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Search results for: nephrolithiasis
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text-center" style="font-size:1.6rem;">Search results for: nephrolithiasis</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">6</span> Flexible Ureterorenoscopy as a New Possibility of Treating Nephrolithiasis in Children – Preliminary Reports</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Adam%20Hali%C5%84ski">Adam Haliński</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrzej%20Hali%C5%84ski"> Andrzej Haliński</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Flexible ureterorenoscopy is a surgery technique used for the treatment of the upper urinary tract. It is very often used in adult patients; however, due to the advancing miniaturization of the equipment as well as its precision, this technique has also become possible in the treatment process in children. Material and method: We would like to present 26 cases of flexible ureterorenoscopy carried out in children with nephrolithiasis of the upper urinary tract aged 6 to 17 years. The average age was 9.5 years and the children were treated in our department from June 2013 to January 2015. The first surgery in Poland took place in our Department on 06.06.2013. Because of nephrolithiasis all the children had been subjected earlier to ESWL treatment, which was unsuccessful. Results: 14 children had deposits in the lower calyx, 9 children had deposits in the middle and lower calyx and in 3 children a stone was located in the initial ureter. An efficiency of 88 % was achieved. Conclusions: Flexible ureterorenoscopy is effective and minimally invasive tool both for the diagnosis and treatment of upper urinary tract. We believe that the advancing miniaturization of the equipment and gaining experience will enable carrying out of this procedure in smaller children with high efficiency. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=flexible%20ureterorenoscopy" title="flexible ureterorenoscopy">flexible ureterorenoscopy</a>, <a href="https://publications.waset.org/abstracts/search?q=urolithisis" title=" urolithisis"> urolithisis</a>, <a href="https://publications.waset.org/abstracts/search?q=endourology" title=" endourology"> endourology</a>, <a href="https://publications.waset.org/abstracts/search?q=nephrolithiasis" title=" nephrolithiasis"> nephrolithiasis</a> </p> <a href="https://publications.waset.org/abstracts/27396/flexible-ureterorenoscopy-as-a-new-possibility-of-treating-nephrolithiasis-in-children-preliminary-reports" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/27396.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">383</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">5</span> Outcomes of Live Renal Donors with a History of Nephrolithiasis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bin%20Mohamed%20Ebrahim">Bin Mohamed Ebrahim</a>, <a href="https://publications.waset.org/abstracts/search?q=Aminesh%20Singla"> Aminesh Singla</a>, <a href="https://publications.waset.org/abstracts/search?q=Henry%20Pleass"> Henry Pleass</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Aim: There is an ongoing gap in renal transplantation between organs available for donation and recipients on the waiting list. Live donors with pre-existing or a history of renal calculi were thought to be a relative contraindication due to safety concerns for donors. We aim to review current literature assessing outcomes of donors who were found to have a history of renal calculi. Methods: Ovid and Embase were searched between 1960 to 2021 using key terms and Medical Subject Headings (MeSH) – nephrolithiasis, renal stones, renal transplantation and renal graft. Articles included conference proceedings and journal articles and were not excluded based on patient numbers. Studies were excluded if the specific organ was not identified, duplicated reports found or if post-transplant outcomes were not recorded. Outcomes were donor’s renal function or renal calculi recurrence postoperatively. Results: Upon reviewing 344 articles, 14 manuscripts met inclusion criteria. A total of 152 live donors were identified as having pre-existing or with a history of renal calculi at pre-operative workup. The mean stone size was 2.6 4mm (1 – 16) with a mean follow-up duration of 31.8 months (1 – 96). Seven studies had both outcomes. None showed renal complications or stone recurrence. The remaining studies contained 2 out of 84 patients having recurrent nephrolithiasis. Conclusion: Data suggests minimal morbidity involved for live renal donors with a history of nephrolithiasis. This should encourage surgeons to continue recruiting such donors for kidney transplantation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=renal%20transplantation" title="renal transplantation">renal transplantation</a>, <a href="https://publications.waset.org/abstracts/search?q=renal%20graft" title=" renal graft"> renal graft</a>, <a href="https://publications.waset.org/abstracts/search?q=nephrolithiasis" title=" nephrolithiasis"> nephrolithiasis</a>, <a href="https://publications.waset.org/abstracts/search?q=renal%20calculi" title=" renal calculi"> renal calculi</a>, <a href="https://publications.waset.org/abstracts/search?q=live%20donor" title=" live donor"> live donor</a> </p> <a href="https://publications.waset.org/abstracts/140954/outcomes-of-live-renal-donors-with-a-history-of-nephrolithiasis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/140954.