scholarly journals Double obstruction of upper and lower urinary tract in a child due to renal stone disease: Endoscopic treatment

2021 ◽  
Vol 1 ◽  
pp. 31-33
Author(s):  
Sangeetha Geminiganesan ◽  
Latha Ravichandran ◽  
Ramesh Babu Srinivasan

Incidence of renal stone disease/urolithiasis has increased significantly in children due to multifactorial causes. Stones secondary to metabolic abnormalities are treatable if it is identified at the early stage. Surgical intervention may be needed depending on the site, size of the stone, and the clinical presentation. We report a 12-year-old adolescent boy with multiple calculi at various sites who needed medical as well as surgical intervention.

2018 ◽  
Vol 12 (1) ◽  
pp. 243-247
Author(s):  
Marianne Stærk ◽  
Sara A. Tolouee ◽  
Jens J. Christensen

Introduction: Haemophilus influenzae commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the Haemophilus influenzae b (Hib) vaccine, non-typable haemophilus species now cause the majority of invasive disease in Europe. Case Report: We report a case of an adult man with non-typable Haemophilus influenzae septicemia, urinary tract infection and bilateral renal stone disease. The patient presented with right sided flank pain and a CT scan showed bilateral renal stones and a right sided ureteral stone causing obstruction. Results and Discussion: Haemophilus influenzae was identified in blood and urine and despite a tendency of increasing antibiotic resistance among Haemophilus influenzae, our strain was susceptible to all antibiotics tested. Treatment consisted of 3 days of intravenous cefuroxime, insertion of a right sided JJ ureteric stent and 5 days of peroral ciprofloxacin after discharge. Physicians and microbiologists should be aware of Haemophilus influenzae as a possible urinary tract pathogen, especially when urinary tract abnormalities are present, and take the risk of antibiotic resistance into consideration at initial treatment.


Author(s):  
Adie Viljoen ◽  
Rabia Chaudhry ◽  
John Bycroft

Renal stone disease is a worldwide problem which carries significant morbidity. It frequently requires specialist urology intervention. Patients with recurrent disease and those at high risk require specialist investigations and review. Certain cases benefit from medical and surgical intervention. In this review, we discuss the pathophysiology, risk assessment, specialist investigations and various interventions, their rationale and evidence base. This review aims to provide an update of the previous publication in 2001 in this journal on this topic.


2020 ◽  
Vol 7 (6) ◽  
pp. 1001
Author(s):  
Rama Kishan Saran ◽  
Ravindra Purohit ◽  
Pradeep K. Sharma ◽  
M. K. Chhabra ◽  
Gordhan Chaudhary

Background: Renal stone is a common disease in Western Rajasthan. The aim of this study was to identify the causes of patient with renal disease for opting alternative methods for treatment instead of surgical approach.Methods: A prospective study was conducted at the Department of Urology, Dr. SN Medical College, Jodhpur, Rajasthan between August 2018 and July 2019. Patients with diagnosis of complicated renal stone disease including infected hydronephrosis, pyonephrosis, and calyceal rupture were enrolled in this study. Along with demographic characteristics patients were asked to enumerate causes for delay in seeking surgical intervention in sequential order and the reasons given by each patient were recorded separately.Results: A total of 80 patients with complicated renal stone disease were included in the study. Majority of the patients (77.50%) were men. Out of 80 patients, 32 patients were illiterate and 28 patients had primary level of education. Sixty-two patients reported only single reason for their negligence. Eleven and three patients reported two and three reasons, respectively. However, four patients could not provide any reason. The major cause reported by the patients (57.5%) for neglecting their disease was dependence and trust on alternative methods including ayurvedic medicines, homeopathic medicines, bhopas, and superstition.Conclusions: The majority of patients were belonged to lower socioeconomic class reported that dependence and trust on alternative methods including ayurvedic and homeopathic medicines are the major cause of neglecting their disease.


1996 ◽  
Vol 27 (S 1) ◽  
pp. 30-31
Author(s):  
K. Koiso ◽  
M. Ohtani ◽  
K. Aoyagi ◽  
H. Akaza

2020 ◽  
Vol 29 (15) ◽  
pp. 848-856
Author(s):  
Nicholas Fletcher

This article provides an introduction to patient selection for, and the processes involved in, sacral neuromodulation (SNM) device implantation as a treatment for urinary symptoms. SNM has been an option to treat lower urinary tract dysfunction for more than 20 years and is a treatment for both overactive bladder syndrome (OAB) and female non–obstructed chronic urinary retention (FCUR). It is recognised by the National Institute for Health and Care Excellence as a therapeutic option for OAB and FCUR. SNM has its place in the pathway for the treatment of both conditions and, in the correctly assessed patient, can be the last option before considering major surgical intervention.


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