Abstract：
OBJECTIVE:To report our experience with different approaches for management of pouch stones in children with ileal-based urinary reservoir. PATIENTS AND METHODS:Charts of children who underwent ileal-based urinary reservoirs between 2000 and 2009 were retrospectively reviewed. Patients who were diagnosed with reservoir calculi were identified; medical records were reviewed for patients' demographics, diversion details, stone criteria, mode of treatment, perioperative complications, and recurrence rate. RESULTS:We identified 26 children with pouch stones after urinary diversion. There were 11 boys (42%) and 15 girls (58%). Mean age was 11 years (range, 4-16 years). Mean time for diagnosis was 42 months (24-120 months). Pouch stones were asymptomatic in 10 patients (38%). Fifteen cases were postbladder augmentation and 11 cases postcontinent cutaneous diversion. The mean stone size was 4 cm (range, 1-10 cm), and mean Hounsfield Unit was 585 (205-1090). Seventeen children (65%) had positive urine culture result, whereas 9 children were sterile. Seven children (27%) required open poucholithotomy, whereas 19 patients (73%) were managed endoscopically. Percutaneous approach was done in 5 children, whereas urethral access was used in 7 children. Mechanical extraction was performed in 12 cases, and stone disintegration was required in 7 cases. Eight children developed stone recurrence. Mean time for recurrence was 11 months (range, 3-19 months). Six children were after endoscopic disintegration, and all required redo endoscopic extraction. Stone analysis was available in 15 patients (struvite stones in 10 cases and calcium phosphate in 5 cases). CONCLUSION:Pouch stones are established long-term complication of urinary diversion. Open and endoscopic approaches are valid treatment strategies.
journal_name
Urologyjournal_title
Urologyauthors
Helmy TE,Elawdy MM,AbdelHalim A,Orban H,Nabeeh H,Dawaba M,Hafez ATdoi
10.1016/j.urology.2014.09.021subject
Has Abstractpub_date
2015-01-01 00:00:00pages
195-8issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(14)01042-5journal_volume
85pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVES:To present a series of 5 patients with solitary metastatic renal cell carcinoma (RCC) to the pancreas after radical nephrectomy at our institution and review the published reports of this rare event. METHODS:A retrospective review of the records of 5 patients with histologically confirmed RCC metastatic to ...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(00)00639-7
更新日期：2000-08-01 00:00:00
abstract：OBJECTIVE:To prove that incidence of UTI after a pediatric urodynamic study (UDS) is low, and that patients without urine culture (UC) analysis prior to a UDS will not have a significant increase in the incidence of UTI (post-UDS UTI). METHODS:Prospective cohort study including consecutive pediatric patients undergoin...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.07.054
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To evaluate feasibility of percutaneous nephrolithotomy (PCNL) for complex nephrolithiasis in patients 80 years of age and older compared to younger individuals. METHODS:From an institutional IRB-approved database, 1,647 patients were identified who underwent PCNL from 1999 to 2019. Patients were stratified ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.08.044
更新日期：2019-12-01 00:00:00
abstract：:A histologic study of the vas ends was carried out in 21 patients undergoing vasovasostomy. All had undergone prior vasectomy by the same surgeon, with a technique identical except for the type of cautery used to seal the vas ends. A superior sealing of the vas, as shown by fewer cases of vasitis nodosa and spermatic ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(92)90468-c
更新日期：1992-11-01 00:00:00
abstract：OBJECTIVE:To determine survival outcomes in clinical stage I germ cell tumor (GCT) patients requiring retroperitoneal lymph node dissection (RPLND) for late relapse (LR) occurring while on surveillance. METHODS:The Indiana University Testis Cancer Database was queried from 1985 to 2013 to identify all patients who pre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.05.054
更新日期：2014-10-01 00:00:00
abstract：:The presentation, diagnosis, and management of a patient with an ileovesical fistula is discussed, this being the second reported case in the literature. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(89)90135-0
更新日期：1989-06-01 00:00:00
abstract：:Immunosuppressed transplant recipients are at significantly increased risk for developing neoplasms than are nonimmunosuppressed individuals. However, only six cases of pure testicular seminoma following renal transplantation have been reported in the English literature. This case report represents the first descripti...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(96)00104-5
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVE:To highlight the feasibility and technical details of performing simultaneous ipsilateral pyeloplasty and ureteric re-implantation for simultaneous proximal and distal obstruction of the ureter. METHODS:Two patients with preoperative diagnosis of proximal and distal ureteric obstruction underwent robot-assis...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.01.020
更新日期：2020-05-01 00:00:00
