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Results 151 - 200 of 1732
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Tawfick Ehab R - - 2010
Assessment of safety and efficacy of extracorporeal shockwave lithotripsy versus semi-rigid ureteroscope with lithoclast for treatment of large proximal ureteral stones. The study included 147 patients with large upper ureteral stones. SWL and ureteroscopy were performed in 71 and 76 patients respectively. Patients in the SWL group were treated with ...
Arrabal-Martin Miguel - - 2010
OBJECTIVE: Ninety percent of ureteral calculi <4 mm are expelled over a period of 3 months; if they are >6 mm the elimination possibilities are reduced to 30%. Presently, investigations in the treatment of ureteral lithiasis have the objective of modifying ureter contractibility with the aid of calcium antagonist and ...
Resorlu Berkan - - 2010
PURPOSE: We evaluated the effects of previous open renal surgery and unsuccessful extracorporeal shockwave lithotripsy (SWL) treatment on the performance and outcomes of percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS: A total of 410 consecutive PCNL procedures for renal calculi were performed at our institution from November 2006 to March 2009. ...
Ha Yun-Sok - - 2010
Recent studies have suggested that renal phosphate leakage and the associated phosphaturia are significant underlying causes of calcium urolithiasis. The aims of this study were to assess whether phosphaturia relates to urinary metabolic abnormalities and recurrent stone formation. A database of patient histories and urine chemistries was analyzed for 1,068 ...
Wang Huijun - - 2010
To evaluate the efficiency of alpha1-adrenergic antagonists on stone clearance after extracorporeal shock wave lithotripsy (ESWL) in patients with lower ureteral stones. A total of 107 patients with solitary lower ureteral stones and who underwent single ESWL sessions were divided into two groups. Group 1 received our standard medical therapy, ...
Lohrer Heinz H Institute of Sports Medicine Frankfurt, Otto-Fleck-Schneise 10, 60528 Frankfurt/Main, Germany. - - 2010
Recent literature shows evidence for effective treatment for plantar fasciitis using either focused or radial shock waves. Up to now no research has been available which compares these different procedures. We hypothesized (H(0) Hypothesis) that for plantar fasciitis, outcomes following focused or radial shock wave treatment were equal. For this ...
Lambert Erica H - - 2010
PURPOSE: ESWL is a minimally invasive, efficacious therapy for most renal stones. However, an optimal voltage treatment protocol ensuring effective stone comminution while minimizing tissue injury is not well established. We performed a prospective, randomized trial of the stone-free rate and renoprotective effect of an escalating vs a fixed voltage ...
Kamelger Florian - - 2010
The dose-dependent effect of extracorporeal shock wave technology (ESWT) was evaluated using a murine skin flap model. Thirty-six Sprague-Dawley rats were divided into six groups (ESWT groups 1 through 5 and a control group). After surgery, shock wave impulses doses were administered: 200 (group 1), 500 (group 2), 1500 (group ...
Tiselius Hans-Göran - - 2010
A randomised comparison was made between high and normal diuresis during the primary session of extracorporeal shock wave lithotripsy (SWL) for removal of ureteral stones. High diuresis was accomplished by pressure infusion of approximately 1 L of Ringer acetate solution together with 20 mg of furosemide during the 30-40 min ...
Binbay Murat - - 2009
OBJECTIVES: Prolonged urine leakage (PUL) from the percutaneous tract after percutaneous nephrolithotomy is a major complication that necessitates the placement of a urethral Double-J stent. We analyzed the characteristics of patients who had this complication to find out its risk factors. PATIENTS AND METHODS: During a 6-year period, 1407 standard ...
Hussain Manzoor - - 2009
OBJECTIVE: To review 17 years experience of the stone clinic with incorporating the changes in practice over the years and to report the benefits of stone clinic in a developing country. METHODS: The SIUT Stone clinic was established in 1990 with installation of HM4 Lithotriptor. This clinic is run jointly ...
Eterovi? Davor - - 2010
We tested the hypotheses that chronic human urinary obstruction impairs the renal regulation of the red blood cell (RBC) production and compared the chronic outcome of relief of obstruction between parenchyma-saving surgery and extracorporeal lithotripsy (SWL). We measured RBC count and serum erythropoietin (Epo) concentration before and 3 months after ...
