COMPLICATIONS DUE TO THE JOHNSON URETERAL STONE BASKET

1957 ◽  
Vol 2 (19) ◽  
pp. 695-695
Keyword(s):  
2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Selcuk Sarikaya ◽  
Berkan Resorlu ◽  
Ekrem Ozyuvali ◽  
Omer Faruk Bozkurt ◽  
Ural Oguz ◽  
...  

A 28-year old man presented with left flank pain and dysuria. Plain abdominal film and computed tomography showed a left giant ureteral stone measuring 11.5 cm causing ureteral obstruction and other stones 2.5 cm in size in the lower pole of ipsilateral kidney and 7 mm in size in distal part of right ureter. A left ureterolithotomy was performed and then a double J stent was inserted into the ureter. The patient was discharged from the hospital 4 days postoperatively with no complications. Stone analysis was consistent with magnesium ammonium phosphate and calcium oxalate. Underlying anatomic or metabolic abnormalities were not detected. One month after surgery, right ureteral stone passed spontaneously, left renal stone moved to distal ureter, and it was removed by ureterolithotomy. Control intravenous urography and cystography demonstrated unobstructed bilateral ureter and the absence of vesicoureteral reflux.


1997 ◽  
Vol 157 (6) ◽  
pp. 2248-2248 ◽  
Author(s):  
Allan J. Pantuck ◽  
Joel W. Goldsmith ◽  
John B. Kuriyan ◽  
Robert E. Weiss
Keyword(s):  

2013 ◽  
Vol 12 (4) ◽  
pp. e1137, S29
Author(s):  
A. Karakose ◽  
M.B. Yuksel ◽  
S.N. Gorgel ◽  
N. Pirincci ◽  
Y.Z. Atesci ◽  
...  

2016 ◽  
Vol 15 (3) ◽  
pp. e462
Author(s):  
C.Y. Yoon ◽  
M.K. Kong ◽  
H.G. Ahn ◽  
S.G. Kang ◽  
J.H. Han ◽  
...  

1953 ◽  
Vol 70 (5) ◽  
pp. 716-719 ◽  
Author(s):  
Milo Ellik ◽  
John Getz
Keyword(s):  

2016 ◽  
Vol 88 (1) ◽  
pp. 7 ◽  
Author(s):  
Paolo Beltrami ◽  
Andrea Guttilla ◽  
Lorenzo Ruggera ◽  
Patrizia Bernich ◽  
Filiberto Zattoni

Aim: In the last thirty years, the treatment for renal and ureteral calculi has undergone profound variations. The objective of this study has been to evaluate the existence of parameters which can affect the spontaneous expulsion of a symptomatic ureteral stone in a reasonably brief period of time and to identify whether certain parameters such as sex, age, the location and dimension of the stone, the presence of dilation in the urinary tract together with the administered therapy, can be used for a correct clinical management of the patient. Methods: In a period of 9 months, 486 cases of renal colic were registered at emergency department. Results: The cases of renal colic due to ureteral calculus were 188 (38.7%). The patients’ charts, complete of all data and therefore, valid for this research, resulted to be 120 (64%). In the presence of a symptomatic ureteral stone, the correct approach must first of all, focalize on the dimension of the calculus itself; less importance instead, is given to the location, as reported in other studies, the presence of hydroureteronephrosis, sex and the side. Conclusion: In the cases when the pain symptoms cannot be solved by means of the administration of analgesics, it is then reasonable to take into consideration an immediate endourological treatment. If the pain symptoms are promptly solved, an attentive wait of 4 weeks should be considered reasonable in order to allow spontaneous expulsion of the calculus.


2018 ◽  
Vol 90 (3) ◽  
pp. 163-165
Author(s):  
Mohammad Hadi Radfar ◽  
Reza Valipour ◽  
Behzad Narouie ◽  
Mehdi Sotoudeh ◽  
Hamid Pakmanesh

Introduction: Previous radiological studies revealed that stones lodge more frequently in the ureterovesical junction (UVJ) as well as the proximal ureter. Factors that prevent stone passage from the proximal ureter are not well studied. Aim: To explore the site of the lodged stones in the proximal ureter with direct observation during laparoscopic ureterolithotomy. Materials and methods: Between November 2014 and February 2015, we included 26 patients including 18 men and 8 women with stones larger than 10 millimeters in the proximal ureter who were candidate for laparoscopic ureterolithotomy. We prospectively recorded the site of the lodged stones in the ureter during laparoscopic ureterolithotomy in relation with the sites of ureteral stenosis as well as the gonadal vessels. Results: Among 26 patients with ureteral stone, in 19 cases stone was found close to the gonadal vein compared with seven cases that stone was in other locations of the ureter (p = 0.02). The characteristics of patients and stones were not different in cases that the stone was close to gonadal vessels compared with other locations. Conclusions: This study showed that most of the stones lodged in the proximal ureter were in close proximity with gonadal vessels. Gonadal vessels may be an extrinsic cause of ureteral narrowing.


2014 ◽  
Vol 86 (2) ◽  
pp. 118
Author(s):  
Roberto Giulianelli ◽  
Barbara Cristina Gentile ◽  
Giorgio Vincenti ◽  
Luca Mavilla ◽  
Luca Albanesi ◽  
...  

Aim of the study: To demonstrate how, in a center with a large number of patients, as our center is, it is possible to perform ureterolithotripsy using a limited set of instruments. Methods: We evaluated medical charts of our center related to semirigid ureteral ureteroscopy (URS) with ureterolithotripsy using Holmium laser performed from July 2004 to July 2011. Overall, 658 URS for ureteral stones were performed in 601 patients, of which 204 in proximal ureter (31%), 86 in the mid (13.06%) and 368 (57.76%) in the distal ureter. In 504 patients (76.5%) ureterohydronephrosis (Grade II-III) was observed. In 57 patients (8.6%), we performed a bilateral approach at the same time, but most patients had a solitary distal ureteral stone. 106 patients (16.1%) had more than one stone in their distal ureter and 96 (14.8%) had a proximal ureteral stone treated in the same surgery as well. Results: The overall stone-free rate for ureteral stones was 86.1% (567/658). Success rates for proximal, medial and distal ureteral stones were 68.13% (139/204 patients), 84.8% (73/86 patients) and 96.4% (355/368 patients), respectively. One hundred and twenty patients (18.3%) required additional surgical treatment for their stones beyond the initial URS, including a second URS in 97 patients (14.74%) and URS plus Retrograde Intra-Renal Surgery (RIRS) in 23 patients (3.54%). The overall stonefree rate after the second treatment was 99.3%. Intra-operative complications accounted for 5.92% and consisted of ureteral perforations in 16 pts (2.4%), erosions of urothelium leading to significant bleeding in 15 pts (2.27%), severe pain in 4 pts (0.6%), fever in 3 pts (0.45%) and one case of ureteral avulsion (0.15%). Conclusions: This study demonstrates that the use of Holmium laser lithotripsy is a safe and effective means of treating ureteral stones regardless of sex, age, stone location, or stone size. The instrumentation we used was extremely limited, in order to reduce costs related to the procedure to an absolute minimum whilst maintaining the two quality indicators for the procedure, namely success rate and length of hospitalisation (86.1% and 34 hours).


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