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1.
Am J Case Rep ; 25: e943781, 2024 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-38816969

RESUMO

BACKGROUND Double-J (D-J) ureteric stents are widely applied in urological operations as they play a vital role in maintaining postoperative functionality of the patient's urinary system and thereby accelerating recovery. D-J stent encrustation may occur due to prolonged retention and lead to secondary complications. We report the case of a forgotten D-J stent that gradually formed into a bladder stone. CASE REPORT A 54-year-old man was referred to the Urology Department due to intermittent hematuria, left flank pain, and lower urinary tract symptoms that persisted for 2 weeks. His history was significant for undergoing left ureterolithotripsy followed by the implantation of an ipsilateral D-J stents 2 years ago in a local hospital. The patient did not follow-up regularly or actively seek medical attention for his urinary tract symptoms. Computed tomographic urography revealed a hyperdense tubular object protruding from the left distal ureter to the bladder. The patient underwent cystolithotripsy, left ureteric stent removal, and left ureteroscopy to clear away the bladder stone and its D-J stent core. CONCLUSIONS Formation of bladder stones secondary to prolonged indwelling D-J stent and its encrustation is not uncommon in developing countries where the level of public education is low. Prompt D-J stent removal can prevent complications associated with its retention and avoid unnecessary secondary procedures. Endoscopic urologic procedures are safe and feasible management options, and doctor-to-patient communication is vital for a better prognosis.


Assuntos
Stents , Cálculos da Bexiga Urinária , Humanos , Masculino , Pessoa de Meia-Idade , Stents/efeitos adversos , Cálculos da Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/terapia , Ureter/cirurgia , Remoção de Dispositivo , Corpos Estranhos/cirurgia , Ureteroscopia , Litotripsia
2.
BMJ Case Rep ; 17(4)2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38688572

RESUMO

Bladder stones represent approximately 5% of all cases of urolithiasis and are typically identified and managed long before causing irreversible renal injury. We present a case of a man in his 40s with a prior history of a gunshot wound to the abdomen who presented with leakage from a previously healed suprapubic tube tract and was found to have a giant bladder stone with a resulting renal injury. He subsequently underwent a combined open cystolithotomy and vesicocutaneous fistulotomy during his hospitalisation, which helped to improve his renal function. In addition to there being few reported cases of bladder stones >10 cm, this represents the first report in the literature of an associated decompressive 'pop-off' mechanism through a fistulised tract.


Assuntos
Fístula Cutânea , Cálculos da Bexiga Urinária , Ferimentos por Arma de Fogo , Humanos , Masculino , Cálculos da Bexiga Urinária/diagnóstico , Cálculos da Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/diagnóstico por imagem , Fístula Cutânea/etiologia , Fístula Cutânea/cirurgia , Fístula Cutânea/diagnóstico , Adulto , Ferimentos por Arma de Fogo/complicações , Ferimentos por Arma de Fogo/cirurgia , Fístula da Bexiga Urinária/etiologia , Fístula da Bexiga Urinária/diagnóstico , Fístula da Bexiga Urinária/cirurgia
3.
Int Urogynecol J ; 35(4): 921-923, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38308690

RESUMO

INTRODUCTION AND HYPOTHESIS: Intravesical mesh is an uncommon complication following synthetic midurethral sling placement. Management options have included endoscopic techniques such as laser ablation or surgical excision. We present our technique for robotic-assisted excision of intravesical mesh following a retropubic midurethral sling. METHODS: The patient is a 66-year-old woman with a remote history of laser ablation of intraurethral mesh after midurethral sling, and persistent symptomatic intravesical mesh with associated stone at the bladder neck and right bladder wall. Robotic excision of the intravesical mesh and stone was performed by entering the space of Retzius, carrying the dissection along the right arm of the retropubic sling, performing two cystotomies to free and remove the mesh, and finally closing the cystotomies in two layers. RESULTS: The patient was discharged on postoperative day 1. A cystogram prior to catheter removal showed no extravasation and a competent bladder neck. She reported no new stress incontinence and had improvement in overactive bladder symptoms. CONCLUSIONS: Robotic excision of intravesical mesh after synthetic midurethral sling was safely performed in this patient who had multiple areas of intravesical mesh. Management aspects reported here may be helpful for complex presentations of intravesical mesh.


