scholarly journals Genitourinary tuberculosis masquerading as a ureteral calculus

2013 ◽  
Vol 7 (5-6) ◽  
pp. 363 ◽  
Author(s):  
Nathan Wong ◽  
Nathan A. Hoag ◽  
Edward C. Jones ◽  
Allen Rowley ◽  
Martin G. McLoughlin ◽  
...  
Keyword(s):  
Shock Wave ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Clinical Suspicion ◽  
Ureteral Calculus ◽  
Rare Clinical Entity ◽  
Genitourinary Tuberculosis ◽  
Extracorporeal Shock Wave ◽  
Extrapulmonary Site ◽  
Work Up

The genitourinary tract is a common extrapulmonary site of tuberculosis infection, yet remains a rare clinical entity in North America. We report the case of a 37-year-old man who presented for extracorporeal shock wave lithotripsy for a suspected ureteral stone on imaging. Further work up confirmed a diagnosis of genitourinary tuberculosis. Medical management was undertaken and ultimately, nephrectomy performed. This case highlights the importance of maintaining a high index of clinical suspicion for genitourinary tuberculosis.

Ureteral Stone Manipulation Before Extracorporeal Shock Wave Lithotripsy

1988 ◽  
Vol 139 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Robert J. Evans ◽  
Denise D. Wingfield ◽  
Barbara A. Morollo ◽  
Alan D. Jenkins
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Extracorporeal Shock Wave

scholarly journals ULTRASTRUCTURAL CHANGES ON SPERM AFTER EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN PATIENTS WITH DISTAL URETERAL STONE

2006 ◽  
Vol 52 (2) ◽  
pp. 139-143 ◽  
Author(s):  
S. Bedir ◽  
M. Kilciler ◽  
Y. Ozgok ◽  
M. Cincik ◽  
M. Erbil ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Ultrastructural Changes ◽  
Extracorporeal Shock Wave ◽  
Distal Ureteral Stone

scholarly journals EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR URETERAL STONE IN PATIENT WITH IMPLANTED CARDIAC PACEMAKER: A CASE REPORT

2003 ◽  
Vol 94 (6) ◽  
pp. 626-629
Author(s):  
Yuji Kato ◽  
Kyokushin Hou ◽  
Junichi Hori ◽  
Narumi Taniguchi ◽  
Satoshi Yamaguchi ◽  
...  
Keyword(s):  
Shock Wave ◽  
Case Report ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Cardiac Pacemaker ◽  
Extracorporeal Shock Wave

scholarly journals Preoperative use of alpha-1 receptor blockers in male patients undergoing extracorporeal shock wave lithotripsy for a ureteral calculus: a retrospective cohort study

2019 ◽  
Author(s):  
Takashi Yoshioka ◽  
Kenji Omae ◽  
Tatsushi Kawada ◽  
Yosuke Inoue ◽  
Morito Sugimoto ◽  
...  
Keyword(s):  
Shock Wave ◽  
Cohort Study ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Treatment Success ◽  
Ureteral Calculus ◽  
Single Session ◽  
Extracorporeal Shock Wave ◽  
Male Patients ◽  
Negative Predictor

Abstract Purpose To characterize the preoperative use of alpha-1 adrenergic receptor (AR) blockers and investigate its impact on the outcome of single-session extracorporeal shock wave lithotripsy (SWL) for a ureteral calculus in male patients. Methods We conducted a retrospective single-center cohort study involving 193 patients who underwent SWL for a single ureteral calculus between 2006 and 2016. We reviewed their medical records to obtain the data on the preoperative use of alpha-1 AR blocker and, if any, the reason for the prescription. The primary outcome was treatment success after single-session SWL, defined as complete stone clearance or residual fragments <4 mm in size by X-ray imaging. We performed a multivariable logistic regression analysis adjusting for clinically important confounders to examine the association between preoperative use of alpha-1 AR blockers and the treatment success of SWL. We further analyzed this association according to the reason for the prescription. Results Among the 193 patients, 15 (7.8%) were taking an alpha-1 AR blocker preoperatively with 8 (4.1%) for medical expulsive therapy (MET) and 7 (3.7%) for the treatment of benign prostatic hypertrophy (BPH). A multivariate analysis showed that the preoperative use of alpha-1 AR blocker was a significant negative predictor for treatment success of SWL (adjusted odds ratio [aOR] 0.17; 95% confidence intervals [CI], 0.04–0.74). Moreover, the use of alpha-1 AR blocker for MET, but not for BPH, was associated with lower rate of successful treatment (aOR 0.14 and 0.23; 95% CI, 0.02-0.90 and 0.03-1.97, respectively). Conclusions Our findings suggest that the preoperative use of alpha-1 AR blocker, especially for MET, was a negative predictor for treatment success of SWL in male patients with a single ureteral calculus. Clinicians should pay more attention to the preoperative drug use in determining an appropriate stone therapy modality.

