ABSTRACT
El objetivo del presente trabajo es cuantificar el daño renal producido por la litotricia, identificar a que nivel se produce y establecer el tiempo de recuperación de los daños producidos. Material y método: Se realizó un estudio prospectivo y aleatorio a un grupo de enfermos afectos de litiasis renal y que iban a ser tratados con litotricia. Se establecieron unos parámetros de exclusión e inclusión para los pacientes realizándose a los elegidos unos estudios analíticos previos al tratamiento, repitiendo las mismas determinaciones a las 24 horas, cuarto día y décimo día. Resultados: Se observan elevaciones transitorias en microalbuminuria, excreción urinaria de N-acetil glucosamina y alanino-amino-peptidasa. Conclusiones: Se aprecia que tras una sesión de litotricia se produce daño renal tanto a nivel glomerular como tubular, estableciéndose la recuperación del daño glomerular en cuatro días mientras que la recuperación tubular es mas lenta no regresando a valores normales hasta el décimo día (AU)
Subject(s)
Humans , Lithotripsy, Laser/adverse effects , Kidney Calculi/surgery , Prospective Studies , Kidney Glomerulus/injuries , Postoperative Complications/epidemiology , Kidney Tubules/injuriesABSTRACT
Report case of a Wunderlich syndrome due to spontaneous rupture of a simple renal cyst. The patient is a 77-year old, hypertensive female who was on routine treatment with Aspirin. The rarity of retroperitoneal haemorrhage with this origin is documented; also the influence of aspirin as predisposing factor for this condition is ruled out. Brief evaluation of the various diagnostic means available. An accurate evaluation that may allow to adopt a conservative aptitude is recommended.
Subject(s)
Hematoma/etiology , Kidney Diseases, Cystic/complications , Aged , Female , Humans , Hydronephrosis/diagnosis , Kidney Diseases, Cystic/surgery , Retroperitoneal Space , Rupture , SyndromeABSTRACT
OBJECTIVE: To analyze the clinical indications of double-J ureteral catheters. METHODS: The most relevant studies published in the literature since the self-retained indwelling catheter was first described in 1967 are reviewed. RESULTS: The experience and results reported in the most relevant studies are presented. CONCLUSIONS: The double J ureteral catheter is essential in urological practice. Although its clinical indications are well-established, its use depends on the urologist's experience in most of the cases.
Subject(s)
Catheters, Indwelling , Ureteral Diseases/therapy , Ureteral Obstruction/therapy , Urinary Catheterization/instrumentation , Urinary Fistula/therapy , Humans , Kidney Transplantation/adverse effects , Ureteral Calculi/complications , Ureteral Calculi/therapy , Ureteral Obstruction/surgeryABSTRACT
OBJECTIVES: The present study compared the efficacy of perimetric resection of the sclerotic ring (TR) and two-incision endoscopic cervicotomy (TC) for bladder neck sclerosis. METHODS: Fourteen cases (11 primary and 3 recurrence) underwent perimetric TR using a conventional 24 F curved loop resectoscope to excise the sclerotic diaphragm completely. In 11 cases (9 primary and 2 recurrence following previous perimetric (TR) two deep incisions were made at 5 and 7 o'clock with the Collins blade. Occasionally, the Sachse urethrotome had to precede the insertion of the conventional 24 F sheath. RESULTS: Of the 14 cases with bladder neck sclerosis that underwent perimetric TR, 5 (36%) recurred, while no recurrence was observed in the 11 patients treated by double TC. The results were assessed on the basis of the clinical findings and control flowmetry. CONCLUSIONS: Dysuria was the most common clinical symptom and was confirmed by flowmetry. Confirmation must be done endoscopically and preferably under anesthesia to permit treatment, if required, during the same session. TC is more reliable and TR is not advocated because of the high recurrence rate.
