Assuntos
Coito , Meios de Contraste , Pênis/lesões , Pênis/cirurgia , Ultrassonografia Doppler/métodos , Adulto , Serviço Hospitalar de Emergência , Seguimentos , Humanos , Masculino , Pênis/diagnóstico por imagem , Doenças Raras , Medição de Risco , Resultado do Tratamento , Procedimentos Cirúrgicos Urogenitais/métodosRESUMO
Ureteric colic is a common presentation to acute emergency services. The gold standard test for the diagnosis of acute ureteric colic is a non-contrast computer tomography of the kidneys ureters and bladder (CT KUB). Non-steroidal anti-inflammatory drugs (NSAIDs) should be used as first-line analgesia, with studies showing that there is no role for steroid or phosphodiesterase-5 inhibitors. There is emerging evidence that a high body mass index (BMI) is a risk factor. The drugs used to facilitate stone passage are known as medical expulsive therapy (MET). The most evaluated being alpha-blockers. The Spontaneous Urinary Stone Passage Enabled by Drugs (SUSPEND) trial was designed to evaluate the use of MET (tamsulosin and nifedipine). This trial showed that there was no difference with MET and placebo for the spontaneous passage of ureteric stones. There is an emerging role for the use of primary ureteroscopy in the management of non-infective ureteric stones.
Assuntos
Cálculos Ureterais/terapia , Doença Aguda , Dieta , Humanos , Estilo de Vida , Nefrostomia Percutânea , UreteroscopiaRESUMO
BACKGROUND AND PURPOSE: Existing imaging modalities of urologic pathology are limited by three-dimensional (3D) representation on a two-dimensional screen. We present 3D-holoscopic imaging as a novel method of representing Digital Imaging and Communications in Medicine data images taken from CT and MRI to produce 3D-holographic representations of anatomy without special eyewear in natural light. 3D-holoscopic technology produces images that are true optical models. This technology is based on physical principles with duplication of light fields. The 3D content is captured in real time with the content viewed by multiple viewers independently of their position, without 3D eyewear. METHODS: We display 3D-holoscopic anatomy relevant to minimally invasive urologic surgery without the need for 3D eyewear. RESULTS: The results have demonstrated that medical 3D-holoscopic content can be displayed on commercially available multiview auto-stereoscopic display. CONCLUSION: The next step is validation studies comparing 3D-Holoscopic imaging with conventional imaging.