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Prezioso D, Piccinocchi G, Abate V, Ancona M, Celia A, De Luca C, Ferrari R, Ferraro PM, Mancon S, Mazzon G, Micali S, Puca G, Rendina D, Saita A, Salvetti A, Spasiano A, Tesè E, Trinchieri A. The role of the general practictioner in the management of urinary calculi. Arch Ital Urol Androl 2023; 95:12155. [PMID: 38193217 DOI: 10.4081/aiua.2023.12155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 12/19/2023] [Indexed: 01/10/2024] Open
Abstract
BACKGROUND The prevalence of kidney stones tends to increase worldwide due to dietary and climate changes. Disease management involves a high consumption of healthcare system resources which can be reduced with primary prevention measures and prophylaxis of recurrences. In this field, collaboration between general practitioners (GPs) and hospitals is crucial. METHODS a panel composed of general practitioners and academic and hospital clinicians expert in the treatment of urinary stones met with the aim of identifying the activities that require the participation of the GP in the management process of the kidney stone patient. RESULTS Collaboration between GP and hospital was found crucial in the treatment of renal colic and its infectious complications, expulsive treatment of ureteral stones, chemolysis of uric acid stones, long-term follow-up after active treatment of urinary stones, prevention of recurrence and primary prevention in the general population. CONCLUSIONS The role of the GP is crucial in the management and prevention of urinary stones. Community hospitals which are normally led by GPs in liaison with consultants and other health professional can have a role in assisting multidisciplinary working as extended primary care.
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Affiliation(s)
- Domenico Prezioso
- Dipartimento Neuroscienze, Scienze della Riproduzione ed Odontostomatologia Università Federico II, Naples.
| | | | - Veronica Abate
- Department of Clinical Medicine and Surgery, Federico II University, Naples.
| | | | - Antonio Celia
- S.C. Urologia ULSS 7 Pedemontana, Bassano del Grappa (VI).
| | - Ciro De Luca
- Dipartimento Neuroscienze, Scienze della Riproduzione ed Odontostomatologia Università Federico II, Naples.
| | - Riccardo Ferrari
- Department of Urology, University of Modena and Reggio Emilia, Baggiovara (MO).
| | - Pietro Manuel Ferraro
- Sezione di Nefrologia, Dipartimento di Medicina, Università degli Studi di Verona, Verona.
| | - Stefano Mancon
- Department of Urology, IRCCS Humanitas Research Hospital, Rozzano, Milan.
| | - Giorgio Mazzon
- S.C. Urologia ULSS 7 Pedemontana, Bassano del Grappa (VI).
| | - Salvatore Micali
- Department of Urology, University of Modena and Reggio Emilia, Baggiovara (MO).
| | - Giacomo Puca
- Dipartimento Neuroscienze, Scienze della Riproduzione ed Odontostomatologia Università Federico II, Naples.
| | - Domenico Rendina
- Department of Clinical Medicine and Surgery, Federico II University, Naples.
| | - Alberto Saita
- Department of Urology, IRCCS Humanitas Research Hospital, Rozzano, Milan.
| | | | | | - Elisa Tesè
- Società Italiana di Medicina Generale, Florence.
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Muacevic A, Adler JR, Inoue K, Sano C, Ohta R. Right-Sided Urinary Extravasation Caused by a Ureteral Stone and Associated With Peritonitis in an Older Woman. Cureus 2023; 15:e34174. [PMID: 36843816 PMCID: PMC9950691 DOI: 10.7759/cureus.34174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/24/2023] [Indexed: 01/26/2023] Open
Abstract
Right upper quadrant pain can originate from the liver, cholecystic duct, gallbladder, pancreas, or surrounding organs. Peritonitis in the right upper quadrant of the abdomen can be caused by lesions in these organs as well as the adjacent organs, such as the kidney and colon. The kidneys are surrounded by Gerota's fascia and fat; therefore, mild local inflammation may not cause peritonitis. Herein, we report the case of a 72-year-old woman with right-sided abdominal pain who was diagnosed with urinary extravasation due to a ureteral stone. Urinary extravasations can present with peritonitis. For effective diagnosis, prompt physical examination and abdominal ultrasound are essential, with the extent of extravasation being key to effective management. Therefore, general physicians should consider urinary extravasation, which is typically caused by kidney and urinary stones, in patients with right upper quadrant pain.
