scholarly journals Lockdown is associated with a higher complication rate from ureteric stone disease: Outcomes from four acute hospitals in Northern Ireland

2021 ◽  
Vol 31 ◽  
pp. S21
Author(s):  
Conor McCann ◽  
Abigail Nelson ◽  
Samuel Lockhart ◽  
Alex Macleod
Keyword(s):  
Northern Ireland ◽  
Complication Rate ◽  
Stone Disease ◽  
Ureteric Stone ◽  
Disease Outcomes ◽  
Acute Hospitals

scholarly journals Extracorporeal Shockwave Lithotripsy in the Management of a Large Proximal Ureteric Stone: A Case Report

1970 ◽  
Vol 1 (2) ◽  
pp. 70-73
Author(s):  
Mohammad A H Aly Freeg ◽  
Anu V Ranade ◽  
Jayakumary Muttappallymyalil ◽  
Tarek F A Ghaffar
Keyword(s):  
Anatomical Variations ◽  
Urinary Stone ◽  
Stone Disease ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Ureteral Stones ◽  
Shockwave Lithotripsy ◽  
Ureteric Stone ◽  
Extracorporeal Shockwave ◽  
High Prevalence ◽  
Acute Flank Pain

Urinary stone disease still persists as a major health care problem due to its high prevalence. The management of patients with ureteral stones still remains under debate in several areas. There are different therapeutic approaches for ureteral stones depending on stone size, location, anatomical variations of the urogenital tract and patient performance. Extracorporeal shockwave lithotripsy (ESWL) being the main stay of treatment of choice for the stones, the management of large stone remains a point of discussion. With the latest advance in technology coupled with knowledge, there have been recent changes in therapeutic options for ureteric stones. Therefore, the treatment approaches may be individualized in order to achieve optimum outcomes. This article reports on a case of a large proximal ureteric stone with acute flank pain and hematuria managed by ESWL. Key words: Urinary stone; Ureteric stone; ESWL.DOI: http://dx.doi.org/10.3126/nje.v1i2.5144 Nepal Journal of Epidemiology 2011;1 (2):70-73

scholarly journals Increased Severe Adverse Outcomes and Decreased Emergency Room Visits for Pyelonephritis: First Report of Collateral Damage during COVID-19 Pandemic in Urology

2021 ◽  
pp. 1-7
Author(s):  
Hendrik Borgmann ◽  
Julian P. Struck ◽  
Angelika Mattigk ◽  
Mike Wenzel ◽  
Adrian Pilatz ◽  
...  
Keyword(s):  
Emergency Room ◽  
Reduction Rate ◽  
Time Frame ◽  
Stone Disease ◽  
Adverse Outcomes ◽  
Intensive Care Treatment ◽  
Collateral Damage ◽  
Emergency Room Visits ◽  
Disease Outcomes ◽  
Set Up

<b><i>Purpose:</i></b> The coronavirus disease 2019 (COVID-19) pandemic is disrupting urology health-care worldwide. Reduced emergency room visits resulting in adverse outcomes have most recently been reported in pediatrics and cardiology. We aimed to compare patients with emergency room visits for pyelonephritis in 2019 (pre-COVID-19 era) and within the first wave of pandemic in 2020 (COVID-19 era) with regard to the number of visits and severe adverse disease outcomes. <b><i>Methods:</i></b> We performed a retrospective multicentre study comparing characteristics and outcomes of patients with pyelonephritis, excluding patients with hydronephrosis due to stone disease, in 10 urology departments in Germany during a 1-month time frame in March and April in each 2019 and 2020. <b><i>Results:</i></b> The number of emergency room visits for pyelonephritis in the COVID-19 era was lower (44 patients, 37.0%) than in the pre-COVID-19 era (76 patients, 63.0%), reduction rate: 42.1% (<i>p</i> = 0.003). Severe adverse disease outcome was more frequent in the COVID-19 era (9/44 patients, 20.5%) than in the pre-COVID-19 era (5/76 patients, 6.6%, <i>p</i> = 0.046). In detail, 7 versus 3 patients needed monitoring (15.9 vs. 3.9%), 2 versus no patients needed intensive-care treatment (4.5 vs. 0%), 2 versus no patients needed drain placement (4.5 vs. 0%), 2 versus no patients had a nephrectomy (4.5 vs. 0%), and 2 versus 1 patient died (4.5 vs. 1.3%). <b><i>Conclusion:</i></b> This report of collateral damage during CO­VID-19 showed that emergency room visits were decreased, and severe adverse disease outcomes were increased for patients with pyelonephritis in the COVID-19 era. Health authorities should set up information campaign programs actively encouraging patients to utilize emergency room services in case of severe symptoms specifically during the actual second wave of pandemic.

