Surgical management of urolithiasis.
Abstract: The surgical management of urinary calculus disease has changed dramatically in the past two decades. Minimally invasive options have made open stone surgery nearly obsolete. The development of shock wave lithotripsy, percutaneous nephrostolithotomy techniques and intracorporeal lithotripsy devices has conferred unprecedented management tools for upper tract stones. Moreover, transfusion rates, hospital costs, and convalescence periods have been markedly reduced when compared to open surgery. Likewise, the advent of fiberoptic technology has resulted in miniaturization of ureteroscopes making access to the entire collecting system possible from either a retrograde or antegrade approach. With experience, successful stone retrieval has occurred in upwards of 90% of cases, again with minimal complications. The subspecialty of Endourology has emerged over the past 20 years and significantly changed the management of urinary tract calculi within this short period of time. Further advancements in shock wave and laser technology, training modules and the development of more durable endoscopes may prove beneficial in providing even better stone treatments with a reduction in morbidity.
Publication Date: 2002-12-12 PubMed ID: 12474646DOI: 10.1016/s0889-8529(02)00033-6Google Scholar: Lookup
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Summary
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This research article reviews the surgical management of urolithiasis, a condition where stones form in the urinary tract, in horses. The emphasis is on diagnosing and treating this condition, especially in male horses where it is more commonly seen.
Objective of the Research
- The main goal of the research is to review cases of urolithiasis in horses, with a special focus on how to clinically diagnose and manage the condition.
Urolithiasis: A Brief Overview
- The researchers note that urolithiasis, while not very common, is a serious condition that tends to be more prevalent in male horses.
- The condition involves the formation of stones, or uroliths, in the urinary tract, which includes the kidneys, bladder, ureters, and urethra. According to the authors, the bladder and urethra are the parts of the urinary tract most commonly affected by urolithiasis.
Identifying Urolithiasis
- The article outlines that the main signs of urolithiasis include stranguria (painful and frequent urination), hematuria (the presence of blood in urine), and dysuria (difficulty or discomfort in passing urine).
- Patients with stones in the lower parts of their urinary tract often experience severe abdominal discomfort, which is often a key indicator of the condition.
Surgical Intervention and Management
- If urolithiasis is identified quickly, a number of surgical techniques can be employed to manage and resolve the condition.
- While the article does not go into specifics about the exact surgical procedures used, the authors suggest that prompt identification of the condition is crucial for successful, efficient surgical intervention.
Cite This Article
APA
Auge BK, Preminger GM.
(2002).
Surgical management of urolithiasis.
Endocrinol Metab Clin North Am, 31(4), 1065-1082.
https://doi.org/10.1016/s0889-8529(02)00033-6 Publication
Researcher Affiliations
- Division of Urology, Department of Surgery, Comprehensive Kidney Stone Center, Box 3167, Room 1572D, White Zone, Duke University Medical Center, Durham, NC 27710, USA.
MeSH Terms
- Endoscopes
- Endoscopy / methods
- Humans
- Kidney Calculi / surgery
- Lithotripsy / instrumentation
- Lithotripsy / methods
- Nephrostomy, Percutaneous / instrumentation
- Nephrostomy, Percutaneous / methods
- Ureteroscopes
- Ureteroscopy / methods
References
This article includes 84 references
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