Abstract:
:Large bladder calculi are often outside the range of treatment with conventional endoscopic lithotrites because of either anatomic factors or the mechanical limits of available instruments. Alternative methods of cystolithotripsy: ultrasonic, electrohydraulic, or laser, can prove time-consuming or even hazardous, so that open surgery is often the most expeditious option. We report our experience using Dornier HM3 extracorporeal shockwave lithotripsy (SWL) for initial bladder stone reduction preparatory to transurethral litholapaxy and definitive treatment of any underlying obstructive pathology. Primary cystolitholapaxy was judged impractical in these 24 patients (21 adults and 3 children) presenting 31 large bladder stones (mean size 35.6 mm). In all patients, primary transpelvic SWL was followed immediately by endoscopic evacuation of stone debris or cystolitholapaxy. In addition, 10 of the 24 patients (42%) underwent a definitive endoscopic operation for treatment of an underlying obstructive lesion at either the same or a follow-on session. Morbidity was minimal, and the mean hospital stay after the initial SWL treatment was 3.5 days. In our experience, Dornier SWL has proved invaluable in enabling cystolitholapaxy of very large bladder calculi that would otherwise require protracted and difficult endoscopic manipulation or open surgery.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Husain I,el-Faqih SR,Shamsuddin AB,Atassi Rdoi
10.1089/end.1994.8.183subject
Has Abstractpub_date
1994-06-01 00:00:00pages
183-6issue
3eissn
0892-7790issn
1557-900Xjournal_volume
8pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Benign prostatic hyperplasia (BPH) affects more than 50% of men by the age of 60 and 90% by age 85. Many of these men are not candidates for surgical procedures such as transurethral resection of the prostate (TURP), stimulating the development of less-invasive forms of therapy. We studied the ut...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.159
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A unilateral paravertebral (PVB) block with catheter can provide extendable analgesia without physiological changes. The objective of this study was to assess the efficacy of PVB bupivacaine for providing perioperative pain relief in adults undergoing percutaneous nephrolithotomy (PCNL) under gen...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0179
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal function outcomes after renal cryosurgery have not been widely scrutinized. We report 2-year renal function outcomes from a single-center cohort of patients who were treated with cryoablation for small renal masses. METHODS:We performed a retrospective review of our laparoscopic and percut...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0186
更新日期:2010-03-01 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:: Introduction and Objective: Despite the adoption of robotic donor nephrectomy, the steep learning curve of robotic recipient transplantation has hindered the implementation of a complete robot-assisted kidney transplantation (RAKT). We sought to develop a high-fidelity per...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0441
更新日期:2020-10-01 00:00:00
abstract::This is a case report of a 37-year-old man with severe testicular pain unresolved after conventional investigative and therapeutic methods. On the basis of his history of abdominal trauma followed by emergency splenectomy and evidence of functioning splenic tissue on a radionuclide scan, the diagnosis of splenosis was...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.373
更新日期:1999-06-01 00:00:00
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
更新日期:2006-02-01 00:00:00
abstract:: Purpose: To examine gas bubbles generated by two laser lithotripsy devices, a pulsed thulium solid-state laser and a holmium:yttrium-aluminum-garnet (Ho:YAG) device, and their possible effects in lithotripsy. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0526
更新日期:2020-12-22 00:00:00
abstract::Flexible cystoscopy is well established in urological practice. We present a unique image obtained during bladder inspection, illustrating visual refractive distortion, which highlights the potential difficulty in optical interpretation. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0320
更新日期:2010-02-01 00:00:00
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
更新日期:2003-11-01 00:00:00
abstract:: Objective: To evaluate whether reducing the dose of fluoroscopy to ¼ of standard dose during unilateral ureteroscopy for ureteral stone treatment would impact in a reduction of total radiation emitted and whether this strategy would impact operation time, stone-free rate, ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0722
更新日期:2019-07-01 00:00:00
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
更新日期:1997-02-01 00:00:00
abstract:PURPOSE:The preliminary results of laparoscopic radical cystectomy in 85 patients are presented in this study. The functional and oncologic outcomes of this procedure in these patients are discussed. PATIENTS AND METHODS:Between December 2002 and May 2006, we performed 85 laparoscopic radical cystectomies with orthoto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0298
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:To determine the effect of cryoablation on the collecting system in the porcine kidney and the possible development of pelvic injury or fistula. MATERIALS AND METHODS:Six kidneys from three domestic swine were utilized. Under MRI guidance, a 3-mm cryoprobe was placed percutaneously and advanced to a point adja...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903321196779
