Organ-specific radiation dose rates and effective dose rates during percutaneous nephrolithotomy.

Abstract:

BACKGROUND AND PURPOSE:Radiation exposure during medical procedures continues to be an increasing concern for physicians and patients. We determined organ-specific dose rates and calculated effective dose rates during right and left percutaneous nephrolithotomy (PCNL) using a validated phantom model. MATERIALS AND METHODS:A validated anthropomorphic adult male phantom was placed prone on an operating room table. Metal oxide semiconductor field effect transistor dosimeters were placed at 20 organ locations in the model and were used to measure the organ dosages. A portable C-arm was used to provide continuous fluoroscopy for three 10 minute runs each to simulate a left and right PCNL. Organ dose rate (mGy/s) was determined by dividing organ dose by fluoroscopy time. The organ dose rates were multiplied by their tissue weighting factor and summed to determine effective dose rate (EDR) (mSv/s). Two-dimensional radiation distribution in the abdomen during a left-sided PCNL was visually determined using radiochromic film. RESULTS:The EDR for a left PCNL was 0.021 mSv/s ± 0.0008. The EDR for a right PCNL was 0.014 mSv/s ± 0.0004. The skin entrance was exposed to the greatest amount of radiation during left and right PCNL, 0.24 mGy/s and 0.26 mGy/s, respectively. Radiochromic film demonstrates visually the nonuniform dose distribution as the x-ray beam enters through the skin from the radiation source. CONCLUSIONS:The effective dose rate is higher for a left-sided PCNL compared with a right-sided PCNL. The distribution of radiation exposure during PCNL is not uniform. Further studies are needed to determine the long-term implications of these radiation doses during percutaneous stone removal.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Lipkin ME,Mancini JG,Toncheva G,Wang AJ,Anderson-Evans C,Simmons WN,Ferrandino MN,Yoshizumi TT,Preminger GM

doi

10.1089/end.2011.0178

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

439-43

issue

5

eissn

0892-7790

issn

1557-900X

journal_volume

26

pub_type

杂志文章
  • Acute and chronic interstitial cryotherapy of the adrenal gland as a treatment modality.

    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

    authors: Schulsinger DA,Sosa RE,Perlmutter AA,Vaughan ED Jr

    更新日期:1999-05-01 00:00:00

  • Efficacy and Safety of Ultrasonic Longitudinal-Axis Vibration for the Reduction of Ureteral Access Sheath Insertion Force: A Randomized Controlled Trial in a Porcine Model.

    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

    authors: Koo KC,Lee KS,Min GR,Lee HS,Lim BJ,Kim JS,Kim DW,Park NC

    更新日期:2019-02-01 00:00:00

  • The Endockscope Using Next Generation Smartphones: "A Global Opportunity".

    abstract:INTRODUCTION:The Endockscope combines a smartphone, a battery powered flashlight and a fiberoptic cystoscope allowing for mobile videocystoscopy. We compared conventional videocystoscopy with the Endockscope paired with next generation smartphones in an ex-vivo porcine bladder to evaluate its image quality. MATERIALS ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0275

    authors: Tse C,Patel RM,Yoon R,Okhunov Z,Landman J,Clayman RV

    更新日期:2018-08-01 00:00:00

  • Failure of percutaneous endoscopic resection of a renal cystic nephroma on longer-term follow-up.

    abstract::In 2005 we reported in this journal the treatment of cystic nephroma, a rare but presumed benign renal tumor, with percutaneous resection. Initial follow-up confirmed removal of the intra-pelvic portion of the cystic nephroma and persistence of the unresected intra-parenchymal portion. Surveillance with computed tomog...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2007.0441

    authors: Wolf JS Jr,Dash A

    更新日期:2008-07-01 00:00:00

  • Novel method for placement of a ureteral stent during laparoscopic ureteroureterostomy.

    abstract::Lumbar ureteral benign stenosis can be managed by laparoscopy. Prevention of repeat strictures after ureteral anastomosis includes the placement of a ureteral catheter. When laparoscopy is used to perform the anastomosis, a second position is needed to insert the Double J stent. We provide a way to place the double pi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0153

    authors: Brichart N,Prezelin Y,Celhay O,Bruyère F

    更新日期:2008-11-01 00:00:00

  • In vitro and in vivo experiences with ureterorenoscope by Gelet.

