Abstract：
PURPOSE:Ureteral stents are commonly inserted under fluoroscopic guidance. Our objective was to determine the intravesical landmarks for stent insertion by mapping the fluoroscopic location of the ureteral orifices (UOs) and bladder neck (BN) in relation to the pubic symphysis (PS). METHODS:In patients undergoing ureteroscopy, the UO to BN distance was measured during cystoscopy with a 5F ureteral catheter. Radiographic distance between the UO, BN, and superior border of the PS was determined by mapping their locations on digital fluoroscopic images. Measurements were performed with a full (to 50 cm H2O) and empty bladder. RESULTS:With an empty bladder, the mean cystoscopic BN to UO distance was 1.8 cm (+/- 0.4) for men (n = 10) and 2.0 cm (+/- 0.4) for women (n = 11). With a full bladder, it was 2.8 cm (+/- 0.5) for men and 2.9 cm (+/- 0.6) for women. Although the intravesical distance lengthened during cystoscopy (by 50%), there was no difference when viewed fluoroscopically; the BN to UO distance lengthened by only 15%. In men, the UOs were located superior to PS in the majority (83% and 95%, empty and full bladder, respectively). In women, however, the UOs resided behind the PS (73% and 50%, empty and full bladder, respectively). The BN in men was also cephalad to that in women (P = 0.01); superior to the PS in 50%; and behind the upper two thirds of the PS in 50%. In women, the BN was behind the lower two thirds of the PS in the majority (81%). CONCLUSIONS:During fluoroscopic ureteral stent insertion, the radiopaque marker of the stent positioner is situated at the superior border of the PS in men and behind the lower one third of the PS in women, permitting formation of an intravesical distal coil. One way to remember this is that men are on top and women are on the bottom of the PS.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Perks AE,Schuler TD,Pace K,Honey RJdoi
10.1089/end.2008.0048subject
Has Abstractpub_date
2008-06-01 00:00:00pages
1203-7issue
6eissn
0892-7790issn
1557-900Xjournal_volume
22pub_type
杂志文章abstract：:In current clinical practice, lidocaine gel is widely used as a local anesthetic lubricant before various forms of transurethral instrumentation. Over the past few years, the value of local anesthesia during urethral catheterization and flexible or rigid cystoscopy has been questioned. Strong data are lacking, and the...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.2008.0650
更新日期：2009-05-01 00:00:00
abstract：PURPOSE:To determine the effects on semen of extracorporeal shockwave lithotripsy for distal-ureteral stones. PATIENTS AND METHODS:We examined the semen of 62 patients 1 day before and 1 week and 3 months after SWL for distal-ureteral stones. The results were compared with those of 62 patients similarly treated for up...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.20.483
更新日期：2006-07-01 00:00:00
abstract：: Introduction: This exploratory retrospective analysis examined any potential prognostic role of preoperative neutrophil lymphocyte ratio (NLR) for progression-free survival (PFS) and time to endoscopically verified upper tract or bladder recurrence-free survival (RFS) in u...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2020.0283
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:To determine whether minimally invasive PCNL (MPCNL) is as safe and effective in the management of complex renal caliceal stones as it is for simple renal stones. PATIENTS AND METHODS:We retrospectively reviewed 5761(41.2%) simple caliceal stones (isolated renal pelvis including isolated calix) and 8223 (58.8%...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2013.0061
更新日期：2013-10-01 00:00:00
abstract：:Abstract Since the first description of percutaneous nephrolithotripsy (PNL) over 30 years ago, the indications for this procedure in the management of upper tract urinary stones has greatly expanded. Despite recent advances in shock wave lithotripsy and ureteroscopic technologies, PNL maintains a dominant role in the...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.2009.1518
更新日期：2009-10-01 00:00:00
abstract：PURPOSE:The aim of this study was to assess the metabolic characteristics and risks of stone recurrence in young adult stone patients in Korea. PATIENTS AND METHODS:The medical records of 1532 patients presenting with renal or ureteric stones at our stone clinic between 1994 and 2015 were retrospectively reviewed. Pat...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2017.0210
更新日期：2017-08-01 00:00:00
abstract：:The permanent Urolume Wallstent has been used for the relief of bladder outlet obstruction (BOO), detrusor-external sphincter dyssnergia (DESD), and recurrent bulbar urethral strictures. Because of its woven construction, it allows ingrowth of urothelial tissue, resulting in complete epithelialization by 6 to 12 month...