abstract：:Advanced laser beam technology has made endoscopic destruction of urinary bladder tumors possible. The neodymium: YAG laser is more suited for this purpose than the other available laser systems because of the higher penetration power into biological tissue. Small superficial tumors are particularly suitable for this ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90279-1
更新日期：1985-06-01 00:00:00
abstract：OBJECTIVES:To evaluate the effectiveness and safety of retroperitoneal laparoscopic adrenalectomy for pheochromocytoma and report our experience in adrenalectomy without previous control of the adrenal vein. METHODS:From January 2000 to December 2005, 56 patients underwent 58 retroperitoneal laparoscopic adrenalectomy...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.01.078
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVES:To analyze the effect of total radiation dose on the outcome of patients treated with external beam radiotherapy for early-stage prostate cancer. METHODS:The records of a total of 738 patients with localized prostate cancer treated with external beam radiotherapy (RT) and no androgen deprivation at our inst...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(99)00380-5
更新日期：2000-01-01 00:00:00
abstract：:To evaluate the effect of prostaglandin inhibition on the renal blood flow of the ischemic kidney, we administered indomethacin to 10 anesthetized dogs with renal artery stenosis and contralateral nephrectomy. Following the operation to produce renal ischemia, there was an increase of blood pressure associated with an...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90495-3
更新日期：1979-09-01 00:00:00
abstract：:Three cases of pelvic lipomatosis are presented. Excretory urogram revealed characteristic elevation and elongation of urinary bladder base and relative hyperlucency of pelvic cavity. Associated varying degrees of hydronephrosis and hydroureters are seen secondary to distal ureteral obstruction. Barium enema showed el...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(76)90578-1
更新日期：1976-01-01 00:00:00
abstract：OBJECTIVE:To present the results of a new technique for abdominoplasty in patients with the Prune Belly syndrome (PBS). METHODS:Since 1985, 46 children with PBS underwent surgical treatment that included urinary tract reconstruction (UTR), orchidopexy, and abdominoplasty. In 41 patients, we performed the abdominoplast...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.09.031
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:To determine whether platelet-derived growth factor receptor (PDGFR) plays a role in the tumorigenicity of prostate cancer cells. METHODS:PC3 prostate cancer cells were transfected with small interfering (si)PDGFR-α and siPDGFR-β, constructed according to the conventional small interfering RNA design standa...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.01.050
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To prospectively test the hypothesis that end-fire transrectal ultrasound prostate biopsy probes have greater cancer detection rates than side-fire probes. Retrospective studies have suggested that such probes might have greater cancer detection rates. METHODS:The present prospective randomized multicenter t...
journal_title：Urology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.urology.2012.01.061
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the feasibility of remote rounding using commercially available standard tablets with videoconferencing system and assess patient satisfaction. METHODS:Thirty-two patients with at least 2 postoperative days of hospital stay after robotic urologic procedures were included in the study. On the firs...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.06.060
更新日期：2012-12-01 00:00:00
abstract：:For most of the past 25 years, 1 of the favored approaches to treating prostate cancer has been the suppression of circulating testosterone with luteinizing hormone-releasing hormone (LHRH) agonists. LHRH agonists produce a downregulation of LHRH receptors and an uncoupling of the LHRH signal transduction mechanism. T...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.05.051
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:To compare the difference in abdominal leak point pressures (ALPPs) between patients with large cystoceles and severe vaginal vault prolapse and to assess the frequency of occult stress urinary incontinence (SUI) in these groups. METHODS:A total of 24 adult female patients with pelvic prolapse underwent pro...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00856-6
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVES:To review our experience with enterovesical fistulas in order to determine the most accurate diagnostic studies and most effective method of treatment. METHODS:A retrospective record review of 76 patients who were diagnosed and treated for enterovesical fistulas over a 12-year period was performed. Data col...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(94)80200-9
更新日期：1994-11-01 00:00:00
abstract：OBJECTIVE:To describe the prevalence and risk factors for incomplete bladder emptying after midurethral slings (MUS) in a large multicenter trial. METHODS:Five hundred ninety-seven women were randomized to retropubic (RMUS) or transobturator midurethral slings as part of the Trial of MidUrethral Slings study. Demograp...