Assuntos
Procedimentos Cirúrgicos Robóticos , Slings Suburetrais , Telas Cirúrgicas , Idoso , Feminino , Humanos , Remoção de Dispositivo/métodos , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Procedimentos Cirúrgicos Robóticos/métodos , Slings Suburetrais/efeitos adversos , Telas Cirúrgicas/efeitos adversos , Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/etiologia , Incontinência Urinária por Estresse/cirurgia
4.
Urol Int ; 108(3): 272-275, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38377979

RESUMO

INTRODUCTION: Approximately 5% of bladder stones occur in women and are usually associated with foreign bodies or urinary stasis. Spontaneous migration of the intrauterine device (IUD) into the bladder is a rare complication. In this report, we present 2 cases of migrated IUD who had undergone surgery at our clinic due to bladder stones. CASE PRESENTATIONS: We detected migrated IUDs into the bladder in 2 female patients, aged 37 and 56 years, who presented with lower urinary tract symptoms and urinary tract infection. In the first case, endoscopic cystolithotripsy was performed, and the IUD was removed without complications. In the second case, the IUD could not be removed endoscopically since it had fractionally invaded the bladder wall, and the IUD was removed without complications by performing an open cystolithotomy. CONCLUSION: A comprehensive gynecological history should be taken from every female patient presenting with recurrent urinary tract infections and lower urinary tract symptoms. If these patients have a history of IUD placement, the possibility of the intravesical migration of this device should be kept in mind.


Assuntos
Migração de Dispositivo Intrauterino , Dispositivos Intrauterinos , Litotripsia , Cálculos da Bexiga Urinária , Humanos , Feminino , Cálculos da Bexiga Urinária/etiologia , Cálculos da Bexiga Urinária/cirurgia , Adulto , Pessoa de Meia-Idade , Dispositivos Intrauterinos/efeitos adversos , Migração de Dispositivo Intrauterino/efeitos adversos , Litotripsia/efeitos adversos , Migração de Corpo Estranho/etiologia , Migração de Corpo Estranho/cirurgia , Bexiga Urinária/cirurgia , Cistoscopia , Remoção de Dispositivo , Infecções Urinárias/etiologia , Resultado do Tratamento
5.
Medicine (Baltimore) ; 103(2): e35880, 2024 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-38215141

RESUMO

Urolithiasis, or the formation of calculi in the urinary system, represents a prevalent urological condition frequently encountered among individuals aged 30 to 55 years. An in-depth analysis of the composition of these calculi holds significant promise in shedding light on the underlying etiological and pathogenic factors contributing to this ailment. The primary objective of this study was to delineate the principal components comprising urinary system calculi within a cohort of patients who sought medical intervention at a tertiary grade A hospital located in Baoding City. Furthermore, our investigation entailed a comprehensive examination of the physical and morphological characteristics exhibited by these calculi. In this study, a total of 2307 individuals afflicted with urinary system calculi were recruited as participants, and a corresponding number of 2307 calculous specimens were subjected to thorough examination. The specimens were examined using infrared spectroscopy. We collected and examined patient data including gender, age, location of the calculi, employment status, residential area, and other factors. The middle-aged demographic exhibited a conspicuous predilection for urinary system calculi, wherein a notable gender disparity was observed, with a male-to-female ratio of 1.63 to 1. Among the enrolled patients, kidney calculi were prevalent in 1270 cases, ureteral calculi were documented in 983 cases, and bladder calculi were encountered in 46 instances. Notably, the principal components comprising these calculi were identified as calcium oxalate and apatite, while uric acid and ammonium magnesium phosphate were comparatively less frequently encountered. Furthermore, the analysis of calculus composition across patients residing in distinct geographical regions did not reveal any statistically significant variations. The identification of components within upper urinary tract calculi plays a pivotal role in elucidating the root causes of calculus formation. This valuable information empowers healthcare professionals, particularly nursing staff, to provide personalized dietary and health guidance to patients, thereby enhancing the quality of care and promoting more effective management of this condition.


