Value of duplex Doppler ultrasonography in renal colic.

Abstract:

OBJECTIVES:The aim of our study was to determine the value of duplex Doppler ultrasonography (DDU) in the patients' evolution with renal colic. The study of the resistive index (RI), difference of the RI (ARI) associated with a DDU intravesical recording (ureteral jets) were compared with renographic findings in renal colic. PATIENTS AND METHODS:Between October 1998 and January 2001 we studied 377 cases with suspected renal colic by intravenous pyelography (IVP), grey-scale ultrasonography and DDU with determination of the RI, the difference between the RI of ipsilateral and contralateral kidneys (ARI) and the amplitude (maximum length of the intravesical ureteral jet), velocity and frequency of the urine bolus. We considered normal values RI < or = 0.70 and ARI < or = 0.06. VP was used as a referee investigation and the ureteral intravesical jets were determined in standard conditions. All patients came to the hospital between 4 and 12 h after the onset of the renal colic. RESULTS:We found four series of patients: 1, acute (complete) obstructed kidney (IVP nonfunctional) and dilatation at normal grey-scale, with normal contralateral kidney (n = 153). In this series we found RI > 0.70 in 87%, RI > 0.06 in 90% and absent ureteral intravesical jet of the obstructed kidney site in 89%; 2, acute (complete) obstructed kidney (IVP nonfunctional) without abnormalities at normal grey-scale, with normal contralateral kidney (n = 57). In this series we found RI > or = 0.70 in 73.5%, deltaRI > 0.06 in 82.5% of patients, absent or asymmetric ureteral intravesical jet in 80.7% of cases; 3, incomplete obstructed kidney (IVP with various degree of ureterohydronephrosis) with normal contralateral kidney (n = 96). In this series we found RI > or = 0.70 in 58.3% and deltaRI > 0.06 in 64.5% of patients, asymmetric ureteral intravesical jets in 74% of cases; 4, normal both kidneys normal IVP) were found in 71 cases (18.8%). In this series we found RI < 0.70 in 80.2%, deltaRI < or = 0.06 in 89% of cases, normal ureteral intravesical jets in 93% of cases. The mean RI was 0.76 (0.05) in 306 obstructed kidneys, significantly higher than the mean RI of 0.62 (0.05) in 448 normal kidneys (P < 0.001). The ARI in patients with obstruction was significantly higher than in patients with normal both kidneys, at 0.08 (0.05) and -0.001 (0.03), respectively (P < 0.001). The RI was sensitive in 75.5% and specific in 92.5% and ARI was sensitive in 80.7% and specific in 95.7% (versus IVP, considered the referee value). The presence of the intravesical ureteral jets of the renal colic side, associated with the values of RI (RI < or = 0.70) and deltaRI (deltaRI < or = 0.06), was followed by spontaneous passage of the stones in 71% of cases. CONCLUSIONS:Renal DDU and consecutively, intravesical evaluation of ureteral jets could detect acute renal obstruction and, as a functional investigation, could have a predictive value regarding the ureteral stones passage. It could replace the IVP, being a sensitive and highly specific test.

journal_name

Eur Urol

journal_title

European urology

authors

Geavlete P,Georgescu D,Cauni V,Niţa G

doi

10.1016/s0302-2838(01)00005-7

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

71-8

issue

1

eissn

0302-2838

issn

1873-7560

pii

S0302283801000057

journal_volume

41

pub_type

杂志文章
  • EAU Guidelines on benign prostatic hyperplasia (BPH).

    abstract:OBJECTIVE:To establish guidelines for the diagnosis, treatment, and follow-up of BPH. METHODS:A search of published work was conducted using Medline. In combination with expert opinions recommendations were made on the usefulness of tests for assessment and follow-up: mandatory, recommended, or optional. In addition, ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000049784

    authors: de la Rosette JJ,Alivizatos G,Madersbacher S,Perachino M,Thomas D,Desgrandchamps F,de Wildt M,European Association of Urology.