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">180</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4</span> Comparison of Safety and Efficacy between Thulium Fibre Laser and Holmium YAG Laser for Retrograde Intrarenal Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sujeet%20Poudyal">Sujeet Poudyal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: After Holmium:yttrium-aluminum-garnet (Ho: YAG) laser has revolutionized the management of urolithiasis, the introduction of Thulium fibre laser (TFL) has already challenged Ho:YAG laser due to its multiple commendable properties. Nevertheless, there are only few studies comparing TFL and holmium laser in Retrograde Intrarenal Surgery(RIRS). Therefore, this study was carried out to compare the efficacy and safety of thulium fiber laser (TFL) and holmium laser in RIRS. Methods: This prospective comparative study, which included all patients undergoing laser lithotripsy (RIRS) for proximal ureteric calculus and nephrolithiasis from March 2022 to March 2023, consisted of 63 patients in Ho:YAG laser group and 65 patients in TFL group. Stone free rate, operative time, laser utilization time, energy used, and complications were analysed between the two groups. Results: Mean stone size was comparable in TFL (14.23±4.1 mm) and Ho:YAG (13.88±3.28 mm) group, p-0.48. Similarly, mean stone density in TFL (1269±262 HU) was comparable to Ho:YAG (1189±212 HU), p-0.48. There was significant difference in lasing time between TFL (12.69±7.41 mins) and Ho:YAG (20.44±14 mins), p-0.012). TFL group had operative time of 43.47± 16.8 mins which was shorter than Ho:YAG group (58±26.3 mins),p-0.005. Both TFL and Ho:YAG groups had comparable total energy used(11.4±6.2 vs 12±8 respectively, p-0.758). Stone free rate was 87%for TFL, whereas it was 79.5% for Ho:YAG, p-0.25). Two cases of sepsis and one ureteric stricture were encountered in TFL, whereas three cases suffered from sepsis apart from one ureteric stricture in Ho:YAG group, p-0.62). Conclusion: Thulium Fibre Laser has similar efficacy as Holmium: YAG Laser in terms of safety and stone free rate. However, due to better stone ablation rate in TFL, it can become the game changer in management of urolithiasis in the coming days. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=retrograde%20intrarenal%20surgery" title="retrograde intrarenal surgery">retrograde intrarenal surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=thulium%20fibre%20laser" title=" thulium fibre laser"> thulium fibre laser</a>, <a href="https://publications.waset.org/abstracts/search?q=holmium%3Ayttrium-aluminum-garnet%20%28ho%3Ayag%29%20laser" title=" holmium:yttrium-aluminum-garnet (ho:yag) laser"> holmium:yttrium-aluminum-garnet (ho:yag) laser</a>, <a href="https://publications.waset.org/abstracts/search?q=nephrolithiasis" title=" nephrolithiasis"> nephrolithiasis</a> </p> <a href="https://publications.waset.org/abstracts/168964/comparison-of-safety-and-efficacy-between-thulium-fibre-laser-and-holmium-yag-laser-for-retrograde-intrarenal-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/168964.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">76</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">3</span> Determinants of Stone Free Status After a Single Session of Flexible Ureteroscopy with Laser Lithotripsy for Renal Calculi</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Elkoushy">Mohamed Elkoushy</a>, <a href="https://publications.waset.org/abstracts/search?q=Sameer%20Munshi"> Sameer Munshi</a>, <a href="https://publications.waset.org/abstracts/search?q=Waseem%20Tayeb"> Waseem Tayeb</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Flexible ureteroscopy (fURS) has dramatically improved the minimally invasive management of complex nephrolithiasis. fUR is increasingly being used as the first-line treatment for patients with renal stones. Stone-free status (SFS) is the primary goal in the management of patients with urolithiasis. However, substantial variations exist in the reported SFS following fURS. Objectives: This study determines the predictors of SFS after a single session of fURS with holmium laser lithotripsy (HLL) for renal calculi. Methods: A retrospective review of prospectively collected data was performed for all consecutive patients undergoing fURS and HLL for renal calculi at a tertiary care center. Patients with previous ipsilateral URS for the same stones were excluded. All patients underwent JJ ureteral stent insertion at the end of the procedure. SFS was defined as the presence of no residuals or ≤4-mm non-obstructing stone