Hung Shun-Fa - - 2010
Study Type - Therapy (case series) Level of Evidence 4 To investigate the effect of renal function on the stone-free rate (SFR) of proximal ureteric stones (PUS) after extracorporeal shock wave lithotripsy (ESWL), as urinary obstruction caused by PUS can impair renal function, and elevated serum creatinine levels are associated with ...
Lee Jun Kyu - - 2010
BACKGROUND: Little is known about whether a routinely inserted endoscopic nasobiliary drainage (ENBD) tube improves the clinical course in patients with choledocholithiasis-induced acute cholangitis after clearance of choledocholithiasis. OBJECTIVE: The aim of this study was to investigate the need for ENBD on the clinical outcomes of patients with acute cholangitis ...
Obaidah Abu - - 2010
OBJECTIVES: To find appropriate ureteric substitute in the pediatric age group. METHODS: Retrospective analysis was done from 2003 to 2008 of all patients operated in our hospital who had undergone ureteric replacement. All cases were followed up to find conduit patency, renal function, and any related complication. RESULTS: Ureteric replacement ...
Honey R John D'A - - 2010
OBJECTIVES: To present a randomized trial investigating immediate vs delayed voltage escalation during shock wave lithotripsy (SWL). SWL efficiency is affected by the energy setting of the lithotripter, the consumption level of the electrode, and the rate of shock wave administration. Preliminary data have suggested that delaying voltage escalation for ...
Chen Chih-Jung - - 2009
PURPOSE: An ultrasound-based real-time tracking system has been shown to improve the efficacy of lithotripsy in animal studies. This system has been implemented into an electromagnetic shockwave lithotripter (LM-9200 ELMA), and the treatment outcomes were prospectively evaluated. MATERIALS AND METHODS: A total of 1332 patients with one renal stone were ...
Cacchio Angelo - - 2009
The authors of several studies have recommended extracorporeal shock-wave therapy as an alternative to surgical treatment for long-bone nonunions. This study was performed to compare the results of extracorporeal shock-wave therapy produced by two different devices with those of surgical treatment in the management of long-bone nonunions. One hundred and ...
Kuzgunbay Baris - - 2009
PURPOSE: We analyzed the results of patients who underwent percutaneous nephrolithotomy (PCNL) for management of kidney stone disease under combined spinal-epidural anesthesia and compared surgical parameters and outcomes with a matched control group who underwent PCNL under general anesthesia. PATIENTS AND METHODS: A total of 82 patients were studied in ...
Agarwal Mayank Mohan - - 2009
OBJECTIVES: To investigate the role of tamsulosin as an adjunct to management of upper ureteric stones (UUS) with extracorporeal shock wave lithotripsy (SWL). METHODS: In this prospective, randomized, open label study, patients with single UUS (for SWL) were randomly assigned into 2 groups based on whether they received 0.4 mg ...
Aydogdu Ozgu - - 2009
PURPOSE: We evaluated the effectiveness of doxazosin in children with distal ureteral stones in terms of stone expulsion rates and time to expulsion. MATERIALS AND METHODS: A total of 39 patients 2 to 14 years old with lower ureteral stones smaller than 10 mm were enrolled and randomly divided into ...
Istanbulluoglu Mustafa Okan - - 2010
OBJECTIVES: To compare the feasibility and morbidity of tubeless, totally tubeless, and standard percutaneous nephrolithotomy (PNL) with nephrostomy tube in a single center with selected patient population. METHODS: Between July 2006 and February 2008, PNL was performed in 176 patients in this retrospective study. Patients with no serious bleeding or ...
Sun Qiang - - 2010
A total of 25 Chinese patients aged 6 to 36 months hospitalised at Beijing Children's Hospital due to melamine-induced kidney stones complicated by acute obstructive renal failure in 2008 were included in a study in order to diagnose and treat these special cases more effectively. Feeding history, clinical presentation, ultrasound ...
Marickar Y M Fazil - - 2009
We have been using a risk index calculation for urolithiasis, which included most of the identifiable factors promoting calculogenesis. However, it was observed that the frequency of a patient getting stone problem was not uniform in spite of similarity of the risk index in the permanent setting. Also, many of ...
John Tony T - - 2010
OBJECTIVES: To prospectively evaluate the role of tamsulosin on the stone free rate and the rate of colic episodes after ureteroscopic laser lithotripsy. The presence of alpha-1A adrenoceptor in the distal ureteral smooth muscle prompted the use of tamsulosin, a selective alpha-1 blocker, to promote spontaneous passage of distal ureteral ...
