OBJECTIVE To present a previously unreported long term complication of percutaneous nephrolithotomy for exclusive renal stone. METHODS/RESULTS A 30-years-old woman underwent percutaneous nephrolithotomy for a obstructive pelvic stone, through inferior calix access achieving a stone free status. During the procedure occurred an inadvertent pelvis perforation, but the early evolution was otherw...

BACKGROUND Spontaneous perinephric hematoma (SPH) secondary to a forniceal rupture as the first presenting sign for an obstructive ureteral stone in a patient without history of urolithiasis has not been described previously. CASE PRESENTATION We report a 70-year-old Caucasian male patient who presented to our emergency room with fever, altered mental status, and left flank pain. He had a tem...

OBJECTIVE To evaluate the role of ballistic ureteroscopic lithotripsy in children with ureteral stones. MATERIALS AND METHODS Children under 14 years with ureteral stones were treated with ureteroscopy in a 5-year period in our institution. RESULTS Twenty-three procedures were performed in 20 children. Mean surgical time, age and stone size were 31 min. (15 - 120 min.), 11 years. (4-13 year...

BACKGROUND The purpose of this prospective study was to evaluate the feasibility of replacing intravenous urography (IVU) with unenhanced computed tomography (CT) as the first line diagnostic modality for acute renal colic in the emergency department. METHODS In the 1-year study period, 82 patients who presented themselves to the emergency room with acute renal colic and who were suspected to...

PURPOSE To investigate and compare the stone clearence and complication rates of flexible ureteroscopy (URS) with semirigid URS in patients having proximal ureteral stones. MATERIALS AND METHODS The data of 124 patients with proximal ureteral stones who underwent semirigid or flexible ureterorenoscopic lithotripsy between March 2008 and December 2012 were retrospectively investigated. The pat...

STUDY OBJECTIVE Acute renal colic is a common presenting complaint to the emergency department. Recently, medical expulsive therapy using alpha-antagonists or calcium channel blockers has been shown to augment stone passage rates of moderately sized, distal, ureteral stones. Herein is a systematic evaluation of the use of medical expulsive therapy to facilitate ureteral stone expulsion. METHO...

PURPOSE To determine the efficiency of slow delivery rate of shockwaves (SW) on stone fragmentation and treatment outcomes in patients with renal and ureteral calculi. PATIENTS AND METHOD Using the Siemens Lithostar Multiline, we treated 843 patients (229 renal and 614 ureteral stones) at a fast delivery rate (120 SW/min, between October 2003 and August 2006), 448 patients (139 renal and 309 ...