Assuntos
Cálculos Ureterais , Cálculos da Bexiga Urinária , Cálculos Urinários , Urolitíase , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Urolitíase/epidemiologia , Urolitíase/etiologia , Urolitíase/prevenção & controle , Cálculos Urinários/epidemiologia , Cálculos Urinários/prevenção & controle , Medição de Risco , China/epidemiologia
6.
World J Urol ; 42(1): 13, 2024 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-38189811

RESUMO

PURPOSE: To compare the postoperative outcomes of male patients who underwent bladder stone (BS) removal, with or without concomitant benign prostatic hyperplasia (BPH) surgery. PATIENTS AND METHODS: All men aged > 50 years who underwent BS removal at two French university hospitals between 2009 and 2018 were retrospectively reviewed. Four binary outcome criteria were identified during the follow-up: early postoperative complications, stone recurrence, subsequent surgery for BS or BPH, and late surgical complications. A composite score ranging from 0 to 4 was calculated by combining the four criteria. RESULTS: A median follow-up period of 42 months was observed in 179 patients. Of these, 107 patients were in the "concomitant surgical treatment" (CST) group and 72 in the bladder "stone removal alone" (SRA) group. The CST group presented higher baseline post-void residual volume (105 vs. 30 ml, p = 0.005). Patients who underwent CST had a significantly lower rate of BS recurrence (12% vs. 39%; p = 0,001) and underwent fewer subsequent surgeries (14% vs. 44%; p < 0.001). There was no significant difference in the early (51% vs. 35%, p = 0,168) and late (26% vs. 17%, p = 0,229) complications rates between the two groups. A better composite score was observed in the CST than in the SRA, but the difference was not significant (3.07 vs. 2.72, p = 0.078). CONCLUSION: As CST increases morbidity and decreases the risk of reoperation, each situation should be considered, taking into account patient choice and comorbidities.


Assuntos
Hiperplasia Prostática , Cálculos da Bexiga Urinária , Humanos , Masculino , Cálculos da Bexiga Urinária/epidemiologia , Cálculos da Bexiga Urinária/cirurgia , Estudos Retrospectivos , Hiperplasia Prostática/complicações , Hiperplasia Prostática/cirurgia , Hospitais Universitários , Seleção de Pacientes
7.
Urologia ; 91(1): 112-116, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37421248

RESUMO

INTRODUCTION: Bladder stones account for 5% of all urolithiasis. Patients present with LUTS or acute urinary retention. Thus, warranting an early intervention. Minimally invasive approach with laser lithotripsy is the present gold standard to treat bladder stones. AIMS AND OBJECTIVES: To evaluate the outcomes of TFL (60 W) for bladder stones performed under local anesthesia as a day-care procedure. MATERIALS AND METHODS: This was a retrospective single-center study conducted after obtaining IRB approval. Study period was between June 2021 and June 2022 were included. All patients were operated under local anesthesia as a day care procedure. The procedure was carried out using an 18 Fr laser sheath and calculus dusted using TFL energy (15-30 W). Parameters including operative time in minutes, complications were recorded. Patients were encouraged oral and normal voiding in the immediate post-op period. RESULTS: A total of 47 patients with bladder stones presented during this period. Of these, 30 underwent laser lithotripsy (TFL) for bladder calculi. The clinical presentation of patients was LUTS in 28 (93%) and 5 (16%) patients had AUR. The average size of the stone in this series was 15 ± 2.8 mm. The mean duration of laser lithotripsy was 15 ± 5.4 min. Energy to dust the stone was variable with mean LASER energy of 18.23 ± 10 W. All patients tolerated the procedure well and none required conversion to conventional anesthesia. One patient failed to void in the post-op period. 100% clearance rate was documented in all patients. CONCLUSION: Thulium fiber laser for transurethral cystolithotripsy of bladder stones under local anesthesia is a feasible technique with minimal morbidity and good outcome.