scholarly journals 1574 Does Use of Intra-Operative PPE Affect Post-Operative Infection Rates in Hip Fracture Patients?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Mercer
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Northern Ireland ◽  
Complication Rate ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Wound Dehiscence ◽  
Infection Rates ◽  
Inpatient Episode ◽  
Traumatic Wound

Abstract Aim COVID-19 has required significant change to theatre protocol. Regional guidelines dictate full PPE must be donned for all procedures where aerosol generating procedures (AGP) occur. Additionally, no one may enter or leave theatre whilst an operation is in progress, or until 20 minutes after an AGP. We hypothesized that adopting these protocols may lead to a reduction in post-operative infection in hip fracture patients. Method Multicentre retrospective cohort study comparing post-operative infection and return to theatre rates (&lt;30-days post-op) from 18/03/20 to 27/04/20 with respective period in 2019. COVID-19 was considered endemic in Northern Ireland from 18/03/20. Patients were identified from the Fracture Outcomes Research Department database and relevant inpatient episode reviewed via Electronic Care Record. Results 464 patients were included– 261(2020) and 203(2019). In 2019, 4 patients (1.5%) returned to theatre within 30-days, however only one was due to wound dehiscence. In 2020, 1 patient (0.5%) returned to theatre for traumatic wound dehiscence, however they had no documented infection. Conclusions There was no difference in post-operative complication rate requiring return to theatre within 30 days between cohorts. Whilst PPE can be considered important for protection of patients and staff against COVID-19, it may not have significant effect on post-operative infection rates.

scholarly journals Covid-19: A Double Edged Sword-Rise in Complicated Ureteric Stone Disease

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Khan ZA ◽  
Swain S ◽  
Tonge K ◽  
Jena M ◽  
Agarwal P ◽  
...  
Keyword(s):  
Stone Disease ◽  
Proper Treatment ◽  
Ureteric Stone ◽  
Delayed Treatment ◽  
Ureteric Calculus ◽  
Ureteric Calculi ◽  
The Government

Introduction: Healthcare is facing one of the biggest challenges in the form of Coronavirus-19 pandemic. Various measures are taken by the government to curb its spread in the form of lockdowns, travel bans, and restrictions upon non-covid admission to assimilate resources to tackle pandemic has affected non-covid patients in the form of delayed treatment. Ureteric calculus can present acutely and in sub-acute forms but without proper treatment in due time may have serious consequences. In our study, we aim to investigate the effect of pandemic upon patients of ureteric calculi.

scholarly journals Intradiverticular Ampulla of Vater: Personal Experience at ERCP

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Girolamo Geraci ◽  
Giuseppe Modica ◽  
Carmelo Sciumè ◽  
Antonio Sciuto
Keyword(s):  
Complication Rate ◽  
Personal Experience ◽  
Ampulla Of Vater ◽  
Stone Disease ◽  
Technical Success ◽  
Endoscopic Retrograde ◽  
Successful Cannulation ◽  
Significant Difference ◽  
Group A ◽  
Group B

Introduction. Conflicting results have been reported about the true impact of intradiverticula ampulla (IA) on the technical success and complication rate of endoscopic retrograde cholangiopancreatography (ERCP). Patients. A total of 500 patients who underwent ERCP were divided into two groups according to the presence (group A, 81 patients) or absence (group B, 419 patients) of IA. Success rate, difficulty at cannulation, findings at ERCP, and procedure-related complications were retrospectively reviewed. Results. Successful cannulation was achieved in 100% of group A patients compared to 98% of group B patients (P = ns). There was a significant difference in the type of cannulation that was routinary in group B (), while requiring guidewire in group A (). Cholangitis (), microstones (), dilated common bile duct without stones (), stone recurrence (), and transient postprocedure hyperamylasemia () were more frequently observed in group A. There was no significant difference in complication rate between both groups. Conclusions. The finding of an IA at ERCP should not be considered a predictor for failed cannulation. IA is associated with post-ERCP transient hyperamylasemia and is a risk factor for biliary stone disease and its recurrence.

Stone disease

2019 ◽  
pp. 437-500
Author(s):  
John Reynard ◽  
Simon F Brewster ◽  
Suzanne Biers ◽  
Naomi Laura Neal
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Management ◽  
Controlled Trial ◽  
Stone Disease ◽  
Ureteric Stone ◽  
Medical Expulsive Therapy ◽  
Randomized Controlled ◽  
The Uk

Significant changes in the acute medical management updates of ureteric stones have occurred since the last edition, following publication in 2015 of the large randomized controlled trial SUSPEND from the UK which suggests that medical expulsive therapy (MET) may not be of any benefit for ureteric stones. Other than this, renal and ureteric stone management remains essentially unchanged.

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