Sun Da-Qing - - 2010
To analyze etiology, clinical features, effective diagnostic methods and therapeutic efficacy of infant urolithiasis related to melamine. A total of 2,235 children fed with milk products were screened at the Second Hospital of Shandong University between 1st September and 31st December 2008. Of the children screened, 1,242 were male and ...
Micali Salvatore - - 2009
OBJECTIVE: To assess the short-term efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) with the standard Dornier Lithotripter S 220 F EMSE in the treatment of a large population of 736 patients with renal and ureteral stones. This is the only report with more than 1000 treatments performed with ...
Salem Hosni K - - 2009
OBJECTIVES: To conduct a prospective randomized study comparing both techniques for the management of solitary radio-opaque upper ureteral stones < 2 cm in diameter. The ideal treatment for upper ureteral stones > 1 cm size remains to be determined with shock wave lithotripsy (SWL) and ureteroscopy (URS) being acceptable options. ...
Ghoneim Islam A - - 2010
OBJECTIVES: To assess the need for pre-extracorporeal shock wave lithotripsy (pre-ESWL) stenting in management of impacted upper ureteral stones of size < or = 2 cm and to verify whether stenting would influence the success of therapy. METHODS: Between 2007 and 2008, a total of 60 patients with solitary, radio-opaque ...
Patel Sutchin R - - 2010
OBJECTIVES: To determine whether percutaneous nephrolithotomy (PCNL) can be safely performed in the high-risk patient. METHODS: The records of 84 patients undergoing 98 consecutive PCNL procedures from January 2005 to January 2007 at a single institution were examined. Patients were divided into a high-risk preoperative group, which comprised patients having ...
Rompe Jan D - - 2010
Medial tibial stress syndrome (MTSS) is a pain syndrome along the tibial origin of the tibialis posterior or soleus muscle. Extracorporeal shock wave therapy (SWT) is effective in numerous types of insertional pain syndromes. Shock wave therapy is an effective treatment for chronic MTSS. Cohort study; Level of evidence, 3. ...
Kim Hyun Gun HG Institute for Digestive Research, Department of Internal Medicine, College of Medicine, Soonchunhyang University, 657 Hannam-Dong, Yongsan-Gu, Seoul 140-743, South - - 2009
To compare small sphincterotomy combined with endoscopic papillary large balloon dilation (SES + ELBD) and endoscopic sphincterotomy (EST) for large bile duct stones. We compared prospectively SES + ELBD (group A, n = 27) with conventional EST (group B, n = 28) for the treatment of large bile duct stones ...
Trinchieri Alberto - - 2009
AIM: Uric acid stone disease is dependent on three pathogenetic factors: acid urine pH, low urine volume, and hyperuricosuria. However, the most important factor for uric acid stone formation is persistently acidic urine that represents a prerequisite for uric acid stone formation and growth. Urinary alkalization with alkali administration has ...
Korkes Fernando - - 2009
Two positions have been reported for ureteroscopy (URS): dorsal lithotomy (DL) position and dorsal lithotomy position with same side leg slightly extended (DLEL). The aim of the present study was to compare the outcomes associated with URS performed with patients in DL vs. DLEL position. A total of 98 patients ...
Honey R J D'A - - 2009
PURPOSE: Recent evidence demonstrates that decreasing shock wave frequency from the previous standard of 120 to 60 shocks per minute results in improved fragmentation of stones located within the renal collecting system. We report the first randomized trial to our knowledge to examine the effect of a slower shock wave ...
Yates D R - - 2009
Percutaneous nephrolithotomy (PCNL) is the first-line treatment for large and complex renal calculi. Accepted UK practice is to insert a nephrostomy tube at the end of the procedure to drain the kidney and reduce potential complications. 'Tubeless' or 'nephrostomy-free' PCNL has been advocated in selected patients as it is thought ...
Hubert Katherine C - - 2009
INTRODUCTION/OBJECTIVE: We examined the potential correlation between Charlson comorbidity index (CCI) and stone free rate after extracorporeal shock wave lithotripsy (ESWL). MATERIALS AND METHODS: Two hundred twenty-six adult patients were treated with 241 ESWL procedures for a renal or ureteral stone(s) over a 3 year period. Age, race, comorbidities, CCI, ...