    更新日期:2001-09-01 00:00:00

  • A prospective, randomised study to compare goserelin acetate (Zoladex) versus cyproterone acetate (Cyprostat) versus a combination of the two in the treatment of metastatic prostatic carcinoma.

    abstract::A prospective randomised study was performed to test the hypothesis that total androgen ablation, achieved by combining an LHRH analogue, goserelin acetate (Zoladex), with an antiandrogen, cyproterone acetate (Cyprostat), is more effective than conventional monotherapy in delaying the time to progression of metastatic...

    journal_title:European urology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1159/000473717

    authors: Thorpe SC,Azmatullah S,Fellows GJ,Gingell JC,O'Boyle PJ

    更新日期:1996-01-01 00:00:00

  • Huge isolated port-site recurrence after laparoscopic partial nephrectomy: a case report.

    abstract::A 66-yr-old man with pain and swelling in the right flank was referred to our clinic for diagnosis. In 2005, the patient underwent a laparoscopic partial nephrectomy for renal cancer of the lower pole of the right kidney. A computed tomography scan revealed a 20-cm tumor in the right abdominal wall, resulting in a sus...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2009.04.004

    authors: Greco F,Wagner S,Reichelt O,Inferrera A,Lupo A,Hoda RM,Hamza A,Fornara P

    更新日期:2009-10-01 00:00:00

  • Acute pancreatitis following transurethral resection of prostate.

    abstract::Three cases of acute pancreatitis following transurethral resection of the prostate are reported. The incidence is rare. A review of perioperative data failed to disclose any unique factor except in 1 patient who had an underlying biliary tract disease. Hyperamylasemia or hyperlipaemia in association with abdominal pa...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000474643

    authors: Lee MH,Chen KK,Lin AT,Lee YH,Chen MT,Chang LS

    更新日期:1993-01-01 00:00:00

  • Comparison of an LH-RH analogue (Goeserelin acetate, 'Zoladex') with combined androgen blockade in advanced prostate cancer: final survival results of an international multicentre randomized-trial. International Prostate Cancer Study Group.

    abstract:OBJECTIVE:The aim of this study was to compare the effects of the nonsteroidal antiandrogen flutamide plus the LH-RH analogue goserelin acetate (combined androgen blockade [CAB]) with goserelin acetate alone in patients with advanced prostate cancer. The original analyses at 25 and 56 months of follow-up have been repo...

    journal_title:European urology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1159/000020119

    authors: Tyrrell CJ,Altwein JE,Klippel F,Jurincic-Winkler C,Varenhorst E,Lunglmayr G,Boccardo F,Holdaway IM,Haefliger JM,Jordaan JP

    更新日期:2000-02-01 00:00:00

  • The periprostatic autonomic nerves--bundle or layer?

    abstract:BACKGROUND:The functional outcome of a nerve-sparing radical prostatectomy (RP) depends on the knowledge of autonomic nerve distribution in correlation to the prostate. OBJECTIVE:Recent literature has focused predominantly on the anterior prostate; this study evaluates the nerve distribution on the entire prostate, us...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2008.06.007

    authors: Sievert KD,Hennenlotter J,Laible I,Amend B,Schilling D,Anastasiadis A,Kuehs U,Nagele U,Stenzl A

    更新日期:2008-11-01 00:00:00

  • Intermittent Complete Androgen Blockade in Metastatic Prostate Cancer.

    abstract::Introduction: Intermittent hormonal treatment of prostate cancer was first developed based upon experimental study results. Using the Shionogi mouse breast cancer model, it was shown that the tumor grows rapidly in the presence of androgens, then undergoes apoptotic regression when androgens are removed. This apoptoti...

    journal_title:European urology

    pub_type: 杂志文章

    doi:

    authors: Rambeaud J

    更新日期:1998-12-01 00:00:00

  • Prognostic factors for response to sildenafil in patients with erectile dysfunction.

    abstract:OBJECTIVE:To assess the clinical efficacy of sildenafil as treatment for erectile dysfunction (ED) the factors associated with treatment failure were investigated. METHODS:Open, prospective study including 244 patients suffering from ED who were evaluated by anamnesis, physical exploration, blood test, dynamic penile ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000049850

    authors: Martínez-Jabaloyas JM,Gil-Salom M,Villamón-Fort R,Pastor-Hernández F,Martínez-García R,García-Sisamón F

    更新日期:2001-12-01 00:00:00

  • Sonography in blunt renal trauma.