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Mantica G, Carrion DM, Antón-Juanilla M, Pang KH, Parodi S, Tappero S, Rodriguez-Serrano A, Crespo-Atín V, Cansino R, Scarpa RM, Nikles S, Balzarini F, Terrone C, Gomez Rivas J, Esperto F. Impact of a delayed presentation to the emergency department for acute renal colic on biochemical and clinical outcomes. Actas Urol Esp 2023; 47:41-46. [PMID: 36503815 DOI: 10.1016/j.acuroe.2021.12.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 12/11/2021] [Indexed: 12/14/2022]
Abstract
INTRODUCTION AND OBJECTIVE To verify the impact of delay on biochemical and clinical outcomes for patients presenting to the emergency department (ED) with acute renal colic. MATERIALS AND METHODS Data were retrospectively collected from three institutions of two European countries between 01 January and 30 April 2020. Patients who presented to the ED with unilateral or bilateral renal colic caused by urolithiasis confirmed by imaging tests during the study period were included. A presentation after 24 h since the onset of symptoms was considered a delay. Patients presenting before 24 h from the symptom onset were included in Group A, while the patients presenting after 24 h in Group B. Clinical and biochemical parameters and management were compared. RESULTS A total of 397 patients who presented to ED with confirmed urolithiasis were analyzed (Group A, n = 199; Group B, n = 198. The median (IQR) delay in presentation was 2 days (1,5-4). At presentation, no statistically significant differences were found amongst the two groups of patients regarding presenting symptoms such as fever and flank pain, and the median serum levels of creatinine, C reactive protein and white blood cells. No differences were found in terms of conservative or operative management. CONCLUSION Delay in consultation >24 h is not associated with worsening biochemical parameters and clinical outcomes. Most patients with acute loin pain do not necessarily need urgent attendance to the ED and may be managed in the outpatients.
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Affiliation(s)
- G Mantica
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy; European Society of Residents in Urology (ESRU), Arnhem, The Netherlands
| | - D M Carrion
- European Society of Residents in Urology (ESRU), Arnhem, The Netherlands; Department of Urology, La Paz University Hospital, Madrid, Autonomous University of Madrid, Madrid, Spain
| | - M Antón-Juanilla
- Department of Urology, Cruces University Hospital, Barakaldo, Vizcaya, Spain
| | - K H Pang
- European Society of Residents in Urology (ESRU), Arnhem, The Netherlands; Department of Oncology and Metabolism, Academic Urology Unit, University of Sheffield, Sheffield, UK
| | - S Parodi
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy
| | - S Tappero
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy
| | - A Rodriguez-Serrano
- Department of Urology, La Paz University Hospital, Madrid, Autonomous University of Madrid, Madrid, Spain
| | - V Crespo-Atín
- Department of Urology, Cruces University Hospital, Barakaldo, Vizcaya, Spain
| | - R Cansino
- Department of Urology, La Paz University Hospital, Madrid, Autonomous University of Madrid, Madrid, Spain
| | - R M Scarpa
- Department of Urology, Campus Biomedico, University of Rome, Italy
| | - S Nikles
- European Society of Residents in Urology (ESRU), Arnhem, The Netherlands; Department of Urology, Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia
| | - F Balzarini
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy.
