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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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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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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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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)...
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Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

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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...
388
Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

507
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,...
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Quarrying of Stone01:15

Quarrying of Stone

683
Quarrying is the process of extracting stone from a quarry, where specialized techniques are employed to remove large blocks of stone safely and efficiently. This process can involve controlled explosions or more precision-oriented methods such as cutting and drilling.
One common method involves using a diamond belt saw to cut large blocks from the quarry face. These blocks can be about 50 feet long and 12 feet high. After the initial vertical cut, drilling is performed at the base of the...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
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Percutaneous Stone Manipulation.

P Alken1, G Hutschenreiter1, R Günther1

  • 1Departments of Urology and Radiology, University of Mainz Medical School, Mainz, West Germany.

The Journal of Urology
|December 26, 2016
PubMed
Summary
This summary is machine-generated.

This study shows percutaneous stone manipulation effectively removes obstructing pelvic stones. Ultrasound disintegration and extraction offer a safe and successful approach for kidney stone clearance.

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Area of Science:

  • Urology
  • Nephrology
  • Minimally Invasive Surgery

Background:

  • Obstructing pelvic stones pose a significant clinical challenge.
  • Percutaneous stone manipulation offers a minimally invasive treatment option.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous stone manipulation for obstructing pelvic stones.
  • To compare outcomes between pre-established and percutaneously created nephrostomy channels.

Main Methods:

  • Percutaneous ultrasound disintegration, extraction, and chemolysis were employed in 34 patients.
  • Patients were divided into two groups: operatively established nephrostomy (15 patients) and percutaneous nephrostomy (19 patients).

Main Results:

  • Complete stone clearance was achieved in 19 of 20 stones after percutaneous nephrostomy.
  • Stone clearance was observed in 8 of 16 stones with operatively established nephrostomy.
  • All cases successfully removed obstructing pelvic stones without significant complications.

Conclusions:

  • Percutaneous stone manipulation is a highly effective method for clearing obstructing pelvic stones.
  • The technique demonstrates a favorable safety profile with minimal complications.
  • Percutaneous nephrostomy followed by dilation appears to yield higher stone clearance rates.