Assuntos
Lasers de Estado Sólido , Litotripsia a Laser , Cálculos da Bexiga Urinária , Humanos , Cálculos da Bexiga Urinária/complicações , Cálculos da Bexiga Urinária/terapia , Túlio , Anestesia Local , Estudos Retrospectivos , Hospital Dia , Litotripsia a Laser/efeitos adversos , Litotripsia a Laser/métodos , Lasers , Lasers de Estado Sólido/uso terapêutico
8.
BJU Int ; 133(1): 34-43, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-37696625

RESUMO

OBJECTIVE: To estimate the pooled prevalence, as well as the spatial and temporal distribution, of urolithiasis among subjects in China. MATERIALS AND METHODS: We conducted a comprehensive search of both Chinese and English databases to retrieve literature pertaining to the prevalence of urolithiasis in the indigenous Chinese population. A random-effects meta-analysis model was employed to calculate the pooled prevalence of urolithiasis. Subgroup analyses were conducted based on factors such as time, region, gender, and sample size. Prevalence and spatial distribution maps were created based on provinces and latitude/longitude coordinates. RESULTS: A total of 46 studies conducted in 22 provinces across China were included in this meta-analysis and the pooled prevalence of urolithiasis, kidney stones, ureteric calculi, urethral and bladder stones were 8.1% (95% confidence interval [CI] 5.6-11.1%), 7.8% (95% CI 5.8-10.0%), 3.2% (95% CI 0.6-5.7%), 0.5% (95% CI 0.1-0.9%). Most of the urolithiasis prevalence screening in China was concentrated between 100° E and 120° E, with higher rates observed in low latitude areas. Subgroup analysis of kidney stones revealed that Guangdong (12.7%) and Guangxi (10.3%) had the highest prevalence, with the eastern developed area exhibiting higher rates compared to the west. The prevalence in males was higher than in females (odds ratio 1.67, 95% CI 1.46-1.92), although the gender gap has significantly reduced since 2006. Moreover, a greater sample size is associated with a decreased prevalence of urolithiasis. CONCLUSIONS: The prevalence of urolithiasis is increasing in China, and there are noteworthy regional or provincial disparities in occurrence. It is worth noting that the current number of screening studies in some areas is insufficient. Additional investigations with appropriate sample sizes should be supplemented in time.


Assuntos
Cálculos Renais , Cálculos da Bexiga Urinária , Urolitíase , Masculino , Feminino , Humanos , Prevalência , China/epidemiologia , Urolitíase/epidemiologia , Cálculos Renais/epidemiologia
9.
Clin Nucl Med ; 48(12): 1114-1116, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37934708

RESUMO

ABSTRACT: A 39-year-old woman with hydronephrosis underwent 99mTc-DTPA renal dynamic scintigraphy to evaluate renal function. The images revealed a central photopenic region in the urinary bladder. SPECT/CT images suggested the abnormal tracer distribution corresponding to a large urinary bladder stone.


Assuntos
Cálculos da Bexiga Urinária , Feminino , Humanos , Adulto , Pentetato de Tecnécio Tc 99m , Rim/diagnóstico por imagem , Testes de Função Renal , Cintilografia
10.
J Equine Vet Sci ; 131: 104955, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37866799