    abstract::In 27 patients with blunt renal trauma, sonography was used as diagnostic method. In principle, sonography was performed after the urogram. In 15 cases pathological findings were present: 5 subcapsular and perirenal hematomas; 3 ruptured kidneys and 1 renal pedicle injury; in 6 cases pre-existing lesions of the kidney...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000473163

    authors: Schmoller H,Kunit G,Frick J

    更新日期:1981-01-01 00:00:00

  • The application of artificial intelligence to microarray data: identification of a novel gene signature to identify bladder cancer progression.

    abstract:BACKGROUND:New methods for identifying bladder cancer (BCa) progression are required. Gene expression microarrays can reveal insights into disease biology and identify novel biomarkers. However, these experiments produce large datasets that are difficult to interpret. OBJECTIVE:To develop a novel method of microarray ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2009.10.029

    authors: Catto JW,Abbod MF,Wild PJ,Linkens DA,Pilarsky C,Rehman I,Rosario DJ,Denzinger S,Burger M,Stoehr R,Knuechel R,Hartmann A,Hamdy FC

    更新日期:2010-03-01 00:00:00

  • Needle core length is a quality indicator of systematic transperineal prostate biopsy.

    abstract:OBJECTIVE:To analyse the length of needle cores sampled as a quality indicator in systematic transperineal prostate biopsy. We assessed the correlation of core length with the other clinical and topographic parameters. MATERIAL AND METHODS:We prospectively evaluated data from 509 consecutive patients who underwent a f...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2005.12.057

    authors: Ficarra V,Martignoni G,Novella G,Cerruto MA,Galfano A,Novara G,Pea M,Artibani W

    更新日期:2006-08-01 00:00:00

  • Bilateral ureteral necrosis in a child with dermatomyositis.

    abstract::A nearly symmetrical ureteral necrosis was observed in a child with dermatomyositis. The ureters were treated conventionally by resection, anastomosis and repeated catheterization with good results. ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000473325

    authors: Le Guillou M,Richard F,L'Hénaff F,Ferriere JM,Durand J,Lacert P,Küss R

    更新日期:1980-01-01 00:00:00

  • Growth characteristics of cultured human normal bladder epithelial cells: a comparison with urothelial carcinoma cell cultures.

    abstract::We present the in vitro growth characteristics and morphology of the first established long-term culture of human normal bladder epithelium. Normal bladder cells were grown with a mean generation time of 44 h and a life span of 33 population doublings in 12 weeks. The cells exhibited contact inhibition of growth. The ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000473448

    authors: Logothetou-Rella H,Nesland JM,Karayiannis A,Dimopoulos C

    更新日期:1988-01-01 00:00:00

  • A proposal for reclassification of the Fuhrman grading system in patients with clear cell renal cell carcinoma.

    abstract:BACKGROUND:The conventional Fuhrman grading system, which categorizes renal cell carcinoma (RCC) with grades I, II, III, and IV, is the most widely used predictor assessment of RCC cancer-specific mortality (CSM). OBJECTIVES:The aim of this study was to test the prognostic ability of simplified Fuhrman grading schemes...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2009.06.008

    authors: Sun M,Lughezzani G,Jeldres C,Isbarn H,Shariat SF,Arjane P,Widmer H,Pharand D,Latour M,Perrotte P,Patard JJ,Karakiewicz PI

    更新日期:2009-11-01 00:00:00

  • Clinical application of the Bardex IC Foley catheter.

    abstract:OBJECTIVES:We performed two randomized prospective studies with the silver-coated Bardex IC catheter in order to evaluate the incidence of bacteriuria during short- and medium-term catheterization after urological procedures. METHODS:During catheterization only consecutive suprapubic urine samples were taken and cultu...

    journal_title:European urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000068005

    authors: Verleyen P,De Ridder D,Van Poppel H,Baert L

    更新日期:1999-09-01 00:00:00

  • Survival Among Men at High Risk of Disseminated Prostate Cancer Receiving Initial Locally Directed Radical Treatment or Initial Androgen Deprivation Therapy.

    abstract:BACKGROUND:There is increasing low-quality evidence rationalizing the use of radical therapy for men at high risk of disseminated prostate cancer. OBJECTIVE:To investigate, using high-quality epidemiologic data, whether initial radical therapy in men at high risk of disseminated prostate cancer improves survival. DES...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2017.04.002

    authors: Sooriakumaran P,Nyberg T,Akre O,Widmark A,Hamdy F,Graefen M,Carlsson S,Steineck G,Wiklund NP

