The Experts below are selected from a list of 1053 Experts worldwide ranked by ideXlab platform
Christian Von Bodman - One of the best experts on this subject based on the ideXlab platform.
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short term external Ureter stenting shows significant benefit in comparison to routine double j stent placement after Ureterorenoscopic stone extraction a prospective randomized trial the fast track stent study fast
International Journal of Urology, 2018Co-Authors: Peter Bach, Alina Reicherz, Joel M H Teichman, Lisa Dahlkamp, Nicolas Von Landenberg, Reinjueri Palisaar, Joachim Noldus, Christian Von BodmanAbstract:OBJECTIVES To determine whether short-term stenting using an external Ureter Catheter following Ureterorenoscopic stone extraction provides a better outcome in comparison to double-J stent Ureteral stenting. METHODS Between August 2014 and August 2015, 141 patients initially managed with a double-J stent insertion were prospectively randomized to Ureter Catheter for 6 h vs double-J stent insertion for 5 days after stone extraction via Ureteroscopy retrograde surgery (including flexible Ureteroscopy retrograde surgery) in a single academic center. Endoscopic procedures were performed by nine surgeons. Exclusion criteria were acute urinary tract infection, a solitary kidney, or a stone mass more than 25 mm. Study endpoints were Ureter-stent related symptoms and pain assessed by a validated questionnaire (Ureteral stent symptom questionnaire) and visual analogue scale before and 4 weeks after surgery. RESULTS Overall stone-free rate was more than 90%. Mean operative time was 24 min (range 5-63). Groups did not differ in terms of age, body mass index, and stone size. Patients who received short-term Ureter Catheter showed a significantly higher quality of life. In the Ureter Catheter group, the urinary index score (16.8 vs 27.8; P < 0.0001), the pain score (9.7 ± 1.3 vs 20.2 ± 1.5; P < 0.0001), and general health index (15.3 ± 0.7 vs 8.5 ± 0.6; P < 0.0001) were significantly lower. Consultation of a physician and antibiotic treatment were rarely needed (1.3 ± 0.1 vs 1.6 ± 0.1; P = 0.017). CONCLUSION A short-term Ureter Catheter insertion for 6 h following Ureteroscopy retrograde surgery stone removal is a safe procedure and superior to double-J stent insertion with regard to urinary symptoms, pain, quality of life, and stent related symptoms. Patients treated with a short-term Ureter Catheter recover more quickly, return to work earlier, and need less doctor visits. Most patients would recommend a Ureter Catheter, and would prefer this strategy in case of future stone treatments.
Chen Guojun - One of the best experts on this subject based on the ideXlab platform.
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The Therapy of Ureter Obstruction Combined with Acute Pyelitis
The Journal of Medical Theory and Practice, 2003Co-Authors: Chen GuojunAbstract:Objective:To discuss the therapy of Ureter obstruction combined with acute pyelitis.Methods: 12 patients with Ureter obstruction combined with acute pyelitis were treated with various methods according to different conditions such as setdng Catheter breaking stones with Ureter Catheter,kidney puncture,cooperating with effective antibiotics.Results:All 12 patients were cured by effective treatment. Conclusion: Setting Catheter cooperating with antibiotics therapy is the effective methods for treating Ureter obstruction combined with acute pyelitis.
Peter Bach - One of the best experts on this subject based on the ideXlab platform.
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short term external Ureter stenting shows significant benefit in comparison to routine double j stent placement after Ureterorenoscopic stone extraction a prospective randomized trial the fast track stent study fast
International Journal of Urology, 2018Co-Authors: Peter Bach, Alina Reicherz, Joel M H Teichman, Lisa Dahlkamp, Nicolas Von Landenberg, Reinjueri Palisaar, Joachim Noldus, Christian Von BodmanAbstract:OBJECTIVES To determine whether short-term stenting using an external Ureter Catheter following Ureterorenoscopic stone extraction provides a better outcome in comparison to double-J stent Ureteral stenting. METHODS Between August 2014 and August 2015, 141 patients initially managed with a double-J stent insertion were prospectively randomized to Ureter Catheter for 6 h vs double-J stent insertion for 5 days after stone extraction via Ureteroscopy retrograde surgery (including flexible Ureteroscopy retrograde surgery) in a single academic center. Endoscopic procedures were performed by nine surgeons. Exclusion criteria were acute urinary tract infection, a solitary kidney, or a stone mass more than 25 mm. Study endpoints were Ureter-stent related symptoms and pain assessed by a validated questionnaire (Ureteral stent symptom questionnaire) and visual analogue scale before and 4 weeks after surgery. RESULTS Overall stone-free rate was more than 90%. Mean operative time was 24 min (range 5-63). Groups did not differ in terms of age, body mass index, and stone size. Patients who received short-term Ureter Catheter showed a significantly higher quality of life. In the Ureter Catheter group, the urinary index score (16.8 vs 27.8; P < 0.0001), the pain score (9.7 ± 1.3 vs 20.2 ± 1.5; P < 0.0001), and general health index (15.3 ± 0.7 vs 8.5 ± 0.6; P < 0.0001) were significantly lower. Consultation of a physician and antibiotic treatment were rarely needed (1.3 ± 0.1 vs 1.6 ± 0.1; P = 0.017). CONCLUSION A short-term Ureter Catheter insertion for 6 h following Ureteroscopy retrograde surgery stone removal is a safe procedure and superior to double-J stent insertion with regard to urinary symptoms, pain, quality of life, and stent related symptoms. Patients treated with a short-term Ureter Catheter recover more quickly, return to work earlier, and need less doctor visits. Most patients would recommend a Ureter Catheter, and would prefer this strategy in case of future stone treatments.