RESUMO

This retrospective case series describes the use of progressive urethral dilation in 22 client-owned male horses undergoing perineal urethrotomy (PU) for cystolith removal. Medical records of horses undergoing PU and urethral dilation for treatment of cystolithiasis were reviewed. Dilation of the pelvic urethra was performed following PU and using customized dilators with the same length (30cm) and with various outer diameters (25 to 45mm). Analyzed data included: signalment, cystolith size, renal ultrasound findings, method used for cystolith removal, diameter of urethral dilators, intra- and post-operative complications, and hospitalization time. Cystolith size ranged between 37mm and 90mm. Dilation of the pelvic urethra was as follows: 35mm (n=8), 25mm (n=6), 39mm (n=3), 33mm (n=2), 28mm (n=2) and 45mm (n=1). In 6 cases, the cystolith was removed without fragmentation. In the remaining 16 horses, lithotripsy was performed with forceps (n=9) or a pneumatic scaler (n=7). In 15 horses a retrieval device was used to aid in calculi removal. Hospitalization time ranged between 1 and 5 days. Intra-operative complications occurred in one horse. No post-operative complications were recorded. Follow-up information was available for 21 horses (range 1-8 years). Urethral dilation via PU may be a viable option for cystolith removal in male horses.


Assuntos
Doenças dos Cavalos , Cálculos da Bexiga Urinária , Masculino , Cavalos , Animais , Uretra/cirurgia , Cálculos da Bexiga Urinária/veterinária , Estudos Retrospectivos , Dilatação/veterinária , Doenças dos Cavalos/cirurgia
11.
BMJ Case Rep ; 16(10)2023 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-37879705

RESUMO

An intrauterine device (IUD) is a popular method of contraception mainly used in developing countries. Perforation is one of the most serious but a rare complication secondary to the insertion of an IUD, while perforation into the intravesical organs such as the bladder is even more rare. A 30-year-old multipara in early 30s, with two previous caesarean sections (CS) and one curettage, was found to have her IUD puncturing the bladder during a cystoscopy procedure to remove her bladder stones. Transvesical migration of an IUD is an uncommon complication with a high rate of calculi formation, which is thought to be caused by the IUD's lithogenic potential. Imaging approaches such as ultrasound and pelvic X-rays are considered imperative in the accurate diagnosis. Any migrated IUD should be removed regardless of location. Prompt and continual monitoring of women using an IUD is essential and in a case where the IUD has migrated, the removal using the endoscopic approach is a safe and effective method.


Assuntos
Migração de Dispositivo Intrauterino , Cálculos da Bexiga Urinária , Adulto , Feminino , Humanos , Cistoscopia/efeitos adversos , Migração de Dispositivo Intrauterino/efeitos adversos , Dispositivos Intrauterinos , Bexiga Urinária/lesões , Cálculos da Bexiga Urinária/diagnóstico por imagem , Cálculos da Bexiga Urinária/etiologia , Cálculos da Bexiga Urinária/cirurgia
12.
World J Urol ; 41(12): 3817-3827, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37906263

RESUMO

PURPOSE: Technological advancements in laser lithotripsy are expanding into numerous fields of urology, like ureteroscopy (URS), percutaneous nephrolithotomy (PCNL), and benign and malignant soft-tissue treatments. Since the amount of research regarding lasers in urology has grown exponentially, we present a systematic review of the most recent and relevant advances encompassing all lasers used in urological endoscopic treatment. METHODS: We performed a literature search using PubMed (May 2023) to obtain information about lasers for urological purposes. We included only recent data from published articles between 2021 and 2023 or articles ahead of print. RESULTS: Lasers are widely used in lithotripsy for ureteric, renal, and bladder stones, benign prostate surgery, and bladder and upper tract tumor ablation. While the holmium (Ho:YAG) laser is still predominant, there seems to be more emphasis on pulse modulation and newer lasers such as thulium fiber laser (TFL) and pulsed Tm:YAG laser. CONCLUSION: The use of lasers and related technological innovations have shown increasing versatility, and over time have proven to be invaluable in the management of stone lithotripsy, treatment of benign and malignant prostate diseases, and urothelial tumors. Laser endoscopic treatment is heavily based on technological nuances, and it is essential to know at least the basics of these technologies. Ultimately the choice of laser used depends on its availability, cost, surgeon experience and expertise.