journal_title：Urology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.urology.2013.05.060
更新日期：2013-11-01 00:00:00
abstract：:A 20-year-old man with Stage II nonseminomatous germ cell tumor underwent chemotherapy and multiple surgical resections of recurrent abdominal and supradiaphragmatic mature teratomas. Evaluation of a new heart murmur led to the diagnosis of tricuspid valve teratoma, which required complete valve excision and replaceme...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(00)00578-1
更新日期：2000-08-01 00:00:00
abstract：:Cell growth and differentiation are processes intimately associated with carcinogenesis and regulated by tyrosine kinases and other signaling proteins. Identification of drugs that target signaling molecules is hampered by both the large number of targets and the complex nature of signaling cascades. Optimal developme...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00946-8
更新日期：2001-04-01 00:00:00
abstract：:Acute renal failure and a syndrome characteristic of acute renal vein thrombosis developed in a patient with sickle trait and gram-negative bacteremia. It is suggested that intrarenal vaso-occlusion by sickled erythrocytes produced signs and symptoms typical of renal vein thrombosis and contributed to the severity of ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90716-5
更新日期：1975-08-01 00:00:00
abstract：OBJECTIVE:To elucidate epidemiological data and hydrocele progression, we reviewed pediatric patients diagnosed with hydroceles in our institution retrospectively. MATERIALS AND METHODS:We reviewed data from 355 pediatric patients with hydroceles. Questionnaires regarding age at diagnosis, time of delivery, presence o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.10.003
更新日期：2018-02-01 00:00:00
abstract：:We report an unusual case of a pelvic mass arising from the seminal vesicle. A 45-year-old man presented with difficulty voiding and difficult bowel movements. Computed tomography demonstrated a large 14 x 10 x 15-cm cystic pelvic mass displacing the bladder anteriorly and the rectum posteriorly. Magnetic resonance im...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2003.10.052
更新日期：2004-03-01 00:00:00
abstract：:Hematuria and proteinuria have been noted in athletes after heavy exercise. Evaluation of 383 marathoners after a 26-mile, 385-yard run revealed hematuria in 17 per cent and proteinuria in 30 per cent. These abnormalities were not related to sex. The condition is transient and appears to be benign. A diagnostic approa...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90007-2
更新日期：1980-05-01 00:00:00
abstract：OBJECTIVES:To compare, retrospectively, the results of laparoscopic partial nephrectomy (LPN) to open partial nephrectomy (OPN) using a tumor size-matched cohort of patients. Limited data are available comparing LPN to OPN in the treatment of small renal tumors. METHODS:Between September 2000 and September 2003, 27 LP...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.04.028
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVES:To investigate the effects of morphine on reperfusion injury due to testicular torsion-detorsion (T/D). METHODS:We divided 36 adult male Sprague-Dawley rats into six groups. Testicular ischemia was achieved by twisting the right testis 720 degrees counterclockwise for 1 hour, and reperfusion was allowed for...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.06.101
更新日期：2005-12-01 00:00:00
abstract：OBJECTIVE:To compare the postprocedural oral pain scale and other patient reported oral morbidities for nonclosure vs closure of buccal mucosal graft (BMG) harvest sites through systematic review and meta-analysis of comparative studies. METHODS:A systematic literature search was performed in September 2018. Nonrandom...
journal_title：Urology
pub_type： 杂志文章,meta分析
doi：10.1016/j.urology.2018.12.008
更新日期：2019-03-01 00:00:00
