Tubeless percutaneous nephrolithotomy with antegrade stent tether: clinical experience.

Background And Purpose: A limitation of tubeless percutaneous nephrolithotomy (PCNL) is the need for post-operative office cystoscopy to remove the ureteral stent. We developed a novel technique of intraoperative stent placement that allows removal via the flank. Herein, we report on our initial clinical experience.

Modification of tubeless percutaneous nephrolithotomy: anterograde stent with flank tether.

A limitation of tubeless percutaneous nephrolithotomy is the need for postoperative office cystoscopy for removal of the ureteral stent. We have developed a novel technique of intraoperative ureteral stent placement that allows for outpatient removal of the stent through the flank using the stent tether.

Bladder neck closure with lower urinary tract reconstruction: technique and long-term followup.

Purpose: Bladder neck closure (BNC) is an important component of reconstructive urological surgery, especially in the management of neurogenic bladder. To our knowledge we present the largest series of patients who have undergone this procedure.

Materials And Methods: A total of 39 patients with lower urinary tract (LUT) dysfunction secondary to neurogenic bladder underwent transabdominal BNC and simultaneous LUT reconstruction between 1988 and 2002.

Urinary retention in a patient with West Nile virus.

West Nile Virus (WNV) has received much recent attention due to multiple outbreaks in North America, its insidious onset in many patients, and a wide variety of neurologic manifestations. A 45-year-old man who exhibited urinary retention as a presenting symptom of WNV infection is presented herein. We believe this to be the first reported case of a urologic sequela secondary to WNV infection.