Assuntos
Lasers de Estado Sólido , Litotripsia a Laser , Litotripsia , Cálculos da Bexiga Urinária , Masculino , Humanos , Bexiga Urinária , Lasers de Estado Sólido/uso terapêutico , Túlio/uso terapêutico , Hólmio
13.
J Med Case Rep ; 17(1): 442, 2023 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-37803482

RESUMO

BACKGROUND: The Mitrofanoff (appendicovesicostomy) procedure is a contraindicated urinary modification that maintains urinary continence by forming a flap-valve mechanism at the site of anastomosis between the appendage and bladder wall, which is used as a guide for urinary drainage. This technique has been used by intermittent self-catheterization patients who have difficulty voiding from the native urethra or in cases where voiding from the abdominal wall would improve quality of life. However, the risk of stone formation is high due to intermittent urinary catheterization using the Mitrofanoff conduit urethrostomy as a conduit. CASE PRESENTATION: The patient was a 22-year-old Asian-Japanese woman. At 6 years of age, she underwent bilateral vesicoureteral reflux surgery, Mitrofanoff urethrostomy using the appendix, abdominal wall plication, and vaginoplasty using the ileum. During follow-up, ultrasound performed due to persistent pain during urinary drainage revealed a 26 mm bladder stone. We performed ureteroscopic lithotripsy 6Fr using ureteral access sheath and made lithotripsy using Ho: YAG laser, then successfully removed the target stone. CONCLUSIONS: We report a case of transurethral laser lithotripsy using the Mitrofanoff urethral conduit for bladder stones. Using with ureteral access sheath made lithotripsy and retrieved ureteral stone more effective.


Assuntos
Litotripsia a Laser , Litotripsia , Cálculos da Bexiga Urinária , Feminino , Humanos , Adulto Jovem , Adulto , Litotripsia a Laser/métodos , Cálculos da Bexiga Urinária/cirurgia , Uretra/cirurgia , Qualidade de Vida , Litotripsia/métodos
14.
J Endourol ; 37(11): 1221-1227, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37698888

RESUMO

Introduction and Objective: A variety of laser sources are available to treat bladder stones. The aim of this study was to compare time and cost efficiency of the thulium fiber laser (TFL) to four holmium lasers (HLs) with different powers or technologies, including MOSES™ during simulated cystolithotripsy. Materials and Methods: In a benchtop simulation of laser cystolithotripsy, 25 identical 4-cm BegoStones (calcium oxalate monohydrate consistency) were placed on a grid within a 3D-printed bladder model. Lasers were operated at maximal energy, using a 550 µm fiber. Lasers compared were as follows: 60 W TFL, 120 W HL with MOSES, and conventional 120, 100, and 30 W HLs. Five trials were performed for each laser with endpoints of laser time, total time, number of fiber strippings, and total energy. Cost-effectiveness was modeled using laser purchase price, fiber, and operating room (OR) time cost. ANOVA with Tukey's B post hoc was performed to compare outcomes. Spearman's test was used to assess correlation between laser power and procedure time. Results: The laser and total operating times were significantly different between the five systems (p < 0.001). The 120 W HL with MOSES was the fastest with 60.9 minutes of laser and 68.3 minutes of procedure times, while the 30 W HL was the slowest with 281.2 minutes of laser and 297.5 minutes of procedure times. The 60 W TFL was faster than the 30 W HL, but slower than the higher power HLs. Higher laser power was associated with shorter procedure time (Rs = -0.98; p = 0.002). When estimating cost per procedure, the MOSES HL was the cheapest, but had the highest purchase cost. The TFL was not cost-effective for large bladder stones compared with the 100 W HL. Conclusions: When treating large bladder stones, total laser power was highly correlated with laser and procedure times and the TFL was limited by its total power. The most cost-effective laser for use will depend on the case volume.