Istanbulluoglu Mustafa Okan - - 2009
PURPOSE: To evaluate the feasibility and safety of bilateral simultaneous tubeless percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS: From August 2007 to January 2008, six patients underwent bilateral simultaneous totally tubeless PCNL. Patients who needed more than one access, who had significant intraoperative bleeding, and who had pelvicaliceal system perforations or ...
Hong Young Kwon - - 2009
Ureteroscopic lithotripsy using Swiss Lithoclast was performed in 411 cases from January 1996 to September 2007 in a single hospital. Medical records of 341 cases, in which Swiss Lithoclast was successfully applied, were available for this retrospective study. We used 9.5Fr and 10Fr Storz rigid ureteroscopes. A success was defined ...
Fazil Marickar Y M - - 2009
Various risk indices have been propounded by various authors to assess the severity of stone formation in the human urinary tract. However, most of these indices are laboratory oriented and not feasible to be performed in a hospital setting. Most of these also do not take into consideration all the ...
Han Jimin - - 2009
OBJECTIVES: For frail, elderly patients with large impacted common bile duct (CBD) stones, long-term treatment with biliary stenting provides palliation. Biliary stenting with choleretic agents such as ursodeoxycholic acid (UDCA) and terpene preparations may promote CBD stone size reduction. We studied the effectiveness of biliary stenting combined with UDCA and ...
Fabbri Carlo - - 2009
Endoscopic ultrasonography (EUS) is a minimally invasive diagnostic tool for common bile duct stones (CBDS) and may be used to select patients for therapeutic endoscopic retrograde cholangiography (ERC). The aim of this trial is to compare, in patients with non-high-risk for CDBS, the clinical and economic impact of EUS plus ...
Toomey E Pepper - - 2009
Plantar fasciitis is a common problem without known etiology. It responds well to multiple conservative modalities and no particular modality has been demonstrated to be clearly superior in the treatment of this condition. Over 90% of patients will be cured by non-operative treatment but this may require 6 to 12 ...
Muter Samir A - - 2009
OBJECTIVE: To evaluate the role of mannitol infusion in preventing or ameliorating renal injury that accompanies shock wave lithotripsy as measured by changes in resistive index (RI). METHODS: Between February and September 2006, 38 patients (28 men and 10 women) underwent extracorporeal shock wave lithotripsy (ESWL) for radiologically documented renal ...
Gupta N P NP Department of Urology, All India Institute of Medical Sciences, New Delhi, India. - - 2009
To report our experience of percutaneous nephrolithotomy (PCNL) in patients who were treated previously with open stone surgery. Sixty-six patients with a history of open stone surgery (group 1) were compared with 90 patients without previous surgical intervention (group 2). Both groups were almost similar in demographic profile (age, sex, ...
el-Gamal Osama - - 2009
PURPOSE: We describe an objective method to evaluate kidney stone radiopacity for use in selection of cases suitable for ESWL. MATERIALS AND METHODS: We recruited 76 adult patients with a solitary 1 to 2 cm renal pelvic stone. All patients underwent routine plain x-ray of the urinary tract but an ...
Youssef Ramy F - - 2009
OBJECTIVES: To use a matched-pair analysis design to compare the safety and efficacy of shock wave lithotripsy (SWL) and ureteroscopy (URS). Controversy still exists regarding whether SWL or URS is the best management of upper ureteral calculi. METHODS: We reviewed the records of patients with a single radiopaque upper ureteral ...
Zhang Meng-Yuan - - 2009
BACKGROUND: Tamsulosin, an alpha-1 receptor antagonist, has been demonstrated effective in promoting distal ureteral stone passage and in reducing pain associated with stone expulsion. This study aimed to evaluate the effect of tamsulosin in comparison with nifedipine and extracorporeal shock wave lithotripsy (ESWL) on the expulsion rate of distal ureteral ...
Chichakli Ramsey - - 2009
PURPOSE: To determine the efficacy of a gated and slower shockwave lithotripsy (SWL) vs a nongated and faster SWL delivery with regard to stone fragmentation and clearance using the Medstone STS lithotriptor. PATIENTS AND METHODS: We performed a retrospective chart review of 300 consecutive patients who underwent SWL for renal ...
Hosseini Mohammad Mehdi - - 2009
PURPOSE: To evaluate the safety and efficacy of ultrasound-guided percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS: Between August 2003 and December 2007, 47 patients were treated, 29 men and 18 women, with a mean age of 33.4 years (range 21-67 yrs) and a mean stone size of 31.5 mm (range 24-46 ...
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