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Helical CT has become the preferred method for imaging urinary calculi, and so it would be useful if data from helical CT could also be used to predict the number of shockwaves (SWs) needed to break a given stone. METHODS AND MATERIALS:We measured the number of SWs required to comminute calcium ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.471
更新日期:2000-08-01 00:00:00
abstract:PURPOSE:To assess application of cystatin C and neutrophil gelatinase-associated lipocalin (NGAL) as biomarkers for renal ischemic injury. We also evaluated the use of allopurinol as a renoprotective agent. A second goal was to assess cystatin C as a biomarker in patients undergoing partial nephrectomy. METHODS:Using ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0198
更新日期:2013-12-01 00:00:00
abstract:: Background: To examine the impact of the Mayo adhesive probability (MAP) score on the surgical complexity of exposing the tumor during laparoscopic partial nephrectomy (LPN). Patients and Methods: Our study included 318 patient...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0687
更新日期:2020-05-01 00:00:00
abstract::Four techniques of intracorporeal lithotripsy are now available: ballistic, ultrasonic, electrohydraulic, and laser. Their therapeutic efficacies have generally been evaluated and compared, but very few data have been available on their relative risks of iatrogenic trauma to the urothelial wall. We conducted a compara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.293
更新日期:1994-08-01 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::Inability to remove a urethral catheter after radical retropubic prostatectomy is an uncommon complication. We describe removal of a urethral catheter entrapped in vesicourethral anastomotic sutures, which was safely performed endoscopically using a holmium laser. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.83
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Expert-reported outcomes and complications may not reflect the standardized coding that can be provided by independent, third-party evaluations. The goal of this article is to compare expert-reported complications with standardized coding by the National Surgical Quality Improvement Program (NSQIP). The pr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0178
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:We analyzed the results of patients who underwent percutaneous nephrolithotomy (PCNL) for management of kidney stone disease under combined spinal-epidural anesthesia and compared surgical parameters and outcomes with a matched control group who underwent PCNL under general anesthesia. PATIENTS AND METHODS:A t...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0261
更新日期:2009-11-01 00:00:00
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 更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:To determine and compare the status of urologic laparoscopic and robot-assisted surgery (RAS) across the world. METHODS:Two hundred ninety-one surveys were completed by urologists at various national and international conferences in 2008. The 58-item questionnaire assessed the individual and institutional p...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0024
更新日期:2010-10-01 00:00:00
abstract:AIM:To analyze the impact of slowing the shockwave delivery during extracorporeal shockwave lithotripsy (SWL) on the clinical patient outcome and the cost of delivering this service in a community practice. PATIENTS AND METHODS:The data from 1745 consecutive SWL procedures were analyzed at a freestanding surgery cente...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0656
更新日期:2010-09-01 00:00:00
abstract:PURPOSE:We describe a technique for safely accessing an upper pole calix through a 9th or 10th intercostal puncture. PATIENTS AND METHODS:A 9th or 10th intercostal access was used for percutaneous nephrolithotomy (PCNL) in nine patients. Thoracoscopy via the 5th or 6th intercostal space was used to ensure safe passage...
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:Urinary-tract fistulas present unique clinical challenges that often necessitate open surgical excision with interposition of healthy tissue. Advances in retrograde instrumentation have enabled endourologists to employ more minimally invasive approaches to urologic disease, including fistulas. We...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.419
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:The correct length of a ureteral stent is important in minimizing postplacement discomfort and stent migration. We describe and validate a method to accurately measure the ureteral length. MATERIALS AND METHODS:The ureteral length in 48 patients undergoing ureteral stent placement for urolithiasis was measured...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0041
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:To evaluate in vitro and in vivo effects of Moses technology in Holmium laser and to compare it with the Regular mode in terms of lithotripsy efficiency and laser-tissue interactions. METHODS:The Lumenis® Pulse™ P120H holmium laser system together with Moses D/F/L fibers were used to compare the Regular mode...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0050
更新日期:2017-06-01 00:00:00
abstract:INTRODUCTION:Previous robot-assisted partial nephrectomy (RAPN) studies have identified various predictors of overall and major postoperative complications, but few have evaluated the specific role of these factors in the development of medical and surgical complications. In this study, we present an analysis of the mo...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0217
更新日期:2017-03-01 00:00:00