Assuntos
Lasers de Estado Sólido , Litotripsia a Laser , Cálculos da Bexiga Urinária , Humanos , Cálculos da Bexiga Urinária/cirurgia , Litotripsia a Laser/métodos , Lasers de Estado Sólido/uso terapêutico , Túlio , Oxalato de Cálcio , Hólmio
15.
Int J Paleopathol ; 43: 31-36, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37734142

RESUMO

OBJECTIVE: This paper provides a brief history of the publication of calcified biological objects and presents one that was present in the grave associated with a mature adult female buried in the South Tombs Cemetery at Amarna, Egypt (c. 1353-1332BCE). METHODS: Macroscopic examination revealed an ovoid object constructed of concentric layers of a coarse sand-like material oriented around a dense core that lacked evidence of parasites. Microscopic examination revealed the object is composed of densely, yet haphazardly packed, elongated octahedron shaped crystals with no evidence of cellular structures. Basic chemical analysis eliminated calcium carbonate as a constituent material. RESULTS: Based on comparison with previously published examples from the archaeological and clinical literature and careful differential diagnosis, it is suggested this object is a bladder stone. SIGNIFICANCE: A brief discussion of the implications of bladder stones on individual health and broader epidemiological constraints to illustrate the depth such discoveries can bring to our understanding of ancient lived experience concludes the work. LIMITATIONS: The burial of Ind. 286 was disturbed. The identification of a bladder stone presumes the stone would have been found within the pelvic cavity, which cannot be confirmed. Other graves in the vicinity of this grave were also disturbed. It is unlikely, but still possible, that the stone originated from another grave and was relocated to this grave after disturbance. Full chemical analysis was not possible. SUGGESTIONS FOR FUTURE RESEARCH: Radiographic and chemical analysis would provide more information to strengthen the certainty of the differential diagnosis.


Assuntos
Cemitérios , Cálculos da Bexiga Urinária , Adulto , Humanos , Feminino , Egito , Diagnóstico Diferencial , Sepultamento
16.
Niger J Clin Pract ; 26(8): 1128-1133, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37635606

RESUMO

Background: In our study, we aimed to compare the success and complication rates of percutaneous cystolithotripsy (PCCL), transurethral cystolithotripsy (TUCL), and Ho: YAG laser lithotripsy in the surgery of bladder stones that occurred due to various reasons. Patients and Methods: Patients diagnosed with single or multiple bladder stones with long axis larger than 2 cm, resulting for various reasons, were included in ou study. Sizes of the stones, cystolithotripsy and discharge times, catheter removal times, complications observed, and the visual pain scale (VPS) were retrospectively evaluated separately from the surgical techniques implemented for accompanying patients and their data. Results: TUCL (group 1) was implemented in 40, PCCL (group 2) was implemented in 44, and transurethral Ho: YAG laser lithotripsy (group 3) was implemented in 30 of the 121 patients included in the study. The bladder stone long axe group 1 average was 3,7 cm (2,2-5,3), group 2 average was 3,74 cm (2,1-5,1), and group 3 average was 3,7 cm (2,3-4,7). Urethral stricture evolved in two patients who underwent TUCL. A statistically significant difference was observed on behalf of PCCL in terms of operation time. There was significance in the Ho: YAG laser cystolithotripsy group in comparison with VPS scores. No significant differences were found in terms of age, stone size, urethral catheter removal times, and discharge times. The average follow-up time was 6 months. Conclusion: Although all three methods were quite successful in bladder stone surgery, average cystolithotripsy times were significantly low in the PCCL technique. Thinking that the most common cause of bladder stone is BPH, it is stated that the suprapubic inserted tube ease the bladder drainage during transurethral resection of the prostate (TUR-P). In this way, the duration of the most common accompanying surgeries is shortened and performed more safely.


Assuntos
Ressecção Transuretral da Próstata , Cálculos da Bexiga Urinária , Masculino , Humanos , Cálculos da Bexiga Urinária/cirurgia , Estudos Retrospectivos , Bexiga Urinária , Drenagem
18.
Niger J Clin Pract ; 26(6): 837-840, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37470661

RESUMO

ME is an 84-year old man who presented with a 3-year history of storage urinary symptoms associated with strangury. He had an open radical prostatectomy and direct visual internal urethrotomy 10 years prior to presentation for early prostate cancer and partial urethral stricture, respectively. A plain abdominal X-ray revealed a bladder stone in which there was an opaque foreign body embedded within the stone. A cystolithotomy was done, and the retrieved stone was cracked open, revealing a surgical blade.The patient had an uneventful recovery postoperatively.