    abstract::Using ureterorenoscopes with unidirectional flow, the urologist faces a conflict between a good view on one hand and high pressure in the ureter and the pelvic collecting system of the kidney on the other hand. The ureterorenoscope designed by Gelet, which has continuous (bidirectional) flow and separate irrigation an...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.337

    authors: Weber A,Michel MS,Krautschick AW,Köhrmann KU,Alken P

    更新日期:1997-10-01 00:00:00

  • The impact of previous laparoscopic inguinal hernia repair on radical prostatectomy.

    abstract:BACKGROUND AND PURPOSE:Laparoscopic inguinal hernia repair has become a frequently performed procedure. It is thus inevitable that some candidates for radical prostatectomy for prostatic carcinoma will have undergone such previous intervention. Mesh placement in the space of Retzius as performed in laparoscopic hernia ...

    journal_title:Journal of endourology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1089/end.2012.0285

    authors: Haifler M,Benjamin B,Ghinea R,Avital S

    更新日期:2012-11-01 00:00:00

  • In-vitro activity of triclosan-eluting ureteral stents against common bacterial uropathogens.

    abstract:BACKGROUND AND PURPOSE:Ureteral stents are commonly used in urology today, but the biofilms that form on them within hours of placement may harbor bacteria that can result in infection or encrustation. Triclosan is an antimicrobial commonly used in consumer and medical products that inhibits bacterial fatty-acid synthe...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.949

    authors: Chew BH,Cadieux PA,Reid G,Denstedt JD

    更新日期:2006-11-01 00:00:00

  • Robot-assisted high-intensity focused ultrasound in focal therapy of prostate cancer.

    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

    authors: Chaussy CG,Thüroff S

    更新日期:2010-05-01 00:00:00

  • Epithelialization of permanent stents.

    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

    authors: Corujo M,Badlani GH

    更新日期:1997-12-01 00:00:00

  • Transurethral Resection of Prostate and Bleeding: A Prospective, Randomized, Double-Blind Placebo-Controlled Trial to See the Efficacy of Short-Term Use of Finasteride and Dutasteride on Operative Blood Loss and Prostatic Microvessel Density.

    abstract:OBJECTIVE:The aim of this study was to determine the efficacy of short-duration use of finasteride and dutasteride before transurethral resection of the prostate (TURP) on intraoperative blood loss and microvessel density (MVD) of prostate stroma and suburethral tissues in benign prostatic hyperplasia (BPH). METHODS:T...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2016.0696-rev

    authors: Bansal A,Arora A

    更新日期:2017-09-01 00:00:00

  • Photoselective laser vaporization prostatectomy for acute urinary retention in China.

    abstract:PURPOSE:To assess the clinical efficacy and safety of photoselective laser vaporization of the prostate (PVP) in the treatment of patients with acute urinary retention (AUR) secondary to benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Forty-two patients (mean age 72 +/- 5 years, range 65-89) with AUR because ...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2007.0045

    authors: Fu WJ,Gao JP,Hong BF,Yang Y,Cai W,Zhang L

    更新日期:2008-03-01 00:00:00

  • Evaluation of a novel fascial dilator modified with scale marker in percutaneous nephrolithotomy for reducing the X-ray exposure: a randomized clinical study.

    abstract:OBJECTIVE:To evaluate the role of the fascial dilators modified with a scale marker in reducing fluoroscopy time during percutaneous nephrolithotomy (PCNL). METHOD:In a randomized clinical trial, eligible 100 consecutive patients anticipated to undergo single-tract PCNL were randomly assigned into two groups by the cl...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2012.0671

    authors: Zeng G,Zhao Z,Zhong W,Wu K,Chen W,Wu W,Xiao C,Liu Y

    更新日期:2013-11-01 00:00:00

  • Perioperative patient radiation exposure in the endoscopic removal of upper urinary tract calculi.

    abstract:BACKGROUND AND PURPOSE:The efficacy of computed tomography (CT) in detailing upper urinary tract calculi is well established. There is no established acceptable annual recommended limit for medical exposure, yet the global accepted upper limit for occupational radiation exposure is <50 millisieverts (mSv) in any one ye...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0695

    authors: Jamal JE,Armenakas NA,Sosa RE,Fracchia JA

    更新日期:2011-11-01 00:00:00

  • Extracorporeal shockwave therapy for Peyronie's disease: who benefits?

