


Urolithiasis ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 99-100
Author(s):  
Takashi Kawahara ◽  
Hiroki Ito ◽  
Hideyuki Terao ◽  
Hiroji Uemura ◽  
Yoshinobu Kubota ◽  
...  

Urology ◽  
2018 ◽  
Vol 120 ◽  
pp. 258-262 ◽  
Author(s):  
Pablo Garrido-Abad ◽  
Bryan Sinués-Ojas ◽  
Pablo Conde-Caturla ◽  
Luis García-Martín ◽  
Manuel Fernández-Arjona

2017 ◽  
Vol 31 (6) ◽  
pp. 557-563 ◽  
Author(s):  
Yunjin Bai ◽  
Yubo Yang ◽  
Xiaoming Wang ◽  
Yin Tang ◽  
Ping Han ◽  
...  

2011 ◽  
Vol 39 (6) ◽  
pp. 491-495 ◽  
Author(s):  
Raúl Ochoa-Gómez ◽  
Emilio Prieto-Díaz-Chávez ◽  
Benjamín Trujillo-Hernández ◽  
Clemente Vásquez

Sign in / Sign up

Export Citation Format

Share Document