scholarly journals PNEUMATIC CONTACT TRANSURETHRAL ureterOLITHOTRIPSY in emergency urological practice

2019 ◽  
Vol 21 (1) ◽  
pp. 143-147
Author(s):  
V E Ryazantsev ◽  
I I Antipkin ◽  
E V Ryazantsev ◽  
A M Khoshnaw ◽  
V S Larina

Relevance. Minimally invasive methods of removing the ureteral calculus in urological practice have steadily taken the leading position. According to the Russian clinical recommendations the indications for endoscopic correction of ureteral calculus are concrements with a low probable passage, constant pain symptomatic on the background of adequate analgesia, the varying degrees of obstruction severity and impaired renal function. The purpose of the work is to assess the efficacy of transurethral pneumatic contact lithotripsy of ureteral calculus in emergency urological practice. The research tasks included the refinement of the endoscopic lithotripsy results, depending on the localization level among men and women. Materials and methods. The results of endoscopic treatment of ureteral calculus among 360 patients of both sexes, hospitalized in a urological hospital with emergency indications of a renal colic diagnosis, are presented. Results. The efficiency of retrograde pneumatic contact ureterolithotripsy reached 91.8 %. The most optimal this method is with the localization of calculus in the lower third of the ureter, regardless of the concrement size and sex. The percentage of the calculus fragmentation of the middle third of the ureter among men and women was 91.6 and 93.4 respectively. The lithotripsy in the upper part of the ureter was 23.6 % more effective among women. Operational complications were registered in 7.5 % cases.

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.


1997 ◽  
Vol 64 (1) ◽  
pp. 46-49
Author(s):  
F. Cauda ◽  
A. De Natale ◽  
F. Alladio ◽  
C. Ferraris ◽  
U. Ferrando

The authors report on their experience of treating ureteral stones in 1183 patients with ballistic and electrohydraulic endoscopic lithotripsy. Since the outcome was successful in 95% of cases with few complications (2%), this method is considered highly effective for treating stones in any part of the ureter, with the possibility of resolving renal colic in real-time. In the push-up cases (25% for sub-junctional ureteral lithiasis, 10% other sites) a second treatment was performed with ESWL after positioning a double J catheter.


2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Wu-Chou Lin ◽  
Yung-Hsiang Chen ◽  
Jian-Ming Xu ◽  
Der-Cherng Chen ◽  
Wen-Chi Chen ◽  
...  

Renal colic is a common condition seen in the emergency department (ED). Our recent study showed that measures of electrical conductance may be used as supplementary diagnostic methods for patients with acute renal colic. Here, we describe the case of a 30-year-old male subject with a left ureteral calculus who presented with frequency and normal-looking urine. He had already visited the outpatient department, but in vain. Normal urinalysis and nonobstructive urogram were reported at that time. Two days later, he was admitted to the ED because of abdominal pain in the left lower quadrant. The urinalysis did not detect red blood cells. Ultrasonography did not indicate hydronephrosis. The meridian electrical conductance and index of sympathovagal balance were found to be abnormal. High level of electrical conductance on the left bladder meridian was found. An unenhanced helical computed tomography was scheduled to reveal a left ureterovesical stone. Ureteroscopic intervention was later uneventfully performed, and the patient's pain was relieved. The follow-up measurements showed that the meridian parameters had returned to normal one month after treatment. This case suggests that bladder meridian electrical conductance might be used as a supplemental method for ureteral calculus diagnosis.


2004 ◽  
Vol 350 (7) ◽  
pp. 684-693 ◽  
Author(s):  
Joel M.H. Teichman

PLoS ONE ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. e0157589 ◽  
Author(s):  
Andy W. Yang ◽  
Justin D. Johnson ◽  
Carolyn M. Fronczak ◽  
Chad A. LaGrange

2006 ◽  
Vol 22 ◽  
Author(s):  
Linnea Ytting

Artiklen med undertitlen 'Kønskonstruktioner og ligestillingsmæssige tiltag i den frivillige idrætsledelse' har til formål at vise de kønskonstruktioner, der eksisterer i idrætsorganisationerne, og som har indflydelse på forudsætningerne for kvinders besiddelse af lederposter i organisationerne.Linnea Ytting: Why waste time on female sport leadership? About gender construction, gender equality in the voluntary sport organizationsThe sports organisations Danmarks Idræts- Forbund (DIF) and Danske Gymnastik- og Idrætsforeninger (DGI) have few women represented in their top leader positions. Both organisations have approximately 50% female membership and represent the entire Danish organised sport field. This is a sad fact, because women and men in many areas have different interests in sports. This article analyses some of the gender constructions of 6 young men and women in voluntary leadership, within chosen sports organisations. The purpose is to find the meaning of gender and describe how it is interpreted by the women and men in leading positions. The result of this research shows that many women are not interested in leading positions higher than club level. At the same time however, the structure of organisations are limiting, as to women wanting to achieve a higher voluntary leading position. Therefore it can be established that women must want the power, but the power must also want the women. In 2002 the political mainstreaming project was offered to sports organisations, introducing the gender problem on the political agenda. The political dimensions will therefore be included in the article, because the consequences may affect the sports organisations


2014 ◽  
Vol 35 (2) ◽  
pp. 371-379 ◽  
Author(s):  
Michael J. Davison ◽  
George Ioannidis ◽  
Monica R. Maly ◽  
Jonathan D. Adachi ◽  
Karen A. Beattie

Author(s):  
R.C. Caughey ◽  
U.P. Kalyan-Raman

Prolactin producing pituitary adenomas are ultrastructurally characterized by secretory granules varying in size (150-300nm), abundance of endoplasmic reticulum, and misplaced exocytosis. They are also subclassified as sparsely or densely granulated according to the amount of granules present. The hormone levels in men and women vary, being higher in men; so also the symptoms vary between both sexes. In order to understand this variation, we studied 21 prolactin producing pituitary adenomas by transmission electron microscope. This was out of a total of 80 pituitary adenomas. There were 6 men and 15 women in this group of 21 prolactinomas.All of the pituitary adenomas were fixed in 2.5% glutaraldehyde, rinsed in Millonig's phosphate buffer, and post fixed with 1% osmium tetroxide. They were then en bloc stained with 0.5% uranyl acetate, rinsed with Walpole's non-phosphate buffer, dehydrated with graded series of ethanols and embedded with Epon 812 epoxy resin.


1964 ◽  
Vol 7 (4) ◽  
pp. 389-393 ◽  
Author(s):  
David C. Shepherd ◽  
Robert Goldstein ◽  
Benjamin Rosenblüt

Two separate studies investigated race and sex differences in normal auditory sensitivity. Study I measured thresholds at 500, 1000, and 2000 cps of 23 white men, 26 white women, 21 negro men, and 24 negro women using the method of limits. In Study II thresholds of 10 white men, 10 white women, 10 negro men, and 10 negro women were measured at 1000 cps using four different stimulus conditions and the method of adjustment by means of Bekesy audiometry. Results indicated that the white men and women in Study I heard significantly better than their negro counterparts at 1000 and 2000 cps. There were no significant differences between the average thresholds measured at 1000 cps of the white and negro men in Study II. White women produced better auditory thresholds with three stimulus conditions and significantly more sensitive thresholds with the slow pulsed stimulus than did the negro women in Study II.


Sign in / Sign up

Export Citation Format

Share Document