Assuntos
Neoplasias da Próstata , Estreitamento Uretral , Cálculos da Bexiga Urinária , Masculino , Humanos , Idoso de 80 Anos ou mais , Cálculos da Bexiga Urinária/diagnóstico , Cálculos da Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/complicações , Estreitamento Uretral/cirurgia , Uretra , Prostatectomia
19.
Urol Int ; 107(8): 835-838, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37487475

RESUMO

Bladder calculi are rare in women. We report a case of bladder calculi complicating irreducible uterovaginal prolapse. It provides diagnostic and operative challenges to the management team. A 77-year-old woman presented with irreducible complete uterovaginal prolapse. Bladder stones were appreciated on examination and confirmed with imaging. The patient was managed surgically with transabdominal hysterectomy with bilateral uterosacral colpopexy followed by cystolithotomy. The patient's postoperative course was uncomplicated, and she had an uneventful recovery at her 3-month postoperative visit without a recurrence of prolapse and gained good continence. The presence of bladder calculi should be considered in the setting of irreducible pelvic organ prolapse. The abdominal approach of cystolithotomy with a concomitant hysterectomy and vaginal apical suspension is safe and effective.


Assuntos
Prolapso de Órgão Pélvico , Cálculos da Bexiga Urinária , Prolapso Uterino , Humanos , Feminino , Idoso , Prolapso Uterino/complicações , Prolapso Uterino/cirurgia , Cálculos da Bexiga Urinária/complicações , Cálculos da Bexiga Urinária/diagnóstico por imagem , Cálculos da Bexiga Urinária/cirurgia , Procedimentos Cirúrgicos em Ginecologia/métodos , Histerectomia , Prolapso de Órgão Pélvico/cirurgia , Resultado do Tratamento
20.
Exp Clin Transplant ; 21(Suppl 2): 22-27, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37496338

RESUMO

OBJECTIVES: Hamse-i Sanizade (Khamse Shani-zade) is the most important work of Sanizade Mehmed Ataullah Efendi (1769 or 1771-1826), an Ottoman kadi (qadi), physician, historian, polymath, and polyglot, about medicine and consists of 5 books. The first book, Mir'at al-ebdan fi teshrih a'da' al-insan, is on anatomy. The second book, Usul al-tabi'a, deals with physiology, while the third, Mi'yar al-etibba, mentions diseases and their treatments. These books were published together in Istanbul in 1820. A fourth book, Qanun al-cerrahin, published in Cairo after his death in 1828, discusses surgical treatments of diseases. A fifth book, Mizan al-edviye, is a pharmacopeia. In this study, we examined the information about urinary system anatomy, physiology, diseases, and their medical and surgical treatments in Hamse-i Sanizade. MATERIALS AND METHODS: We examined the first 3 books and the fourth book. The relevant passages were translated into English after being transliterated into the contemporary Turkish alphabet. RESULTS: In the first book, kidney anatomy is discussed under the heading "fi teshrih al-kula" and bladder anatomy under "fi teshrih al-methane." In the second book, the formation and excretion of urine are explained in different headings. In the third book, kidney inflammation and its treatment are discussed, with kidney and bladder stones and their medical treatments explained in detail. Finally, the types and treatments of urinary retention are discussed, with types, causes, symptoms, prognosis, and surgical treatments of bladder stones written in detail. CONCLUSIONS: In the Ottoman Empire, Hamse-i Sanizade is regarded as one of the first gateways to the West in the field of medicine. It was instrumental in modernizing Ottoman-Turkish medicine and contains and reflects the state-of-the-art knowledge of the time regarding the anatomy, physiology, diseases, and medical and surgical treatments of the urinary system.


Assuntos
Médicos , Cálculos da Bexiga Urinária , Humanos , Livros , Império Otomano , Metano
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