Urology Today.net

Site updated at Thursday, 12 May 2016

Common Urological Problems

Nuclear Scintigraphy

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   



epidemiology1 - minimal glomerular lesions1 - end-stage kidney disease3 - androgen-deprivation therapy1 - munchausen syndrome1 - diabetic kidney disease2 - anti-androgen therapy1 - cervical cancer1 - genetic disorders1 - urinary-tract infections1 - prostate screening3 - risks of impotence1 - prostate-specific-antigen1 - circumcision3 - kidney donor2 - immunosuppressive therapy1 - prostate adenocarcinoma1 - overactive bladder syndrome1 - american society nephrology1 - artificial urinary sphincter1 - seminal vesicle stones1 - kidney function18 - renal tubular acidosis2 - dyspareunia3 - hot flashes2 - pyuria1 - obese kidney transplant recipients1 - hereditary renal diseases1 - uterine cancer2 - lut1 -