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Query: UMLS:C0451641 (urolithiasis)
 3,973 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Hematuria is the presence of more than 5 RBC's in repeated urinary sediments. Erythrocyturia may be present as an isolated finding or it may be associated to other clinical findings that may lead to the etiology of the hematuria. Its origin may be renal or extrarenal. In the neonate, meatal or urethral bleeding, polycystic kidney or hydronephrosis must be considered. In the infant, hematuria may be due to vascular disease, renal vein thrombosis, as well as to urinary tract infection, urinary tract obstruction or acute tubular interstitial nephritis due to drug ingestion. Primary and secondary glomerulopathies, urinary tract infection and urolithiasis are the most frequent causes of hematuria in pre-school or school-age children. The diagnostic approach emphasizes the importance of the clinical history, familial background and the circumstances of presentation. RBC casts and proteinuria may suggest the presence of a glomerulopathy. Leukocyturia is more frequent in urinary tract infections and requires urine cultures and intravenous pyelogram. In cases of isolated hematuria, blood clotting test, P. T., P.T.T., platelet count and RBC's morphology may be required to rule out hematological disorders. The intravenous pyelogram, voiding cystogram, and occasionally cystoscopy will help to rule out urological abnormalities. If the previous results were negative, the renal biopsy will help to distinguish IgA mesangiopathy, Alport's syndrome or essential hematuria; this last diagnosis resulting by exclusion.
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PMID:[Diagnostic significance of hematuria in pediatrics]. 75 4

A 13-month-old Angus steer was examined with a 6-week history of lethargy, malaise and dribbling urine. Laboratory exam revealed crystalluria and poor renal function. Ultrasound revealed hydronephrosis and hydroureter. Euthanasia was chosen because of a poor prognosis for economic recovery. Necropsy demonstrated numerous calculi causing partial urethral obstruction approximately 25 cm from the end of the penis. Secondary renal changes were confirmed. Urolithiasis occurs commonly in ruminants. Secondary obstruction is usually complete with severe consequences. This is the first report of chronic partial obstructive urolithiasis resulting in endstage renal disease.
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PMID:Chronic partial obstructive urolithiasis causing hydronephrosis and chronic renal failure in a steer. 164 82

The paper is concerned with comparison of the results of ultrasound and x-ray investigation in 110 patients with urolithiasis. A possibility was established to diagnose roentgenonegative concrements in the kidneys and pelvicalyceal system with the help of ultrasound echography. The results of x-ray investigation were more reliable for the localization of uretero- and cystoliths. Ultrasound echography in such patients permitted the detection of complications (hydrocalycosis and hydronephrosis) as well as the assessment of the time course of complications in the postoperative period.
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PMID:[Ultrasonic echography in the diagnosis of urolithiasis]. 178 46

The analysis is presented of 64 surgical cases of affected dystopic kidneys. Of these, 34 had urolithiasis, 6 renal tumors, 10 hydronephrosis, 14 chronic pyelonephritis. The principal diagnostic facility was radionuclide renal scintigraphy. On deciding on the operative treatment, additional use of angiography, cystography and other methods is advisable. Diagnostic findings and treatment variants are described.
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PMID:[The diagnosis and treatment of diseases of dystopic kidneys]. 182 80

Urinary cytological examination was performed on 1032 patients of urolithiasis at the Department of Urology, Chiba University Hospital between 1980 and 1990. Seven hundred twenty-four were male and 308 were female, and the mean age was 44 years. The results of cytological examination of I-II and IV-V were classified as negative and positive, respectively. Eleven patients (1.1%) were positive, 2 of whom were found to be with renal pelvic tumor. False-positive findings were noticed in 9 cases (0.9%), and the abnormal cytologic changes in these cases disappeared after the calculi were removed. In negative cytological cases, 2 cases of renal pelvic tumor were found, one at nephrectomy and the other at percutaneous nephrolithotripsy. These cases were with staghorn calculi with hydronephrosis. The significance of cytological examination in management of calculous diseases were discussed.
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PMID:[Urinary cytology in patients with urolithiasis]. 192 Oct 20

