Abstract:
PURPOSE OF REVIEW:The treatment options in urolithiasis in kidneys with abnormalities of form and location can be challenging due to abnormal anatomy (calyceal and renal orientation), relative immobility interfering with movement of equipment, and abnormal relation with other visceral organs. RECENT FINDINGS:In this review, we focus on the different techniques and results of various treatment modalities. The approach to managing these stones should be individualized. We also allude to the results of a few recent series and emphasize various treatment options. SUMMARY:Ultrasound helps in gaining access in ectopic kidneys, in addition to being a diagnostic tool. Computerized tomography is pivotal in helping to decide the management and choosing the method of treatment in anomalous kidneys. Flexible ureteroscopy can be a useful tool in stones less than 2 cm in size with the availability of smaller flexible ureteroscopes and access sheaths. However the surgeon should consider complete 'on table' clearance in these patients as the drainage is likely to be impaired. Ultrasound guided percutaneous approaches for ectopic kidneys should be performed by surgeons well versed with it. Laparoscopic assisted percutaneous nephrolithotomy has shown good clearance rates with minimal morbidity and less likelihood of ancillary procedures. Although adequate fragmentation can be achieved with extracorporeal shock wave lithotripsy, the drainage of fragments might be impaired due to the anatomical abnormalities. The choice of shock wave lithotripsy as a treatment option should be made prudently.
journal_name
Curr Opin Uroljournal_title
Current opinion in urologyauthors
Ganpule AP,Desai MRdoi
10.1097/MOU.0b013e3283435c79subject
Has Abstractpub_date
2011-03-01 00:00:00pages
145-53issue
2eissn
0963-0643issn
1473-6586pii
00042307-201103000-00012journal_volume
21pub_type
杂志文章,评审abstract:PURPOSE OF REVIEW:The purpose of this study is to review and discuss recently published studies of therapeutic options in cases with the combination of severe sphincteric damage and recurrent stricture of the bladder neck or anastomosis in patients with postradical prostatectomy. RECENT FINDINGS:Recent focus has been ...
journal_title:Current opinion in urology
pub_type: 杂志文章,评审
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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更新日期:2008-11-01 00:00:00
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
pub_type: 杂志文章,评审
doi:10.1097/01.mou.0000160621.05742.a4
更新日期:2005-03-01 00:00:00
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journal_title:Current opinion in urology
pub_type: 杂志文章,评审
doi:10.1097/00042307-199903000-00004
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abstract::After more than 100 years of innovation in hypospadias repair, new concepts regarding penile curvature, the urethral plate, and the means for urethroplasty are changing surgical practices. With the introduction of the tubularized incised plate technique it is possible to simplify decision-making algorithms in hypospad...
journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
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更新日期:2019-01-01 00:00:00
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journal_title:Current opinion in urology
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journal_title:Current opinion in urology
pub_type: 杂志文章,评审
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更新日期:2018-01-01 00:00:00