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Evaluation of maternal and fetal outcomes in pregnancies with maternal solitary kidney: A case-control study from a tertiary center.
J Pediatr Urol
December 2024
Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.
Introduction: There exists a prevailing concern regarding the heightened susceptibility of women with a solitary kidney to unfavorable consequences during pregnancy. Irrespective of the underlying etiology, individuals with a solitary kidney are advised to have regular annual screenings for blood pressure and urinalysis due to their increased susceptibility to developing proteinuria, hypertension, and renal failure.
Objective: To investigate the risk of adverse pregnancy outcomes in women with a maternal solitary kidney by comparing maternal and fetal outcomes to those of healthy pregnant women.
First use and evaluation of a novel 6.3 Fr disposable flexible ureteroscope for stone management in duplex kidney: a case report.
Transl Androl Urol
November 2024
Department of Urology, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China.
Background: Flexible ureteroscopy (FURS) is increasingly used as the first-line treatment for urological procedures. Disposable digital (dd-)FURS has been developed to overcome limitations such as durability, degradation, and repair cost of reusable scopes. The diameter of commercially-available models ranges from 7.
View Article and Find Full Text PDFNormothermic Ex Vivo Perfusion Before Transplantation of the Kidney (NEXT-Kidney): A Single-center, Nonrandomized Feasibility Study.
Transplantation
October 2024
Department of Surgery, Westmead Hospital, Sydney, NSW, Australia.
Article Synopsis
- The study investigated the use of normothermic machine perfusion (NMP) for improving outcomes in suboptimal deceased donor kidneys, specifically those from donors after circulatory death (DCD).
- A total of 18 DCD kidneys were subjected to NMP for 1 to 3 hours before transplantation, which showed high feasibility, with most kidneys experiencing at least 1 hour of perfusion.
- Results indicated a significantly lower rate of delayed graft function in kidneys that underwent NMP compared to control kidneys, while overall graft survival and function were similar over time, suggesting NMP is a safe and effective option for enhancing kidney transplant outcomes.
Key Clinical Message: Conservative nonsurgical therapy ensures that the resolution is nearly 80% for vesicoureteral reflux grades I and II and 30%-50% for vesicoureteral reflux grades III and V within 4-5 years of follow-up. Open surgical reimplantation of ureters of grades IV and V is a highly successful procedure, with reported correction rates ranging from 95% to 99% regardless of the severity of vesicoureteral reflux.
Abstract: Patients with vesicoureteral reflux present with a wide range of severity.
Congenital single kidney in tuberous sclerosis complex (Bourneville disease).
Ann Med Surg (Lond)
April 2024
Bahman Hospital, Beirut, Lebanon.
Introduction: Bournevile disease is a rare global condition that presents a diagnostic challenge due to its diverse multisystemic involvement.
Case Presentation: This report presents the case of a 14-year-old male with a medical history of congenital single kidney, heart rate abnormalities, Bournevile disease with cognitive deficits, brain lesions, and dermatological features. The patient presented with sudden onset renal angiolipomatosis, and the diagnosis was based on specific computed tomography (CT) findings.
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