scholarly journals Case Report: Successful Staged Ureteroscopic Treatment of a 5 cm Staghorn Renal Calculus

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Joseph M. Ciccone ◽  
J. Clinton McCabe ◽  
Robert C. Eyre

It is widely accepted that percutaneous nephrostolithotorny (PCNL) is the standard of choice for the removal of large staghorn renal calculi. Although data exists supporting a stagad ureteroscopic as an alternate treatment for stones up to 3 cm in select patients, little data exists to support a ureteroscopic approach for stones as large as 5 cm. We present a case of a 68 year old female with a 5 cm staghorn renal calculus managed successfully with a staged ureteroscopic approach. A staged ureteroscopic approach can be effective in treating stones as large as 5 cm.

1991 ◽  
Vol 37 (1) ◽  
pp. 95-98
Author(s):  
TAKASHI FUKUSHIMA ◽  
TATSUO OUCHI ◽  
YOSHIKI SUGIYAMA ◽  
RYUlCHI KITAGAWA

Author(s):  
Dr. Anil M. Sanshi ◽  
Dr.Pallavi A. Hegde

Background: Mutrashmari is a stone like structure anywhere in the Mutravaha Srothas which can be compared with renal calculi and one among the Astamahagada, clinical features as renal angle pain, haematuria, pyuria and dysuria. Peak age is 3rd to 5th decade while majority of patients report regarding onset of disease in 2nd decade of life and male to female ratio is 3:1. Objectives: To compare the effect of Gokshura Churna over Tilanalakshara Yoga in the management of Mutrashmari with special reference to Renal calculi. Materials and Methods: 30 patients were selected on the basis of inclusion criteria and divided into 2 groups with 15 patients in each group by chit method. Group A was treated with standard drug Tilanalakshara Yoga and Group B was traeted with trial drug Gokshura Churna. Results: It was found that standard group reduced the abdominal pain by 85.1%, dysuria by 89.4%, renal angle tenderness 88.4%, haematuria 100%, pyuria 100%, size of renal calculus 41.9% by 21st day of treatment. In study group it was observed that abdominal pain reduced by 92%, dysuria 96.1%, renal angle tenderness 91.6%, haematuria 100%, pyuria 100% and size of renal calculus 48.5% by 21st day of treatment. Conclusion: This assessment showed Gokshura Churna had significant result over Tilanala Kshara Yoga in both subjective and objective parameters with P value less than 0.0001.


2010 ◽  
Vol 43 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Ioannis Heretis ◽  
Charalampos Mamoulakis ◽  
Vaios Papadimitriou ◽  
Frank Sofras

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 7613 ◽  
Author(s):  
Amie Victoria Clifford ◽  
Aidan Paul Noon ◽  
Daniel Raw ◽  
James Hall
Keyword(s):  

2012 ◽  
Vol 19 (2) ◽  
Author(s):  
Benny Kristyantoro ◽  
Sabilal Alif ◽  
Tarmono Djojodimedjo ◽  
Budiono Budiono

Objective: To compare the effectiveness after administration of Renalof to Kalkurenal and placebo in patient with renal calculus. Material & Method: We analyzed 30 patient with renal calculi less than or equal to 20 mm (2 cm) between January 2011 and March 2011. Patients were divided into 3 groups. Nine patients were treated with placebo, 8 patients were treated with Kalkurenal and the last 13 patients were treated with Renalof. After 30 days, we analyzed calcium and uric acid excretion for 24 hours and measured the stone with plain abdominal film and renal ultrasound. Results: There were decreased in excretion of calcium and uric acid all of patients but not significant statistically (p > 0,05) and there were significant decreased on stone measurement in patient treated with Renalof. Conclusion: Renalof  can be given as adjunct therapy for patient with renal calculi. Keywords: Calcium and uric acid excretion in urine 24 hours, stone measurement and stone surface area.


1986 ◽  
Vol 135 (5) ◽  
pp. 995-997 ◽  
Author(s):  
L. Grenabo ◽  
G. Claes ◽  
H. Hedelin ◽  
S. Pettersson

2021 ◽  
Author(s):  
Ertao Jia ◽  
Haiqiong Zhu ◽  
Hongling Geng ◽  
Yadong Wang ◽  
Li Zhong ◽  
...  

Abstract Background: The prevalence of renal calculi in patients with gout is high. Alkalized urine has been recommended by the 2020 European Association of Urology (EAU) guidelines to promote calculus dissolution. However, randomized controlled trials are lacking. Hence, it wasn't recommended by the 2020 American College of Rheumatology (ACR) guidelines. Objective: The present study aimed to determine the effect of sodium bicarbonate-alkalized urine on renal calculus in patients with gout. Methods: In this randomized, placebo-controlled, double-blinded trial, patients with gout combined with renal calculi are randomized (1:1) to the placebo and sodium bicarbonate groups. All patients were administered febuxostat (40 mg/day) and concomitant anti-inflammatory prophylaxis therapy. The 1–12-week group is double-blinded, and the 13–24-week group is open-labeled. The primary outcome is the rate of patients whose renal calculus volume is reduced after 12 weeks. The secondary outcomes included the volume changes of renal calculi, uric acid changes, the rate of patients with serum uric acid (sUA) levels < 360 μmol/L, the changes in estimated glomerular filtration rate (eGFR), the pH value of urine, and the adverse effects after 12 and 24 weeks.Discussion: This trial would evaluate the efficacy and safety of sodium bicarbonate-alkalized urine on renal calculi in patients with gout.Trial registration: ChiCTR, ChiCTR2100045183, Registered 7 April 2021http://www.chictr.org.cn/showproj.aspx?proj=124742


2020 ◽  
Vol 77 ◽  
pp. 523-526
Author(s):  
Adeodatus Yuda Handaya ◽  
Nurbudiono ◽  
Aditya Rifqi Fauzi ◽  
Joshua Andrew ◽  
Ahmad Shafa Hanif ◽  
...  

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052094791
Author(s):  
Yongjin Yang ◽  
Muchun Zhang ◽  
Hongjiao Yu ◽  
Jinguo Wang ◽  
Junyan Liu ◽  
...  

Retrocaval ureter is a rare disease associated with abnormal embryonic development. Here, we describe a patient who exhibited retrocaval ureter complicated by renal and ureteral calculi, which were treated by percutaneous nephrolithotomy combined with retroperitoneal laparoscopy. A 64-year-old man was admitted to our hospital because of intermittent back pain that had been present for more than 10 years. During hospitalization, he was diagnosed with retrocaval ureter, right renal calculi, and right ureteral calculi with right hydronephrosis; he underwent percutaneous nephrolithotomy combined with retroperitoneal laparoscopic surgery. After the operation, his condition was stable and he exhibited good recovery. Our findings in this case suggest that percutaneous nephrolithotomy combined with retroperitoneal laparoscopy is a suitable option for the treatment of retrocaval ureter with renal and ureteral calculi.


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