scholarly journals Application of Flexible Ureteroscope in Diagnosis and Treatment of Upper Urinary Tract Disease

Author(s):  
Fanping Meng ◽  
Jiantao Xian ◽  
Xu Zhou ◽  
Ji Gao
1954 ◽  
Vol 72 (3) ◽  
pp. 293-295 ◽  
Author(s):  
J. Denny Moffett ◽  
David W. Goddard

2010 ◽  
Vol 51 (4) ◽  
pp. 421-427 ◽  
Author(s):  
KATE ALEXANDER ◽  
MARILYN DUNN ◽  
ERIC NORMAN CARMEL ◽  
JEAN-PIERRE LAVOIE ◽  
JÉRÔME R. E. DEL CASTILLO

1981 ◽  
Vol 30 (2) ◽  
pp. 97-103 ◽  
Author(s):  
MASAMICHI HAYAKAWA ◽  
SEIDO JITSUKAWA ◽  
HIDECHIKA KINOSHITA ◽  
HIROSHI TAZAKI

2019 ◽  
Vol 5 (4) ◽  
pp. 240-244
Author(s):  
K. Sedoshkina ◽  
S. Filioglo

What is Pandora Syndrome? The name for this group of diseases has gone through several changes over the past 50 years. Foreign scientists have recommended such names as Feline Urological Syndrome (FUS) or Feline Urinary Tract Disease (FLUTD). Dr. K. A. Buffington coined the term ‘Pandora Syndrome’, thereby illustrating that the disease carries a multitude of complications arising from a single cause. Results of studies indicate that idiopathic/interstitial cystitis in cats is the result of complex interactions between the bladder, nervous system, adrenal glands, husbandry practices, and the environment in which the cat lives. The purpose of this review is to summarize research investigations into the various abnormalities present in cats, to compare some of these findings with those identified in human beings, and to discuss how they might modify perceptions about the etiopathogenesis, diagnosis, and treatment of cats with this disease.


2019 ◽  
Vol 47 ◽  
Author(s):  
Marília Alves Ferreira ◽  
Pedro Henrique Salles Britto ◽  
Roberto Romano Do Prado Filho ◽  
Guilherme Silva De Godoi ◽  
Gabriela Alboléa Santo André ◽  
...  

Background: Obstructive urinary tract disease in horses is a rare and low prevalence pathology in the species, but potentially severe. It is an emergency condition that presents variable clinical signs and depends on the anatomical location of the obstruction. The bladder calculus are the most common followed by the urethra and less commonly seen are the kidney or ureteral. The main crystalloid component of uroliths in horses is calcium carbonate. The higher prevalence of urolithiasis in male horses is justified by some anatomical differences between genders. The urethra of males is narrower and longer than that of females. The tissue injury is the most important factor for the development of uroliths in horses. Desquamation of epithelial cells, presence of leukocyte and necrotic cell debris are relevant contributors to crystal growth. Urinary stasis favors nucleation by increasing the chance of contact between crystalloid material and urinary epithelium. Once crystal growth has begun, the urine alkalinity of the equines favors the crystallization and further deposition of other components, especially calcium carbonate. Typical clinical signs of urolithiasis include tenesmus, dysuria, strangury and polaquiuria. Hematuria is often present, mainly observed after exercise and at the end of urination. In addition signs of colic are quite frequent in the acute bladder and urethral urolithiasis due to bladder distension. Upper urinary tract surgery may be technically challenging due to limited structural exposure, especially in adult horses The prognosis for horses with urolithiasis depends on the location of the urolith and the degree of renal injury that occurred.Case: This report aims to describe a rare case of obstructive urolithiasis in a 8-year-old castrated male horse with 24 h evolution. The horse was expressing signs of abdominal pain and during the transretal examination through palpation, it was possible to notice great distension and turgidity of the bladder, in addition to a high pain sensitivity to the palpation of the kidneys. Was perform urethral catheterization, but it was unproductive. The diagnosis was made through perineal ultrasonography and treated surgically by perineal urethrotomy. The animal presented an excellent evolution after being discharged after 10 days of hospitalization and did not present any complication or recurrence of the disease after one year of the procedure.Discussion: Urolithiasis in horses has a prognosis dependent on the location of the urolith and the degree of renal damage. Cases of obstructive urolithiasis in horses are rare and require prompt and appropriate intervention. Therefore, a rapid and accurate diagnosis is directly related to the success of the treatment. In the present case, the animal had characteristic clinical signs of an acute abdomen. Transrectal palpation, for evaluation of the intestinal portions, was important to diagnose an excessively distended urinary vesicle with no intestinal changes. Transcutaneous ultrasonography of the perineum allowed visualization of the calculus, and then a case of perineal urolithiasis was diagnosed. The choice for perineal urethrotomy was performed because of the ease of palpation of the calculus through the skin below the anus and because it is a non-invasive technique. The urethra was sutured to guide the cicatricial process and the urethral catheter was maintained, reducing the risks of occlusion of the urethral lumen.


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