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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...

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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

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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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Related Experiment Video

Updated: Jun 3, 2026

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

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

Published on: November 22, 2019

[Ureterocalicostomy: a forgotten surgical technique?].

J A Virseda¹, J Martínez-Ruiz, C Martínez-Sanchiz

¹Servicio de Urología, Complejo Hospitalario Universitario de Albacete, España.

Actas Urologicas Espanolas

|March 8, 2011

Summary

Ureterocalicostomy, a rarely used surgical technique, successfully treated a patient with obstructive uropathy. This approach remains valuable for specific reconstructive urology cases.

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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

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Published on: December 20, 2014

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Last Updated: Jun 3, 2026

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

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

Published on: November 22, 2019

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

Published on: December 20, 2014

Area of Science:

Urology
Surgical Techniques

Background:

Ureterocalicostomy is an infrequently indicated surgical procedure in contemporary urology.
The technique is rarely applied by urologists today.

Observation:

A case of a patient with right pyelical retraction cicatricial process leading to obstructive uropathy of the upper and mid caliceal system is presented.
The lower caliceal system was excluded from the obstruction.

Findings:

Surgical exploration and ureterocalicostomy were performed with a successful outcome.
The patient achieved a long-term cure with normal kidney function.

Implications:

Ureterocalicostomy, though largely forgotten, retains specific indications and effective principles.
Reconstructive urologists should be proficient in this technique and consider it for their surgical armamentarium.