journal_title：Journal of endourology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1089/end.1997.11.477
更新日期：1997-12-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Patients with spinal neuropathy are at an increased risk for urolithiasis. Data on percutaneous nephrolithotomy (PCNL) in this population are limited. Our objective is to review our experience in managing stones with PCNL in patients with spinal neuropathy. PATIENTS AND METHODS:Twenty-one patien...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2012.0344
更新日期：2012-12-01 00:00:00
abstract：:Although most caliceal diverticula are asymptomatic, they can be associated with pain, and concomitant calculi are common. When treatment is indicated, a variety of surgical options are available, although the management is often a challenge even to the most experienced surgeon. We review the indications, surgical opt...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.2004.18.805
更新日期：2004-11-01 00:00:00
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journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2018.0143
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND AND PURPOSE:The gold standard treatment for upper-tract transitional-cell carcinoma is radical nephroureterectomy, but management of the distal ureter is not standardized. Two treatment options to detach the distal ureter are open cystotomy (OC) and excision of a bladder cuff or transurethral incision of the...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.0374
更新日期：2007-07-01 00:00:00
abstract：:Pelvic organ prolapse is a common problem faced by many women, resulting in significant morbidity and negatively impacting quality of life. Sacrocolpopexy can treat women with vaginal vault prolapse, multicompartment prolapse, and/or a history of failed prolapse procedures. The transabdominal sacrocolpopexy has been s...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2012.0388
更新日期：2012-12-01 00:00:00
abstract：:Laparoscopic pyeloplasty represents one of the more advanced reconstructive procedures for the urologist. While early reports were replete with long operative times, there have been several changes that have added to the efficiency of the procedure. In our practice, we have found three changes to be of greatest value:...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/089277904773582750
更新日期：2004-04-01 00:00:00
abstract：:A 32-year-old woman presented to us with complaints of paradoxical incontinence for a period of 6 months following a cesarean section for obstructed labor performed elsewhere and subsequently treated elsewhere. Clinical and urographic assessment revealed an iatrogenic ureterouterine fistula, which was successfully tre...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/089277901317203056
更新日期：2001-12-01 00:00:00
abstract：:In one-third of patients, prostate cancer (PCa) is monofocal. These patients can undergo focal high-intensity focused ultrasound (HIFU) therapy of the tumor without damage to surrounding structures and not compromising uro-oncologic safety. Robot-assisted HIFU coagulates the entire targeted volume within the prostate ...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2009.0439
更新日期：2010-05-01 00:00:00
abstract：:The surgical treatment of prostatic obstruction associated with a clinically significant bladder diverticulum has classically combined open diverticulectomy with relief of the bladder outlet obstruction. This report demonstrates that this result may be efficiently achieved by performing transurethral surgery followed ...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.1996.10.545
更新日期：1996-12-01 00:00:00
abstract：BACKGROUND AND PURPOSE:During robot-assisted radical prostatectomy (RARP), patients remain in a steep Trendelenburg position. This can cause positioning injuries as well as rhabdomyolysis. The primary diagnostic indicator of rhabdomyolysis is elevated serum creatine kinase (CK). We investigate whether RARP with extende...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2012.0169
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Adrenalectomy is indicated for patients with large adrenal lesions or functional tumors. Cryoablation is currently used as a surgical alternative for the treatment of prostate, lung, brain, pharynx, and liver tumors. The purpose of this study was to determine if cryosurgery could be delivered ...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.1999.13.299
更新日期：1999-05-01 00:00:00