Biopotential recording is currently used in patients with urologic diseases to determine the status of the upper urinary tract, to assess the electric activity of detrusor urinae, as additional objective indications while choosing an organ-preserving or organ-removing surgery, to check the effects of direct electric stimulation, to elucidate the magnitude of lesion and its extension. Electropyelo- and electroureterographies were performed by the routine procedures by employing foreign and Soviet-made devices in 76 patients with various urologic diseases resulting in upper urinary contractility: hydronephrosis, neuromuscular dysplasia, vesicoureteral reflux, as well as with other diseases. Electroureterography of the ureteropelvic segment will help choose a correct tactics of surgical therapy for patients with hydronephrosis; in case of markedly lower electric activity, the terms of nephrostoma removal after ureteropelvic plastic operation may be increased up to 2 months, as evidenced both by electropyelographic and clinical findings. Electropyelography was found to contribute to definition of indications for electrostimulation of the renal pelvis when its tension was decreased in patients with urolithiasis, which enabled the nephrostomic drain to be healed subsequently, as well as to assessment of electric stimulation used in postoperative reflux, as confirmed by electroureterographic findings. The findings led to the conclusion that it was advisable to use electropyelo- and electroureterography to choose a method of surgical treatment, electrostimulation and as criteria for recovered urinary contractility.
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PMID:[The role of electropyelo- and electroureterography in assessing operations on the upper urinary tract]. 208 62

Excretory urography was performed in 55 patients with non-specific ulcerative colitis and Crohn's disease with colonic involvement. The kidney pathology was revealed in 47.3% of the patients, in 5 (27.8%) of 18 patients examined before the operation, and in 21 (56.8%) of 37--after extensive colonic resection. Nephroptosis, urolithiasis, hydronephrosis, pyelocystitis were the main complications.
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PMID:[Clinico-radiologic features of the kidneys in patients with nonspecific colitis]. 234 53

We experienced 112 cases of urolithiasis treated with transurethral ureterolithotripsy (TUL) between December, 1985 and September, 1988. We analyzed 35 patients treated with TUL and who had come to our hospital to be examined by cystography, renal ultrasonography, plain X-ray, and urinalysis more than 3 months later. The follow-up term ranged from 3 to 30 months after TUL. The patients were treated using a 12Fr Stortz rigid lithotripter or flexible uretero-fiberscope with electrohydraulic lithotripter. Urinalysis, kidney-ureter-bladder X-ray (KUB), ultra-sonography and cystogram were the main disciplines for follow-up. Urinalysis revealed 4 cases of hematuria, 3 cases of hematopyuria and 2 cases of pyuria. KUB showed no newly formed stones, but 2 cases of ureteral stones had moved from the kidneys. Renal ultrasonography demonstrated no hydronephrosis of operated side, except for 1 case of mild hydronephrosis, who had had severe hydronephrosis preoperatively. We searched for vesicoureteral reflux (VUR) in 34 of the long-term follow-up patients after TUL, but no VUR was seen on their cystograms. No significant late complications of TUL were observed. No harmful effects of ureteral dilation during transureteral operation were found even in long-term follow-up patients.
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PMID:[Long-term follow-up results of TUL (transurethral ureterolithotripsy)]. 235 2

The Soviet-made device "URAT-P" for remote lithotripsy was used for the treatment of urolithiasis in children aged from 22 months to 14 years who suffered from various clinical patterns of urolithiasis with solitary or dendritic calculi. Out of 64 treated persons, 21 children had undergone 1-2 surgeries for the disease. The majority of them had pains and frequent aggravations of pyelonephritis. Excretory urography revealed the signs of hydronephrosis and hydrocalycosis. There was no need for additional adjustments to perform the procedure in patients with a height of under 75 cm. The authors employed erosive operating conditions of a shock-wave generator for lithotripsy in case of large or dendritic calculi and to avoid preliminary renal drainage. One treatment session was a success in 43 patients, 2 sessions were needed for 15, 3 for 4 and 4 for 2 patients. A beneficial effect (total disintegration and fragmental discharge) was reached in 64 (98.4%) of the patients. Partial disintegration was recorded only in 1 patient who was exposed to 2 sessions. Radioisotope, immunological, ultrasonic, and biochemical investigations failed to reveal inhibition of the renal functional parameters after remote lithotripsy. No renal injuries associated with hematogenesis were revealed in the parents. The signs of hematuria were observed in the first portion of the postoperative urine only. The only serious complication calling for close attention is acute pyelonephritis observed in 6 patients, one case requiring a surgical application of nephrostoma.
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PMID:[Remote lithotripsy with the URAT-P apparatus in treating urolithiasis in children]. 239 37

One case of xanthogranulomatous pyelonephritis diagnosed following nephrectomy is described, considering its outstanding characteristics such as male adolescent, right kidney, involvement with normal function and without pathological history for which there is no explanation to date. This disease usually occurs in women 60 years or older, suggesting a renal tumor. In 50% of the cases, urine cultures are positive for Escherichia coli or Proteus mirabilis; in accordance with different reports renal tissue cultures are positive in more than 90%. Malnutrition, calcification, urolithiasis and renal failure with hydronephrosis are common findings. The left kidney is more frequently involved. The etiology is unclear: many hypotheses are discussed, with malnutrition and peroxidase deficit as important causes.
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PMID:[Xanthogranulomatous pyelonephritis in an adolescent]. 248 45


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