Development of a Scoring System From Noncontrast Computerized Tomography Measurements to Improve the Selection of Upper Ureteral Stone for Extracorporeal Shock Wave Lithotripsy

2009 ◽  
Vol 181 (3) ◽  
pp. 1151-1157 ◽  
Author(s):  
Chi-Fai Ng ◽  
Deyond Yung-Woon Siu ◽  
Annie Wong ◽  
Williams Goggins ◽  
Eddie Shuyin Chan ◽  
...  
Keyword(s):  
Shock Wave ◽  
Computerized Tomography ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Scoring System ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Extracorporeal Shock Wave ◽  
Selection Of

Efficacy of Tamsulosin with Extracorporeal Shock Wave Lithotripsy for Passage of Renal and Ureteral Calculi

2008 ◽  
Vol 42 (5) ◽  
pp. 692-697 ◽  
Author(s):  
Ryan L Losek ◽  
Laurie S Mauro
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Data Extraction ◽  
Renal Stones ◽  
Ureteral Stones ◽  
Control Group ◽  
Stone Clearance ◽  
Extracorporeal Shock Wave

Objective: To review the evidence for the safety and efficacy of adjunctive tamsulosin in enhancing the efficacy of renal and ureteral stone clearance when used with extracorporeal shock wave lithotripsy (ESWL). Data Sources: A search of MEDLINE (1950-January 2008), PubMed (1950-January 2008), and the Iowa Drug Information System (1966-January 2008) was performed using the search terms tamsulosin and extracorporeal shock wave lithotripsy. MeSH headings included lithotripsy and adrenergic α-antagonists. Additional references were found by searching bibliographic references of resulting citations. Study Selection and Data Extraction: All studies utilizing tamsulosin therapy after a single session of ESWL or after the development of steinstrasse, an accumulation of stone fragments that obstructs the ureter, were included. Data Synthesis: To date, 5 prospective studies have evaluated the efficacy of tamsulosin combined with ESWL in enhancing the passage of renal and ureteral stones. in one trial, 12-week renal stone clearance was 60% in the control group compared with 78.5% in the tamsulosin group (p = 0.037). Among trials that evaluated overall ureteral stone clearance, efficacy rates were 33.3-79.3% in the control groups compared with 66.6-96.6% in the tamsulosin groups. Reports of pain and supplemental analgesic dosing were consistently lower with tamsulosin, but data on the incidence of subsequent retreatment with ESWL or ureteroscopy was rarely reported. Adjunctive tamsulosin particularly enhanced the passage of renal stones 10-24 millimeters in diameter. Overall, tamsulosin was well tolerated. Conclusions: Overall, evidence suggests that adjunctive tamsulosin therapy combined with ESWL is safe and effective in enhancing stone clearance in patients with renal stones 10-24 millimeters in diameter. Evidence regarding ureteral stone clearance is inconclusive, although adjunctive tamsulosin has been reported to reduce painful episodes. Larger prospective trials evaluating different dosages and stone locations, as well as the ability of tamsulosin to reduce repeat ESWL or more invasive methods such as ureteroscopy should be performed.

Optimal Therapy for the Distal Ureteral Stone: Extracorporeal Shock Wave Lithotripsy Versus Ureteroscopy

1994 ◽  
Vol 152 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Kevin R. Anderson ◽  
David W. Keetch ◽  
David M. Albala ◽  
Paramjit S. Chandhoke ◽  
Bruce L. Mcclennan ◽  
...  
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Ureteral Stone ◽  
Optimal Therapy ◽  
Extracorporeal Shock Wave ◽  
Distal Ureteral Stone
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