Science topic

Endourology - Science topic

Endourology is the branch of urology that deals with the closed manipulation of the urinary tract.
Questions related to Endourology
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Hi m interested to do some comparative study on urinary stone , pcnl and urs and flexible Urs From Qatar and ur Center If feasible update me
or any meta analysis about endourology Thanks
dr kamran
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Greetings, the same is true here. We are managing the stones > 1.5 cm by open surgery because the URS device and LASER source and fiber are not functional.....
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It is a very cheap, easy to do model, without radiation exposure. Will it be effective for skill acquisition even with its simplicity?
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Yes, you are right; however it is very expensive, and it is impossible to have in our department.
we perform the puncture without moving the C-arm (in a fixed position), with the X-ray beam perpendicular to the tract. This model give us the same thing and I have used it in many small workshops and the urologist were confident to start puncture and even, some were quicker to perform their first real puncture.
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Looking for a bilingual urologist (French and English) to collaborate in a writing scientific paper in the urology area
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Well Dr Hani, I am still willing having a collaborative work with you.I am lecturer in urology in my faculty and it will be interesting for me to work with you.I will join you in box and I transmitt you my email : adamsouat1@hotmail.com.
Hoping having news from you and your email.Thank you.
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Pelvic floor therapy as first line treatment
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Hi Lori
We have used a vaginal probe 50Hz alternating 2 sec pulses in addition to squatting based PFR. We improved urge, pain nocturia symptoms >50% in half the patients
Skilling PM,·Petros PE Synergistic non-surgical management of pelvic floor dysfunction: second report. Int J Urogyne (2004)15: 106-110
See also Ch5 of my textbook "The Female Pelvic Floor" 3rd Ed SPringer Heidelberg
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Because almost 99% of surgically removed prostates contain stones, these
stones are generally considered clinically insignificant. Our investigation of 23 stone samples suggested that infection has a significant role in the lithogenic process of prostate calcifications, even without detection of infection by clinical investigation. Most stones (83%) showed bacterial imprints and/or chemical composition, suggestive of a long-term infection process. Chronic infection may induce persistent inflammation of the tissue and secondarily, a cancerization process within a few years. Thus, the discovery of prostate calcifications by computerized tomodensitometry, for example, might warrant further investigation and management to search for chronic infection of the prostate gland.
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Dominique:
Separate request: could you copy and post your last contribution commenting on my review also in the comments section of the review itself, and I will then follow it, as here, with my own response and commentary. This may seem duplicative, but I believe ResearchGate wants to start expanding the use of their Open Review (within which my review appeared) so that not only the review of the paper appears, but also any commentary by the original authors, by the reviewer, or any other interested scholar.
Thanks
Constantine
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Pcnl sirs
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History of urosepsis, urinary obstruction (especially persistent on day of PCNL), staghorn calculus, struvite stone composition, chronic GU tube (foley, PCN, SPT, JJ stent etc), and bowel in continuity with collecting system (ileal loop urinary diversion, ileal ureter, bladder augment, etc) are all associated with high rates of post PCNL SIRS. Maximal decompression and one week of prophylactic antibiotics (cipro or nitorfurantoin) ahead of PCNL are protective against post-PCNL SIRS/Sepsis.
In my experience (Anecdotal) poor performance status ahead of PCNL (as exhibited by wheelchair use) often is associated with post-PCNL SIRS/Sepsis.
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Percutaneous access or Extracorporeal Shock Wave Lithotripsy with double-J stent?
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Eswl with jj stent can be done first if density Is < 1000 UH Inde CT scan because of ils lower invasivity . But in case of failure of Eswl or in calculi with High density for Which Eswl may be bad indication Pcnl or flexible ureteroscopy with laser are the best techniques in thaïs case. But , à discussion with the patient with explanation of advantages And inconvenients of each technique could make the decision easier . All this tree techniques could be done in first indication in this case but in function of the calculi characteristics , the choice of the patient And technical disposition of instruments.
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The patient is sensitive to imepenim antibiotic.
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This is very tricky scenario. It will be very difficult to make it culture negative before surgery. Give imipenem for 5 days . If WBC count is with in normal limits , Surgery can be done. If it takes too long . Procedure can be staged