    abstract:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.135

    authors: Taylor J,Forster JA,Browning AJ,Biyani CS

    更新日期:2006-02-01 00:00:00

  • Phenytoin metabolite renal calculus: an index case.

    abstract:INTRODUCTION:Drugs and their metabolites are known factors in 1% to 2% of all kidney stones. Certain antiepileptic drugs are known to cause stone formation. Phenytoin is used as a first line antiepileptic therapy for many seizure disorders. We present what we believe to be the first report of a phenytoin metabolite uri...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2007.0410

    authors: Kalorin CM,Bauer R,White MD

    更新日期:2008-08-01 00:00:00

  • A Longitudinal Assessment of the Reporting Quality of Randomized Controlled Trials for Surgical Interventions to Treat Nephrolithiasis Over 16 Years (2002 to 2017).

    abstract:: Purpose: Transparently reported, high-quality randomized controlled trials (RCTs) play a critical role in guiding evidence based clinical practice and informing evidence-based guidelines in patients with nephrolithiasis. Prior studies have found reporting quality to be low...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0649

    authors: Thompson E,Lai A,Morrey L,Borofsky MS,Dahm P

    更新日期:2020-04-01 00:00:00

  • Variability in kidney stone incidence between black and white South Africans: AGT Pro11Leu polymorphism is not a factor.

    abstract:BACKGROUND AND PURPOSE:Kidney stone disease is rare in the South African black (B) population and more prevalent in the white (W) population. Genetic studies have not previously examined this anomaly. The AGT Pro11Leu polymorphism in the alanine:glyoxylate aminotransferase (AGT) enzyme has been suggested as possibly pl...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0617

    authors: Theka T,Rodgers AL,Webber D,O'Ryan C

    更新日期:2014-05-01 00:00:00

  • Urinary stone size: comparison of abdominal plain radiography and noncontrast CT measurements.

    abstract:BACKGROUND AND PURPOSE:To compare urinary stone size as measured by abdominal plain radiography (AXR) with stone size as measured by noncontrast three-dimensional spiral CT in patients with acute renal colic. PATIENTS AND METHODS:Patients presenting to the emergency room of a single institution with urinary stones tha...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277903770802245

    authors: Parsons JK,Lancini V,Shetye K,Regan F,Potter SR,Jarrett TW

    更新日期:2003-11-01 00:00:00

  • Routine Preoperative Electrocardiograms in Patients at Low Risk for Cardiac Complications During Shockwave Lithotripsy: Are They Useful?

    abstract:INTRODUCTION:Routine preoperative electrocardiogram (ECG) before shockwave lithotripsy (SWL) is frequently performed despite recommendations against its use in asymptomatic patients undergoing low-risk surgical procedures. This study assesses whether routine preoperative ECG before SWL is useful in patients at low risk...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0053

    authors: Sowerby RJ,Lantz Powers AG,Ghiculete D,Hong A,Farcas M,Barrett K,Lee JY,Ordon M,Pace KT,Honey RJD

    更新日期:2019-04-01 00:00:00

  • Clinician Versus Nomogram Predicted Estimates of Kidney Stone Recurrence Risk.

    abstract:: Purpose: Kidney stone recurrence rates vary between patients. A patient's risk informs the frequency and intensity of preventative interventions. Clinicians routinely use clinical experience to estimate risk. We sought to compare clinician estimated recurrence risk with th...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0978

    authors: Forbes CM,McCoy AB,Hsi RS

    更新日期:2020-11-16 00:00:00

  • Percutaneous nephrolithotomy for complete staghorn calculi in preschool children.

    abstract:BACKGROUND AND PURPOSE:To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for the management of complete staghorn calculi in children

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.968

    authors: Aron M,Yadav R,Goel R,Hemal AK,Gupta NP

    更新日期:2005-10-01 00:00:00

  • Minimally invasive treatment for localized adenocarcinoma of the prostate: review of 1048 patients treated with ultrasound-guided palladium-103 brachytherapy.