| | - C Terrone
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy
| | - J Gomez Rivas
- European Society of Residents in Urology (ESRU), Arnhem, The Netherlands; Department of Urology, Hospital Clinico San Carlos, Madrid, Spain
| | - F Esperto
- European Society of Residents in Urology (ESRU), Arnhem, The Netherlands; Department of Urology, Campus Biomedico, University of Rome, Italy
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Mantica G, Carrion D, Antón-Juanilla M, Pang K, Parodi S, Tappero S, Rodriguez-Serrano A, Crespo-Atín V, Cansino R, Scarpa R, Nikles S, Balzarini F, Terrone C, Rivas JG, Esperto F. Impacto de la presentación tardía al servicio de Urgencias por cólico renal agudo en los resultados bioquímicos y clínicos. Actas Urol Esp 2023. [DOI: 10.1016/j.acuro.2021.12.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Ali L, Hassan A, Orakzai N, Shahzad M, Khan I, Tariq K. <p>Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective</p>. Res Rep Urol 2020; 12:547-554. [PMID: 33178637 PMCID: PMC7650829 DOI: 10.2147/rru.s273375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 10/07/2020] [Indexed: 11/23/2022] Open
Abstract
Objective Methods Results Conclusion ![]()
Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/idNjakrGEJs
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Affiliation(s)
- Liaqat Ali
- Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, Pakistan
- Correspondence: Liaqat Ali Institute of Kidney Diseases HMC Peshawar, Phase 4, Hayatabad Medical Complex, Peshawar, Khyber Pukhtunkhwa, PakistanTel +92-91-9217462 Email
| | - Asiya Hassan
- Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, Pakistan
| | - Nasir Orakzai
- Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, Pakistan
| | - Muhammad Shahzad
- Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, Pakistan
| | - Ihsanullah Khan
- Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, Pakistan
| | - Kifayat Tariq
- Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, Pakistan
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Vordos N, Giannakopoulos S, Gkika DA, Nolan JW, Kalaitzis C, Bandekas DV, Kontogoulidou C, Mitropoulos AC, Touloupidis S. Kidney stone nano-structure - Is there an opportunity for nanomedicine development? Biochim Biophys Acta Gen Subj 2017; 1861:1521-1529. [PMID: 28130156 DOI: 10.1016/j.bbagen.2017.01.026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2016] [Revised: 01/15/2017] [Accepted: 01/21/2017] [Indexed: 12/22/2022]
Abstract
BACKGROUND Kidney stone analysis techniques are well-established in the field of materials characterization and provide information for the chemical composition and structure of a sample. Nanomedicine, on the other hand, is a field with an increasing rate of scientific research, a big budget and increasingly developing market. The key scientific question is if there is a possibility for the development of a nanomedicine to treat kidney stones. MAJOR CONCLUSIONS The main calculi characterization techniques such as X-ray Diffraction and Fourier Transform Infrared Spectroscopy can provide information about the composition of a kidney stone but not for its nanostructure. On the other hand, Small Angle X-ray Scattering and Nitrogen Porosimetry can show the nanostructural parameters of the calculi. The combination of the previously described parameters can be used for the development of nano-drugs for the treatment of urolithiasis, while no such nano-drugs exist yet. GENERAL SIGNIFICANCE In this study, we focus on the most well-known techniques for kidney stone analysis, the urolithiasis management and the search for possible nanomedicine for the treatment of kidney stone disease. We combine the results from five different analysis techniques in order to represent a three dimensional model and we propose a hypothetical nano-drug with gold nanoparticles. This article is part of a Special Issue entitled "Recent Advances in Bionanomaterials" Guest Editor: Dr. Marie-Louise Saboungi and Dr. Samuel D. Bader.
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Affiliation(s)
- N Vordos
- Hephaestus Advanced Laboratory, Eastern Macedonia and Thrace Institute of Technology, 65404, St. Lucas, Kavala, Greece; Department of Electrical Engineering, Eastern Macedonia and Thrace Institute of Technology.
| | - S Giannakopoulos
- Department of Urology, School of Medicine, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, 68100 Alexandroupolis, Greece
| | - D A Gkika
- University of Antwerp, Applied Economics, Department of Engineering Management, Antwerp, Belgium
| | - J W Nolan
- Hephaestus Advanced Laboratory, Eastern Macedonia and Thrace Institute of Technology, 65404, St. Lucas, Kavala, Greece.
| | - Ch Kalaitzis
- Department of Urology, School of Medicine, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, 68100 Alexandroupolis, Greece
| | - D V Bandekas
- Department of Electrical Engineering, Eastern Macedonia and Thrace Institute of Technology
| | - C Kontogoulidou
- University of Piraeus, Department of Business Administration, Piraeus, Greece
| | - A Ch Mitropoulos
- Hephaestus Advanced Laboratory, Eastern Macedonia and Thrace Institute of Technology, 65404, St. Lucas, Kavala, Greece
| | - S Touloupidis
- Department of Urology, School of Medicine, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, 68100 Alexandroupolis, Greece
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