and was assessed by CT/KUB imaging after 3-4 weeks post-operatively. Multivariate logistic regression was used to detect possible predictors of SFS. Results: A total of 212 patients were included with a mean age of 52.3±8.3 years and a stone burden <20 mm (49.1%), 20-30 mm (41.0%) and >30 mm (9.9%). Overall SFS after a single session of fURS was 71.7%, 92% and 52% for stones less and larger than 20 mm, respectively. Patients with stones> 20 mm need retreatment with a mean number of 1.8 (1.3-2.7) fURS. SFS was significantly associated with male gender, stone bulk <20 mm (95.7% vs. 56.2%), non-lower pole stones, hydronephrotic kidney, low stone intensity, ureteral access sheath, and preoperative stenting. SFS was associated with a lower readmission rate (5.9% vs. 38.9%) and urinary tract infections (3.8% vs. 25.9%). In multivariate regression analysis, SFS maintains its significant association with low stone burden of <20 mm (OR: 5.21), stone intensity <600 HFU (OR: 2.87), and non-lower caliceal stones (OR: 3.84). Conclusion: Best results after a single-session fURS for renal stone were obtained for the stone burden of less than 20 mm and low stone attenuation. Lower calyceal stones may influence stone clearance and need a different approach than fURS, especially for higher stone burden. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=ureteroscopy" title="ureteroscopy">ureteroscopy</a>, <a href="https://publications.waset.org/abstracts/search?q=kidney%20stone" title=" kidney stone"> kidney stone</a>, <a href="https://publications.waset.org/abstracts/search?q=lithotripsy" title=" lithotripsy"> lithotripsy</a>, <a href="https://publications.waset.org/abstracts/search?q=stone-free" title=" stone-free"> stone-free</a>, <a href="https://publications.waset.org/abstracts/search?q=predictors" title=" predictors"> predictors</a> </p> <a href="https://publications.waset.org/abstracts/192556/determinants-of-stone-free-status-after-a-single-session-of-flexible-ureteroscopy-with-laser-lithotripsy-for-renal-calculi" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/192556.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">18</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">2</span> A Comparative, Epidemiological Study of Acute Renal Colic Presentations to Major Academic Emergency Departments in Doha, Qatar and Melbourne, Australia</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sameer%20A.%20Pathan">Sameer A. Pathan</a>, <a href="https://publications.waset.org/abstracts/search?q=Biswadev%20Mitra"> Biswadev Mitra</a>, <a href="https://publications.waset.org/abstracts/search?q=Zain%20A.%20Bhutta"> Zain A. Bhutta</a>, <a href="https://publications.waset.org/abstracts/search?q=Isma%20Qureshi"> Isma Qureshi</a>, <a href="https://publications.waset.org/abstracts/search?q=Elle%20Spencer"> Elle Spencer</a>, <a href="https://publications.waset.org/abstracts/search?q=Asmaa%20A.%20Hameed"> Asmaa A. Hameed</a>, <a href="https://publications.waset.org/abstracts/search?q=Sana%20Nadeem"> Sana Nadeem</a>, <a href="https://publications.waset.org/abstracts/search?q=Ramsha%20Tahir"> Ramsha Tahir</a>, <a href="https://publications.waset.org/abstracts/search?q=Shahzad%20Anjum"> Shahzad Anjum</a>, <a href="https://publications.waset.org/abstracts/search?q=Peter%20A.%20Cameron"> Peter A. Cameron</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: This study aimed to compare epidemiology, clinical presentations, management and outcomes of renal colic presentations in two major academic centers and discuss potential implications of these results for the applicability of current evidence in the management of renal colic. Methods: We undertook a retrospective cohort study of patients with renal colic who presented to the Hamad General Hospital Emergency Department (HGH-ED), Qatar, and The Alfred ED, Melbourne, Australia, during a period of one year from August 1, 2012, to July 3, 2013. Cases were identified using ICD-9-CM codes, and an electronic template was used to record the data on predefined clinical variables. Results: A total of 12,223 from the HGH-ED and 384 from The Alfred ED were identified as renal colic presentations during the study period. The rate of renal colic presentations at the HGH-ED was 27.9 per 1000 ED visits compared to 6.7 per 1000 ED visits at The Alfred ED. Patients presenting to the HGH-ED were significantly younger [34.9 years (29.0- 43.4) than The Alfred ED [48 years (37-60); P < 0.001]. The median stone size was larger in the HGH-ED group [6 (4-8) mm] versus The Alfred ED group [4 (3-6) mm, P < 0.001]. The intervention rate in the stone-positive population was significantly higher in the HGH-ED group as opposed to The Alfred ED group (38.7% versus 11.9%, p<0.001). At the time of discharge, The Alfred ED group received less analgesic prescriptions (55.8% versus 83.5%, P < 0.001) and more tamsulosin prescriptions (25.3% versus 11.7%, P < 0.001). Conclusions: Renal colic presentations to the HGH-ED, Qatar, were younger, with larger stone size, compared to The Alfred ED, whereas, medical expulsion therapy use was higher at the Alfred ED. Differences in epidemiology should be considered while tailoring strategies for effective management of patients with renal colic in the given setting. