Overall 62 patients coral calculi underwent percutaneous nephrolithotripsy and distant shock-wave lithotripsy (DSWL). Percutaneous nephrolithotripsy as monotherapy was effective at 47 (75.8%) patients. At 15 (24.2%) patients the residual calculi were fragmented with DSWL. Obtained positive results permit to recommend percutaneous nephrolithotripsy both as monotherapy and in combination with DSWL for the treatment of patients with coral nephrolithiasis.
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World J Urol
January 2025
Department of Urology, Azienda Socio Sanitaria Territoriale Lariana, Como, Italy.
Purpose: To assess differences in safety and efficacy between 24 and 18 Fr pneumatic balloon dilators for percutaneous nephrolithotripsy (PCNL) of renal stones between 10 and 20 mm.
Methods: Patients were randomized to dilatation with a 24 Fr (Group A) versus 18 Fr (Group B) Ultraxx pneumatic dilator (Cook Medical). In all procedures percutaneous puncture was performed under ultrasound guidance.
Percutaneous nephrolithotripsy (PCNL) is an effective therapeutic approach in cases of lithiasis, which is prone to complications. In this report we present a case of a 52-year-old female patient with recurrent episodes of lithiasis and, after PCNL, evolution with pain and abdominal distension on the 2nd post-operative day due to a perforation of the gallbladder. An exploratory laparotomy was performed, leading to clinical improvement, and the patient was discharged from the hospital on the 7th day after resolving the choleperitoneum.
View Article and Find Full Text PDFMedicine (Baltimore)
November 2024
Institute of Gerontology, Guangzhou Geriatric Hospital, Guangzhou Medical University, Guangzhou, China.
Rationale: Acute myocardial infarction (AMI) is the leading global cause of death from cardiovascular disease, and the mortality rate increases in the presence of comorbidities such as renal abscess. The treatment of AMI combined with renal abscess is challenging, especially in combination with urinary tract obstruction, as percutaneous coronary intervention (PCI) can lead to progression of the renal abscess and deterioration of renal function. Currently, there is no consensus on the treatment of renal abscess in AMI.
View Article and Find Full Text PDFClin Case Rep
January 2025
Department of Urology Evangelisches Krankenhaus Königin Elisabeth Herzberge gGmbH Berlin Germany.
This study aims to present a case of laparoscopic nephrolithotomy and highlight its successful outcome. The patient was a 65-year-old male who experienced intermittent colicky flank pain. Imaging revealed the presence of a 20-mm round-shaped stone in a hydronephrotic calyx located in the mid-pole of the left kidney, possibly with a parenchymal component.
View Article and Find Full Text PDFArch Esp Urol
December 2024
Department of Urology, The Affiliated Hospital of Qingdao University, 266000 Qingdao, Shandong, China.
Background: Hemorrhage is the most common and dangerous complication after percutaneous nephrolithotripsy (PCNL). Therefore, this study introduces the management experience of bleeding complications in our center.
Methods: This retrospective study included 77 patients with severe bleeding after PCNL.
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