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Urinary Tract Calculi VI: Surgical Management

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 III: Medical Management

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 V: Nursing Management

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 II: Pathophysiology and Clinical Manifestations

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...

Kidney Transplant II: Surgical Procedure

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

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Updated: Jun 21, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

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Published on: April 4, 2025

[Nephrolithiasis as a nephrectomy surgical indication. A multicentric study].

Martha Medina-Escobedo¹, Gloria Martín-Soberanis

¹Departamento de Investigación, Hospital General "Dr. Agustín O'Horán," Servicios de Salud de Yucatán, Mérida, Yucatán, México. marthamedinaescobedo@hotmail.com

Revista Medica Del Instituto Mexicano Del Seguro Social

|July 24, 2009

Summary

Nephrolithiasis, or kidney stones, is the primary reason for nephrectomy (kidney removal) in Yucatan, Mexico. This finding differs from other regions, highlighting a unique pattern in the Yucatecan population.

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

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Published on: November 22, 2019

Area of Science:

Urology
Nephrology
Epidemiology

Context:

Urolithiasis is a prevalent condition in Yucatan, Mexico.
Complications include abscesses and renal exclusion, often leading to nephrectomy.
Understanding regional nephrectomy indications is crucial for public health initiatives.

Purpose:

To determine the primary indications for nephrectomy in the Yucatecan population.
To analyze demographic and clinical data associated with nephrectomy.

Summary:

A study analyzed 292 nephrectomies in Yucatan, Mexico.
Nephrolithiasis (kidney stones) was the leading indication (59.6%), followed by renal tumors (21.9%).
Patients with lithiasis were younger and had a longer disease duration compared to non-lithiasis cases.

Impact:

Highlights nephrolithiasis as a significant cause of kidney removal in Yucatan.
Suggests a distinct epidemiological profile for urolithiasis complications in this region.
Informs targeted prevention and treatment strategies for kidney stone disease in Mexico.