abstract：PURPOSE:To determine the effects of previous open nephrolithotomy on the results and morbidity of subsequent percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:Between March 2005 and January 2006, 89 patients underwent PCNL at our institution. We compared the patients who had had previous open surgery on the sa...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.0293
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Renal mass protocol CT (RMP-CT) using multiphase abdomen and pelvis CT imaging is the mainstay for diagnosis, characterization, and follow-up for renal masses; however, it is associated with ionizing radiation to the patient. We sought to quantify the effective dose associated with RMP-CT and to ...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2013.0111
更新日期：2013-09-01 00:00:00
abstract：:Laparoscopy has become the essential surgical approach to the adrenal gland at many institutions, including ours. At the Cleveland Clinic, laparoscopic adrenalectomy for benign and malignant adrenal neoplasms can be performed by either the transperitoneal or the retroperitoneal approach. Herein, we present our techniq...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/089277901750299302
更新日期：2001-06-01 00:00:00
abstract：PURPOSE:To evaluate the feasibility and safety of two concomitant robot-assisted procedures in the same patient in one anesthesia setting. PATIENTS AND METHODS:Data were reviewed for 15 patients for whom two concomitant robot-assisted surgeries at our center were planned. Preoperative details, port position, intraoper...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2008.0481
更新日期：2009-02-01 00:00:00
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journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/089277901750426337
更新日期：2001-08-01 00:00:00
abstract：BACKGROUND AND PURPOSE:We present the role of the transportal technique of laparoscopy-assisted surgeries.This report highlights the advantages of transportal technique over pure laparoscopic surgeries and laparoscopy-assisted surgeries. PATIENTS AND METHODS:In the last 3 years, we have adopted this approach for six p...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2008.0209
更新日期：2008-12-01 00:00:00
abstract：:To assess the durability of the results of transurethral microwave thermotherapy (TUMT) for symptomatic benign prostatic hyperplasia (BPH), we have reviewed publications describing trials with at least 3 years of follow-up. For men treated only by TUMT, improvement in symptoms and quality of life appears to be maintai...
journal_title：Journal of endourology
pub_type： 杂志文章,meta分析
doi：10.1089/end.2000.14.671
更新日期：2000-10-01 00:00:00
abstract：:We identified 40 patients (25 men and 15 women) who developed calculi composed totally or partially of sulfonamides (acetylsulfamethoxazole, sulfadiazine, and acetylsulfisoxazole) between 1980 and 1987. The incidence of sulfonamide stones is less than 1% of stones. Patient characteristics were determined from question...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.1994.8.401
更新日期：1994-12-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Functional losses near 20% are seen in the operated kidney during partial nephrectomy. Resected healthy margins are small and ischemia time limited in the modern era. We hypothesize that reconstruction following tumor resection is modifiable and a significant cause of renal function injury. MATE...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.2016.0055
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Cryptorchidism is a common condition in boys. Approximately 20% of undescended testes are nonpalpable and may be located within the abdominal cavity. Given the potential of these gonads for malignant transformation and infertility, it is essential to determine the presence or absence of a nonpalpable testis....
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/089277901750161719
更新日期：2001-04-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Laparoscopic partial nephrectomy is a demanding procedure. To popularize the procedure, simplifying the technique is of great concern for most laparoscopic urologists. Our objective was to evaluate the results of laparoscopic partial nephrectomy (LPN) when eliminating bolster in repair of the tum...
journal_title：Journal of endourology
pub_type： 临床试验,杂志文章
doi：10.1089/end.2008.0589
更新日期：2009-06-01 00:00:00
abstract：PURPOSE:Excessive bulking force during ureteral access sheath (UAS) placement may induce injury. The sliding friction between surfaces can be reduced with the application of ultrasonic vibration. We investigated the efficacy and safety of an ultrasonic vibration transducing device for reducing the maximal ureteral acce...
journal_title：Journal of endourology
pub_type： 杂志文章,随机对照试验
doi：10.1089/end.2018.0772
更新日期：2019-02-01 00:00:00
