Urology Today.net

Site updated at Thursday, 12 May 2016

Common Urological Problems

Renal Tomography

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   



sodium2 - urine culture3 - end-stage renal failure1 - abdominopelvic cavity1 - kidney recipients1 - pelvic diaphragm1 - urinary tract3 - ischial spine1 - high blood pressure7 - hypertension12 - pancreatic cancer2 - attention deficit hyperactivity disorder1 - obstructive uropathy2 - robotic-assisted cystectomy1 - pregnancy complications1 - stones etiology3 - methoxyflurane1 - prostate-specific antigen test1 - recurrent hematuria1 - androgen-independent prostate cancer1 - recurrent kidney stones1 - joslin diabetes center1 - renal artery stenosis1 - incontinence10 - overactive bladder9 - apple shape1 - urogenital sphincter1 - crescenteric glomerulonephritis1 - cardiovascular problems1 - kidney transplants3 -