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Tackling stones in children: is it difficult to crack on?

1 July 2015 | | Endourology and Stones | Percutaneous nephrolithotomy, Surgical management pediatric stones, Ureteroscopy
The incidence of stone disease in the paediatric population has been increasing worldwide, particularly for the adolescent age group (12–17 years of age). In this article the authors discussed the evolutions of percutaneous nephrolithotomy (PCNL) and ureteroscopy (URS) in children....

Nephrocalcinosis

1 May 2017 | | Endourology and Stones
Case 1 What does this x-ray of the kidney, ureter and bladder (KUB) show? What are the likely causes? What is the pathology behind medullary sponge kidneys (MSK)? What is the risk of urolithiasis with MSK? How are such patients...

Testicular cancer (Jan 2016)

1 January 2016 | | Andrology, Basic Science Research, Endourology and Stones, Functional Urology, Infection, Neurourology, Paediatric Urology, Reconstructive Urology, Technological Developments, Trauma and Emergency Urology, Urologic Oncology, Uroradiology
Case 1 A 26-year-old male presented with a two-week history of testicular pain and swelling. On examination the right testicle was enlarged, indurated and tender. Erythema of the scrotum on that side was also noted. Ultrasound of the testis reported...

Do stones still kill?

1 September 2016 | | Basic Science Research, Endourology and Stones | epidemiology, mortality, sepsis, urinary calculi, urolithiasis
This paper is a retrospective analysis of deaths ascribed to stone disease in England and Wales over a 15-year period. The data was obtained from the Office of National Statistics, based on mortality derived from death certificates. One thousand, nine...

Stepwise voltage ramping causes less renal haematomas than fixed maximal voltage ESWL

1 May 2016 | | Endourology and Stones | Extracorporeal shockwave lithotripsy, Randomized trial, Renal damage, Voltage ramping
Extracorporeal shock wave lithotripsy (ESWL) remains the recommended first line treatment for stones <2cm in the renal pelvis and upper or mid-pole calyces (Türk C, Knoll T, Petrik A, et al. European Association of Urology Guidelines on Urolithiasis. 2014). There...
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Changing concepts in endourological training – SIMULATE trial

4 September 2020 | | Endourology and Stones | ISCRTN 12260261, randomised controlled trial, simulation, surgery, urology
Skill acquisition for endourological procedures is markedly different from traditional open surgical procedures, questioning the applicability of the presently used apprenticeship model. The lack of a universal simulation training curriculum has hampered its adoption into mainstream urological training. This study...

Urology around the world: Myanmar

13 December 2023 | | Endourology and Stones
In this article the author, a urologist from Myanmar, discusses the presentation, diagnosis and management of a condition common in his country. Urethral orifice stones Urolithiasis is one of the most common urological conditions, usually involving the kidneys, ureters and...

The role of conservative renal colic treatment

1 January 2018 | | Endourology and Stones, Trauma and Emergency Urology
Acute renal colic is a common emergency condition, which can arise from a variety of underlying conditions that affect the urinary tract, but it is usually associated with the passage of ureteral stones. Before considering expectant management or active intervention,...

The management of renal calculi – Pt 1

1 March 2018 | | Endourology and Stones
Renal calculi can be managed according to four treatment options: conservative management, extracorporeal shockwave lithotripsy (ESWL), flexible ureterorenoscopy (FURS) and percutaneous nephrolithotomy (PCNL). This is the first in a two-part series in Urology News (Part 2 available here) that will...

The expanding indications for ureteroscopy – ad maiora!

1 March 2019 | | Endourology and Stones, Paediatric Urology, Technological Developments
The management of urolithiasis is becoming a Herculean task for healthcare providers worldwide. The incidence of stone disease is rising, with predicted lifetime risk of 12% in males and 6% in females [1]. This rise relates to both improving imaging...

A sigma six approach to improving nephrostomy and antegrade stent services at a district general hospital – an audit project

12 September 2023 | | Trauma and Emergency Urology, ONLINE EXCLUSIVE ARTICLES
As hospitals merge into larger trusts there becomes a centralisation of some services. Interventional radiology (IR) has been one of those services. Our district general hospital runs bi-weekly lR lists following service centralisation. Urology and IR most commonly liaise on...

Why bother? Metabolic screening for stone formers

1 May 2016 | | Endourology and Stones
Introduction Despite the considerable increase in the incidence of stone disease in the UK and elsewhere in recent years, urologists have engaged with preventative strategies to only a limited degree. With mounting evidence of the strong correlation between obesity and...