1,720,994 research outputs found
Antegrade transpelvic endopyelotomy in primary obstruction of the ureteropelvic junction
No full textThe authors present a 5-year follow-up of endopyelotomy using a personal technique for cases of primary ureteropelvic junction obstruction. After percutaneous access has been gained via a lower calix, the technique involves wide opening of the renal pelvis and exploration of the peripelvic space before a 3- to 4-cm long sectioning of the ureter. The aim is to carry out all of the operation in full view and without the need for a large-caliber stent, in order to perform endopyelotomy also in pediatric patients or in presence of anomalous vessels. The follow-up demonstrates a good result in 80% of 46 patients aged 5 to 62 years; two patients underwent surgical repair. The authors think the antegrade transpelvic endopyelotomy is an endourologic operation whose results and feasibility parallel those of open surgery
Complex congenital pelvic vascular malformations in the male: A rare cause of andrological symptoms. A case report and review of the literature
No full textWe describe a rare case of complex congenital vascular malformation in a young male with a non specific symptomatology characterized by dysuria, pelvic discomfort and pain in the left thigh and left testicle. Moreover we review the data and the syntomatology of the 70 male patients reported in the literature affected with this rare malformation
Staghorn calculi of the kidney: Classification and therapy
No full textFollowing the introduction of new techniques, the reclassification of staghorn calculi is indicated in order to establish the most suitable form of treatment. Of 269 patients with staghorn calculi treated over 3-year period, 56% underwent extracorporeal shockwave lithotripsy (ESWL) monotherapy; 16% required open surgery and the remaining 28% underwent percutaneous nephrolithotripsy (PCNL) with ultrasound in association with ESWL. The latter group has been reviewed, taking into account invasiveness, results, complications and cost effectiveness. A combination of PCNL and ESWL was beneficial in patients in whom percutaneous access through a single tract removed more than 70% of the stone. As a result of these findings, the authors propose a revised classification of staghorn calculi
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