Urology Today.net

Site updated at Thursday, 17 July 2014

Common Urological Problems

Intravenous Pyelography

Multichannel Urodynamics

The workup described constitutes the basic office assessment (BOA) of UI; it is generally accepted. However, the role of urodynamics in the evaluation of patients with UI is controversial. This is because the true impact of urodynamics on clinical diagnosis, management plans, and patient’s outcome has not been studied in a well-designed manner. As… Multichannel Urodynamics   



Urinary Stone Disease Evaluation

A. DIFFERENTIAL DIAGNOSIS
Urinary stones can mimic other retroperitoneal and peritoneal pathologic states.  A full differential diagnosis of the acute abdomen should be made, including acute appendicitis, ectopic and unrecognized pregnancies, ovarian pathologic conditions including twisted ovarian cysts, diverticular disease,  bowel obstruction,  biliary stones with and without obstruction, peptic ulcer disease, acute… Urinary Stone Disease Evaluation   



Urinary Stone Disease Intervention

A. CONSERVATIVE OBSERVATION
Most ureteral calculi pass and do not require intervention.

Spontaneous passage depends on stone size,  shape,  location,  and associated ureteral edema (which is likely to depend on the length of time that a stone has not progressed). Ureteral calculi 4–5 mm in size have a 40–50% chance of spontaneous… Urinary Stone Disease Intervention   



Urinary Stone Disease Prevention

In general,  50%  of patients experience recurrent urinary stones within 5 years without prophylactic intervention.

Appropriate education and preventive measures are best instituted with a motivated patient after spontaneous stone passage or surgical stone removal. Risk factors as described previously should be identified and modified, if possible.

Irrespective of the final metabolic evaluation… Urinary Stone Disease Prevention   



Prostatic & Seminal Vesicle Stones

Prostatic calculi are found within the prostate gland per se and are found uncommonly within the prostatic urethra.

They are thought to represent calcified corpora amylacea and are rarely found in boys. Usually small and numerous, they are noted to be tannish gray in color during transurethral resection of the prostate.  They are commonly… Prostatic & Seminal Vesicle Stones   



vitamin k1 - peritonitis1 - kidney5 - screening test1 - androgen deprivation therapy5 - late-stage tumors1 - mild kidney disease1 - neutrophil gelatinase-associated lipocalin1 - cadmium toxicity1 - prostate cancer incidence1 - polycystic kidney disease7 - urine7 - donor kidney1 - urethral discharge2 - kidney injury6 - radiation treatment4 - miscellaneous diseases1 - adrenal hyperplasia1 - xanthine1 - hemodialysis10 - spinal cord injury2 - azoospermia1 - hus1 - hypocalcemia1 - anca-associated vasculitis1 - triggering1 - renal capsule1 - struvite stones1 - dehydration1 - beta-blockers1 -