    abstract:PURPOSE:To assess the effectiveness of palladium-103 brachytherapy in stage T1 and T2 adenocarcinoma of the prostate. PATIENTS AND METHODS:The charts of 1048 patients treated between 1991 and 1999 with transperineal realtime ultrasound-guided (103)Pd (Theraseed) implants were reviewed to assess the effects on serum pr...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2000.14.343

    authors: Sharkey J,Chovnick SD,Behar RJ,Perez R,Otheguy J,Rabinowitz R,Steele J,Webster C,Donohue M,Solc Z,Huff W,Cantor A

    更新日期:2000-05-01 00:00:00

  • Robotic colposuspension: two case reports.

    abstract:BACKGROUND AND PURPOSE:Until now, open colposuspension has been the gold standard in the surgical treatment of stress urinary incontinence. However, the open procedure is associated with more complications and longer hospital stays and is hard to justify given the availability of minimally invasive alternatives. We rep...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.0025

    authors: Khan MS,Challacombe B,Rose K,Dasgupta P

    更新日期:2007-09-01 00:00:00

  • Effect of magnesium on calcium and oxalate ion binding.

    abstract:BACKGROUND AND PURPOSE:Magnesium (Mg(2+)) has been shown to be a kidney stone inhibitor; however, the exact mechanism of its effect is unknown. Using theoretical models, the interactions of calcium and oxalate were examined in the presence of Mg(2+). METHODS:Molecular dynamics simulations were performed with NAMD and ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0173

    authors: Riley JM,Kim H,Averch TD,Kim HJ

    更新日期:2013-12-01 00:00:00

  • Initial studies of holmium:YAG laser creation of spinal defects in fetal rabbits: model for urologic effects of myelomeningocele.

    abstract::Myelomeningocele (MMC) is characterized by paraplegia and incontinence, often necessitating surgery. Current models of MMC in sheep and primates create a spinal defect long after anomalous neural tube closure ordinarily occurs. An ideal model of MMC would allow creation of the defect at the earliest age in a low-cost ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1998.12.199

    authors: Calvano CJ,Reddy PP,Moran ME,Boyle KE,Housley HT,Jennings RW,Harrison MR,Mandell J

    更新日期:1998-04-01 00:00:00

  • Age, Body Mass Index, and Gender Predict 24-Hour Urine Parameters in Recurrent Idiopathic Calcium Oxalate Stone Formers.

    abstract:INTRODUCTION AND OBJECTIVE:Despite guidelines, routine 24-hour urine testing is completed in <10% of high-risk, recurrent stone formers. Using surrogates for metabolic testing, such as key patient characteristics, could obviate the cost and burden of this test while providing information needed for proper stone prevent...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2017.0352

    authors: Otto BJ,Bozorgmehri S,Kuo J,Canales M,Bird VG,Canales B

    更新日期:2017-12-01 00:00:00

  • Collagen changes in the ureteropelvic junction after failed antegrade endopyelotomy.

    abstract:PURPOSE:We evaluated the collagen content and differentiation of the ureteropelvic junction (UPJ) of patients who underwent Anderson-Hynes dismembered pyeloplasty after failure of antegrade endopyelotomy. MATERIALS AND METHODS:A total of 12 UPJ obstructions were examined more than 12 months after endopyelotomy with bo...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.9996

    authors: Sergi F,Flammia GP,Alcini A,Perrone G,Guaglianone S,Forastiere E,Rabitti C,Gallucci M

    更新日期:2007-01-01 00:00:00

  • A simplified technique for ureteral spatulation in laparoscopic pyeloplasty.

    abstract::One of the most difficult, time-consuming, and at the same time critical steps of laparoscopic pyeloplasty is ureteral spatulation. We describe a reproducible technique that greatly simplifies this surgical step. Using standard laparoscopic scissors, the ureter is partially cut just inferior to the ureteropelvic junct...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0354

    authors: Giannakopoulos S,Efthimiou I,Bantis A,Kalaitzis C,Touloupidis S

    更新日期:2012-06-01 00:00:00

  • Transient oscillation of cavitation bubbles near stone surface during electrohydraulic lithotripsy.

    abstract::Using high-speed photography and acoustic emission measurements, we studied the dynamics of a transient cavitation bubble near a stone surface and the concomitant shockwaves generated during electrohydraulic lithotripsy (EHL). At each spark discharge, a vapor plasma and subsequently a cavitation bubble oscillating aro...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.55

    authors: Zhong P,Tong HL,Cocks FH,Preminger GM

    更新日期:1997-02-01 00:00:00