This study was aimed to detect the differences in soluble urinary proteins between normal Chinese male individuals and urinary stone formers by 2-dimensional electrophoresis. Twenty urine samples were obtained from normal male adults and 35 from recurrent male urinary stone formers. The stone compositions included calcium oxalate, uric acid, carbonate apatite, and brushite. Two hundred milliliters of fresh urine was collected for analysis. Each urine sample was concentrated, dialyzed, frozen and lyophilized. The samples of the same stone composition were pooled and subjected to two-dimensional electrophoresis. Comparison of protein profiles between normal individuals and stone formers revealed a number of proteins which are not present in the urine of normal individuals, 5 from calcium oxalate, 2 from uric acid, 3 from carbonate apatite and 2 from brushite. These urinary stone-associated proteins comprise proteins A (37kd), B (30kd), C (26kd), D (25kd), and E (22kd) for calcium oxalate, proteins F (63kd) and G (59kd) for uric acid, protein H (65kd), I (42kd), and J (30kd) for carbonate apatite as well as proteins K (61kd) and L (59kd) for brushite. Among them, the proteins A, I, and J exhibited charge heterogeneity.
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J Pediatr Urol
December 2024
Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China; Institute of Urology, Beijing Municipal Health Commission, Beijing, 100050, China. Electronic address:
Introduction: The incidence of kidney stones in children has steadily increased in recent years. Miniaturized percutaneous nephrolithotomy (PCNL) techniques, such as micro-PCNL(4.85Fr) and ultramini-PCNL(<15Fr), have become increasingly prevalent in pediatric kidney stone treatment due to their high stone clearance rate and low complication rate.
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January 2025
Department of Urology, Gaziosmanpasa Training and Research Hospital, Karayolları Mahallesi, Osmanbey Caddesi, 621 Sokak, Gaziosmanpaşa, Istanbul, Turkey.
Percutaneous nephrolithotomy (PCNL) is a widely preferred method for treating complex kidney stones, particularly in patients with larger or more complicated stones. Despite its advantages, such as minimal invasiveness and a shorter recovery time, postoperative complications can occur, thereby necessitating effective risk assessment tools to identify at-risk patients. This study evaluated the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system's utility in predicting postoperative complications following standard PCNL.
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September 2024
Department of Urology, Kasr Alainy Hospitals, Faculty of Medicine, Cairo University, Cairo, Egypt.
Objectives: We aimed to assess the stone free rate of flexible ureteroscopy and laser lithotripsy (FURL) in upper urinary tract stones (UUTS) >20 mm and the risk of complications from ureteral access sheath (UAS) usage.
Methods: This is a prospective randomized clinical trial that included patients with UUTS larger than 20 mm who underwent FURL after randomization into two groups: group A (UAS) and group B (non-UAS). Data were collected for patients' demographics, stone parameters, operative and postoperative complications, and the outcome of FURL regarding stone-free rate (SFR) and perioperative complications, with a 6-month follow-up.
Int Urol Nephrol
January 2025
Department of Urology, People's Hospital of Yangjiang (Affiliated Hospital of Guangdong Medical University, Yangjiang), Yangjiang, 529500, China.
Purpose: To evaluate and compare the efficacy of a newly designed in-house assistive internal fluid circulatory device in ureteroscopic lithotripsy for ureteral stones.
Methods: In this study, 97 patients were assigned to the trial group and underwent ureteroscopic lithotripsy with an in-house newly designed assistive internal fluid circulatory device; 96 patients were assigned to the control group and underwent traditional ureteroscopic lithotripsy without the assistive device. The primary outcome was the final stone-free rate (SFR) at 1-month post-surgery.
Langenbecks Arch Surg
January 2025
Urology and Nephrology Research Center (UNRC), Center of Excellence in Urology, Shahid Labbafinajad Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.
Purpose: Percutaneous nephrolithotomy (PCNL) as an established procedure for treatment of large kidney stones, can trigger life threatening complications. Postoperative hemorrhaging is one of the main complications of PCNL. This study investigates the effectiveness of balloon nephrostomy in reducing hemorrhage in the postoperative phase of PCNL.
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