    更新日期:2017-09-01 00:00:00

  • Prognostic significance of incidental renal cell carcinoma.

    abstract::From 1980 to 1991, 236 patients with renal cell carcinoma were treated in our department. We studied the characteristics and the prognostic significance of 74 patients with incidental renal cancer in comparison with those with symptomatic tumors. The mean age of the patients was 59.8 years and the sex ratio 2 males/1 ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000475189

    authors: Bretheau D,Lechevallier E,Eghazarian C,Grisoni V,Coulange C

    更新日期:1995-01-01 00:00:00

  • Advances and trends in hormonal therapy for advanced prostate cancer.

    abstract::Hormonal therapy represents first-line treatment for patients with advanced prostate cancer. Generally, surgical castration is viewed as the 'gold standard' but carries with it a psychological effect. Medical alternatives include LHRH analogues, antiandrogens, and oestrogens, though the last of these is associated wit...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1159/000475049

    authors: Debruyne FM,Dijkman GA

    更新日期:1995-01-01 00:00:00

  • Robotic-assisted laparoscopic prostatectomy: functional and pathologic outcomes with interfascial nerve preservation.

    abstract:INTRODUCTION:Robotic-assisted laparoscopic radical prostatectomy (RLRP) is increasingly becoming an alternative to open and laparoscopic radical prostatectomy in the treatment of localized prostate cancer. RLRP has been associated with low morbidity, short convalescence and comparable oncologic and functional outcomes....

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2006.10.019

    authors: Zorn KC,Gofrit ON,Orvieto MA,Mikhail AA,Zagaja GP,Shalhav AL

    更新日期:2007-03-01 00:00:00

  • Safety and efficacy of alprostadil sterile powder (S. Po., CAVERJECT) in diabetic patients with erectile dysfunction.

    abstract:OBJECTIVES:To evaluate the long-term efficacy and safety of intracavernosal alprostadil (CAVERJECT((R))) in diabetic patients with erectile dysfunction (ED). PATIENTS AND METHODS:This study included 31 diabetic men (aged 44-75 years) with ED of >/=4 months duration. All patients were initially instructed in the self-i...

    journal_title:European urology

    pub_type: 临床试验,杂志文章

    doi:10.1159/000020277

    authors: Tsai YS,Lin JS,Lin YM

    更新日期:2000-08-01 00:00:00

  • Osteocalcin gene HindIII C/T polymorphism is a biomarker for prostate cancer and responsiveness to hormone therapy.

    abstract:OBJECTIVES:Osteocalcin is a vitamin-K dependent protein which is related to the metabolism of bone and calcium. The formation or progression of prostate cancer is presumed to be associated with the osteocalcin gene. The most frequently seen polymorphism is HindIII which is located at the promoter region. HindIII is the...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/s0302-2838(02)00541-9

    authors: Wu HC,Lin CC,Chen WC,Chen HY,Tsai FJ

    更新日期:2003-02-01 00:00:00

  • Retinoids in chemoprevention.

    abstract::Over several decades, in vitro experimental studies have demonstrated that retinoids effect the process of carcinogenesis and tend towards the alteration of cells back to more normal differentiation. This hypothesis has formed the basis of several chemopreventive studies in breast cancer, cervical cancer, head and nec...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1159/000019874

    authors: Whelan P

    更新日期:1999-01-01 00:00:00

  • Cytogenetic and flow cytometric DNA analysis in renal cell carcinoma.

    abstract::Cytogenetic and flow cytometric DNA analyses were performed on 37 tumor samples from 16 patients with renal cell carcinoma. 36 cultures were chromosomally abnormal and 1 was normal. The most frequent abnormality was trisomy or tetrasomy of chromosome 7 (13 of 16 tumors), suggesting that this abnormality might be a pri...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000473581

    authors: Ljungberg B,Nordenson I,Roos G

    更新日期:1991-01-01 00:00:00

  • Proposal for a "European Scoring System for Laparoscopic Operations in Urology".

    abstract:PURPOSE:To propose a scoring system of difficulties for the most currently performed laparoscopic procedures in urology. MATERIALS AND METHODS:Each current laparoscopic procedure has been evaluated according to three different criteria: technical difficulty, operative risk and the attention required. Each criterion is...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000049742

    authors: Guillonneau B,Abbou CC,Doublet JD,Gaston R,Janetschek G,Mandressi A,Rassweiler JJ,Vallancien G

