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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...

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Related Experiment Video

Updated: Jun 21, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Changing practice locations for upper urinary tract stone disease.

Seth A Strope1, J Stuart Wolf, Gary J Faerber

  • 1Department of Urology, University of Michigan, Ann Arbor, Michigan 48109, USA.

The Journal of Urology
|July 21, 2009
PubMed
Summary
This summary is machine-generated.

Ambulatory surgery centers (ASCs) are safe and efficient for urinary stone surgery, with no reported deaths. However, hospital outpatient departments remain the preferred setting, suggesting ASCs are an underutilized resource for urolithiasis treatment.

Related Experiment Videos

Last Updated: Jun 21, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Area of Science:

  • Urology
  • Health Services Research
  • Surgical Outcomes

Background:

  • Complex surgical procedures are increasingly performed outside traditional hospital settings.
  • Ambulatory surgery centers (ASCs) offer a potential alternative for various surgical interventions.
  • The migration of procedures to ASCs necessitates evaluating specific surgical types, such as urolithiasis surgery.

Purpose of the Study:

  • To assess the suitability of urolithiasis surgery for migration to ambulatory surgery centers (ASCs).
  • To analyze trends in the setting and type of urinary stone surgery over time.
  • To compare patient outcomes, including mortality and readmission rates, between different surgical settings.

Main Methods:

  • Retrospective analysis of 107,417 patients undergoing stone surgery in Florida from 1998 to 2004.
  • Utilized Poisson models to evaluate temporal changes in surgical setting and procedure type.
  • Assessed comorbidity burden, procedure acuity, admission requirements, and mortality rates based on surgical setting.

Main Results:

  • Surgery rates increased across all settings: inpatients (35.5 to 38.2), hospital outpatients (84.2 to 104.7), and ASCs (9.4 to 26.9).
  • For hospitalized patients, routine admissions decreased, while procedure acuity increased.
  • No deaths were reported in ASCs, with a readmission rate of 2.5 per 100,000 cases to acute care hospitals.

Conclusions:

  • Ambulatory surgery centers (ASCs) demonstrate safety and efficiency for urinary stone surgery.
  • Hospital outpatient departments are currently the preferred setting for urolithiasis surgery.
  • ASCs represent an underutilized resource for surgical intervention in patients with urinary stone disease.