Angela B. Smith - One of the best experts on this subject based on the ideXlab platform.
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Complications Associated With Ureteroscopic Management of Upper Tract Urothelial Carcinoma.
Urology, 2020Co-Authors: Jennifer Linehan, Mark P. Schoenberg, Elyse Seltzer, Kim Thacker, Angela B. SmithAbstract:OBJECTIVES To compile and examine safety data from clinical studies of endoscopic management of patients with low-grade upper tract urothelial carcinoma (UTUC) to identify rates and factors associated with reported complications. METHODS Ovid Medline and Ovid Medline Daily (with Embase as secondary search) including citations from 1946-2018 were queried using the following terms: Ureteroscopy, Ureter, Catheter, endoscopy, complication, adverse events, morbidity, ablation, laser, upper tract urothelial carcinoma, Ureteral stricture, Ureteral stenosis, and Ureteral injury. Abstracts were reviewed for relevance; diagnostic studies, case studies, and reviews were excluded. RESULTS Thirty-eight publications (7 prospective, 31 retrospective) representing >1100 patients were identified. Ureteral stricture was the most frequently reported complication (studies; rates) (26/38; 0-27%), with incidence associated with number of procedures and treatment method. Bleeding, infection, and fever were most common with adjuvant treatment (BCG or mitomycin). Serious and fatal complications were rare. CONCLUSIONS Ureteral stricture is the most frequent complication of endoscopic UTUC management but can be managed successfully in most cases. Most complications were minor. Although additional prospective studies are needed, these results support the safety of Ureteroscopic management of UTUC in appropriately selected patients.
Joachim Noldus - One of the best experts on this subject based on the ideXlab platform.
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short term external Ureter stenting shows significant benefit in comparison to routine double j stent placement after Ureterorenoscopic stone extraction a prospective randomized trial the fast track stent study fast
International Journal of Urology, 2018Co-Authors: Peter Bach, Alina Reicherz, Joel M H Teichman, Lisa Dahlkamp, Nicolas Von Landenberg, Reinjueri Palisaar, Joachim Noldus, Christian Von BodmanAbstract:OBJECTIVES To determine whether short-term stenting using an external Ureter Catheter following Ureterorenoscopic stone extraction provides a better outcome in comparison to double-J stent Ureteral stenting. METHODS Between August 2014 and August 2015, 141 patients initially managed with a double-J stent insertion were prospectively randomized to Ureter Catheter for 6 h vs double-J stent insertion for 5 days after stone extraction via Ureteroscopy retrograde surgery (including flexible Ureteroscopy retrograde surgery) in a single academic center. Endoscopic procedures were performed by nine surgeons. Exclusion criteria were acute urinary tract infection, a solitary kidney, or a stone mass more than 25 mm. Study endpoints were Ureter-stent related symptoms and pain assessed by a validated questionnaire (Ureteral stent symptom questionnaire) and visual analogue scale before and 4 weeks after surgery. RESULTS Overall stone-free rate was more than 90%. Mean operative time was 24 min (range 5-63). Groups did not differ in terms of age, body mass index, and stone size. Patients who received short-term Ureter Catheter showed a significantly higher quality of life. In the Ureter Catheter group, the urinary index score (16.8 vs 27.8; P < 0.0001), the pain score (9.7 ± 1.3 vs 20.2 ± 1.5; P < 0.0001), and general health index (15.3 ± 0.7 vs 8.5 ± 0.6; P < 0.0001) were significantly lower. Consultation of a physician and antibiotic treatment were rarely needed (1.3 ± 0.1 vs 1.6 ± 0.1; P = 0.017). CONCLUSION A short-term Ureter Catheter insertion for 6 h following Ureteroscopy retrograde surgery stone removal is a safe procedure and superior to double-J stent insertion with regard to urinary symptoms, pain, quality of life, and stent related symptoms. Patients treated with a short-term Ureter Catheter recover more quickly, return to work earlier, and need less doctor visits. Most patients would recommend a Ureter Catheter, and would prefer this strategy in case of future stone treatments.
