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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 II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

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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...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

222
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...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

145
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)...
145

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Impact of lower pole stone location on outcomes of paediatric flexible ureteroscopy: results from a large endourology multicentric cohort study.

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Combining the power of flexible and navigable suction access sheath (FANS) and direct in scope suction (DISS): introduction to the flexible integrated retrograde suction-ureteroscopy technique (FIRST) procedure-an audit study by the endourology section of the European Association of Urology.

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Does omitting a ureteral stent affect the outcomes of uncomplicated ureteroscopy for ureteral and kidney stones in adults? Results from a systematic review and meta-analysis of comparative randomized trials by the EAU endourology section.

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Related Experiment Video

Updated: Dec 30, 2025

Vessel-sparing Excision and Primary Anastomosis
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A Bladder Stone 28 Years After Burch Colposuspension.

Daniele Castellani1, Michele Pucci1, Marco Dellabella1

  • 1Department of Urology, IRCCS INRCA, Ancona, Italy.

Urology
|January 26, 2020
PubMed
Summary

Bladder stones can form years after Burch colposuspension due to suture erosion. Prompt diagnosis and laser treatment are crucial for managing this rare complication in women.

Area of Science:

  • Urology
  • Gynecology

Background:

  • Burch colposuspension is a surgical procedure to treat stress urinary incontinence.
  • Nonabsorbable sutures used in colposuspension can potentially erode into the bladder over time.

Observation:

  • An 86-year-old female presented with a large bladder stone 28 years post-Burch colposuspension.
  • Cystoscopy revealed the stone was associated with a nonabsorbable suture eroding the bladder wall.

Findings:

  • Transurethral holmium laser lithotripsy successfully fragmented the bladder stone.
  • Thulium laser effectively removed the eroded bladder wall segment.

Implications:

  • Suture erosion is a potential long-term complication of Burch colposuspension.

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  • Persistent or new bladder symptoms in women with prior colposuspension warrant investigation for suture erosion.