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=kidney%20stones" title="kidney stones">kidney stones</a>, <a href="https://publications.waset.org/abstracts/search?q=urolithiasis" title=" urolithiasis"> urolithiasis</a>, <a href="https://publications.waset.org/abstracts/search?q=nephrolithiasis" title=" nephrolithiasis"> nephrolithiasis</a>, <a href="https://publications.waset.org/abstracts/search?q=renal%20colic" title=" renal colic"> renal colic</a>, <a href="https://publications.waset.org/abstracts/search?q=epidemiology" title=" epidemiology"> epidemiology</a> </p> <a href="https://publications.waset.org/abstracts/78021/a-comparative-epidemiological-study-of-acute-renal-colic-presentations-to-major-academic-emergency-departments-in-doha-qatar-and-melbourne-australia" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/78021.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">241</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1</span> Estimation of Antiurolithiatic Activity of a Biochemical Medicine, Magnesia phosphorica, in Ethylene Glycol-Induced Nephrolithiasis in Wistar Rats by Urine Analysis, Biochemical, Histopathological, and Electron Microscopic Studies</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Priti%20S.%20Tidke">Priti S. Tidke</a>, <a href="https://publications.waset.org/abstracts/search?q=Chandragouda%20R.%20Patil"> Chandragouda R. Patil</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The present study was designed to investigate the effect of Magnesia phosphorica, a biochemical medicine on urine screeing, biochemical, histopathological, and electron microscopic images in ethylene glycol induced nepholithiasis in rats.Male Wistar albino rats were divided into six groups and were orally administered saline once daily (IR-sham and IR-control) or Magnesia phosphorica 100 mg/kg twice daily for 24 days.The effect of various dilutions of biochemical Mag phos3x, 6x, 30x was determined on urine output by comparing the urine volume collected by keeping individual animals in metabolic cages. Calcium oxalate urolithiasis and hyperoxaluria in male Wistar rats was induced by oral administration of 0.75% Ethylene glycol p.o. daily for 24 days. Simultaneous administration of biochemical 3x, 6x, 30xMag phos (100mg/kg p.o. twice a day) along with ethylene glycol significantly decreased calcium oxalate, urea, creatinine, Calcium, Magnesium, Chloride, Phosphorus, Albumin, Alkaline Phosphatase content in urine compared with vehicle-treated control group.After the completion of treatment period animals were sacrificed, kidneys were removed and subjected to microscopic examination for possible stone formation. Histological estimation of kidney treated with biochemical Mag phos (3x, 6x, 30xMag phos 100 mg/kg, p.o.) along with ethylene glycol inhibited the growth of calculi and reduced the number of stones in kidney compared with control group. Biochemical Mag phos of 3x dilution and its crude equivalent also showed potent diuretic and antiurolithiatic activity in ethylene glycol induced urolithiasis. A significant decrease in the weight of stones was observed after treatment in animals which received biochemical Mag phos of 3x dilution and its crude equivalent in comparison with control groups. From this study, it can be proposed that the 3x dilution of biochemical Mag phos exhibits a significant inhibitory effect on crystal growth, with the improvement of kidney function and substantiates claims on the biological activity of twelve tissue remedies which can be proved scientifically through laboratory animal studies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mag%20phos" title="Mag phos">Mag phos</a>, <a href="https://publications.waset.org/abstracts/search?q=Magnesia%20phosphorica" title=" Magnesia phosphorica"> Magnesia phosphorica</a>, <a href="https://publications.waset.org/abstracts/search?q=ciochemic%20medicine" title=" ciochemic medicine"> ciochemic medicine</a>, <a href="https://publications.waset.org/abstracts/search?q=urolithiasis" title=" urolithiasis"> urolithiasis</a>, <a href="https://publications.waset.org/abstracts/search?q=kidney%20stone" title=" kidney stone"> kidney stone</a>, <a href="https://publications.waset.org/abstracts/search?q=ethylene%20glycol" title=" ethylene glycol"> ethylene glycol</a> </p> <a href="https://publications.waset.org/abstracts/24066/estimation-of-antiurolithiatic-activity-of-a-biochemical-medicine-magnesia-phosphorica-in-ethylene-glycol-induced-nephrolithiasis-in-wistar-rats-by-urine-analysis-biochemical-histopathological-and-electron-microscopic-studies" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/24066.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">428</span> </span> </div> </div> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a 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