    更新日期:2001-07-01 00:00:00

  • Neutron therapy of bladder carcinoma: can a high rate of severe complications be avoided in neutron therapy?

    abstract::We reviewed retrospectively a series of 58 patients with deeply invasive bladder cancer treated with fast neutron therapy (p(65) + Be) in order to evaluate its tolerance and side effects. Patients were divided into three groups according to treatment technique. Patients of group A received whole pelvis irradiation up ...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1159/000474262

    authors: Kirkove C,Richard F,Van Cangh PJ,Ledent G,Octave-Prignot M,Wambersie A

    更新日期:1993-01-01 00:00:00

  • EAU guidelines for the management of urogenital schistosomiasis.

    abstract::More than 100 million people worldwide are affected by bilharziasis, caused by Schistosoma haematobium. For travellers precaution is most important. For the population in endemic areas, an integrated approach including health education is necessary. Effective pharmacologic treatment is available. ...

    journal_title:European urology

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.eururo.2006.02.022

    authors: Bichler KH,Savatovsky I,Members of the Urinary Tract Infection (UTI) Working Group of the Guidelines Office of the European Association of Urology (EAU):.,Naber KG,Bischop MC,Bjerklund-Johansen TE,Botto H,Cek M,Grabe M,Lobel B,Redort

    更新日期:2006-06-01 00:00:00

  • Pathologic Outcomes in Favorable-risk Prostate Cancer: Comparative Analysis of Men Electing Active Surveillance and Immediate Surgery.

    abstract:BACKGROUND:It remains unclear whether men selecting active surveillance (AS) are at increased risk of unfavorable longer term outcomes as compared with men who undergo immediate treatment. OBJECTIVE:To compare adverse pathologic outcomes in men with favorable-risk prostate cancer who underwent delayed prostatectomy af...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2015.09.032

    authors: Tosoian JJ,Sundi D,Trock BJ,Landis P,Epstein JI,Schaeffer EM,Carter HB,Mamawala M

    更新日期:2016-04-01 00:00:00

  • Safety and efficacy of the specific endothelin-A receptor antagonist ZD4054 in patients with hormone-resistant prostate cancer and bone metastases who were pain free or mildly symptomatic: a double-blind, placebo-controlled, randomised, phase 2 trial.

    abstract:BACKGROUND:The endothelin-A receptor (ETAR) has been implicated in the progression of prostate cancer. OBJECTIVES:To investigate the safety and efficacy of the specific ETAR antagonist ZD4054 in patients with metastatic hormone-resistant prostate cancer (HRPC). DESIGN, SETTING, AND PARTICIPANTS:Double-blind, placebo-...

    journal_title:European urology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.eururo.2008.11.002

    authors: James ND,Caty A,Borre M,Zonnenberg BA,Beuzeboc P,Morris T,Phung D,Dawson NA

    更新日期:2009-05-01 00:00:00

  • Minimal invasive therapy of prostatic abscess by transrectal ultrasound-guided perineal drainage.

    abstract::Prostatic abscess is a rare but severe disease. Conventional therapy is transurethral resection of the prostatic abscess. Since the advent of transrectal ultrasound (TRUS) a minimal-invasive treatment of prostatic abscess by TRUS-guided perineal drainage under local anesthesia is available. We report on our experience...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000475074

    authors: Bachor R,Gottfried HW,Hautmann R

    更新日期:1995-01-01 00:00:00

  • Performance characteristics of computed tomography in detecting lymph node metastases in contemporary patients with prostate cancer treated with extended pelvic lymph node dissection.

    abstract:BACKGROUND:Computed tomography (CT) is a commonly used noninvasive procedure for prostate cancer (PCa) staging. All previous studies addressing the ability of CT scan to predict lymph node invasion (LNI) were based on historical patients treated with limited pelvic lymph node dissection (PLND). OBJECTIVE:Assess the va...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2011.11.008

    authors: Briganti A,Abdollah F,Nini A,Suardi N,Gallina A,Capitanio U,Bianchi M,Tutolo M,Passoni NM,Salonia A,Colombo R,Freschi M,Rigatti P,Montorsi F

    更新日期:2012-06-01 00:00:00