Objective To investigate the method of emergent relief of special renal colic and treatment of ureter diseases causing renal colic. Methods By analyzing 63 cases of special renal colic treated with ureteroscope and ...Objective To investigate the method of emergent relief of special renal colic and treatment of ureter diseases causing renal colic. Methods By analyzing 63 cases of special renal colic treated with ureteroscope and Holmium YAG laser. Results 61 cases of renal colic were relieved in a short period of time and the original ureter diseases causing renal colic were cured. Conclusion Special renal colic could be treated with ureteroscope and Holmium YAG laser in a quick and effective manner.展开更多
Introduction: Renal colic is a medico-surgical emergency in which complicated forms could progress to renal failure and nonfunctional kidney. The objective of our study is to describe the epidemiological, diagnostic a...Introduction: Renal colic is a medico-surgical emergency in which complicated forms could progress to renal failure and nonfunctional kidney. The objective of our study is to describe the epidemiological, diagnostic and therapeutic aspects of renal colic at the urology department of the NGRH. Methods: This was a prospective study involving 101 patients followed up for renal colic. The study spanned from July 2015 to July 2016 at the urology department of the NGRH. Results: A total of 101 patients suffering from renal colic were enrolled in the study giving a prevalence of 5.1%. The mean age was 38.89 years with a standard deviation of 14.5 years and a sex ratio of 1:3. Flank or lumbar pain of crushing type (45.5%), constant and of severe intensity (61.4%) were the most frequent clinical characteristics. The plain abdominal radiography (Kidney-Ureter-Bladder) coupled with ultrasonography had a 100% sensitivity for the etiological diagnosis of renal colic. Urinary lithiasis was the most frequent cause with 73.3%. Uroculture revealed a urinary tract infection in 44 patients (43.6%). The most frequent germ isolated on the culture was Escherichia coli (27.7%). Renal function was abnormal in 34 patients (33.7%). Medical treatment was composed of analgesics, NSAIDs and antispasmodic representing 93.1%. Percutaneous nephrostomy was performed in 6.9%. Pyelolithotomy was the most frequently performed surgical procedure and was done in 11 patients that are 39.3%. Fifty seven patients (56.4%) got healed without sequelae;6 cases (5.9%) of recurrence and 2 deaths (2%) were recorded. Conclusion: Renal colic is common in urology. Urinary lithiasis was the major cause in our series. Renal function could be endangered in case of late management.展开更多
Objective To observe the efficacy difference of renal colic treated with electroacupuncture in comparison with intramuscular injection with Fortanodyn. Methods Fifty-one patients with renal colic were randomly divided...Objective To observe the efficacy difference of renal colic treated with electroacupuncture in comparison with intramuscular injection with Fortanodyn. Methods Fifty-one patients with renal colic were randomly divided into an electroacupuncture group （26 cases） and a medicine group （25 cases）. In the electroacupuncture group, electroacupuncture was applied to the Xi-cleft points of kidney and bladder meridians, named Shuǐquán （水泉 KI 5） and Jīnmén （金门 BL 63） as well as the relevant Front-mu points, Jīngmén （京门 GB 25） and Zhōngjí （中极 CV 3）. In the medicine group, intramuscular injection with Fortanodyn （100 mg） was administered. Once treatment was applied for immediate analgesia in each group. Before and after treatment, the Simplified McGill Pain Questionnaire （SF-MPQ） and the Visual Analogy Scale （VAS） were adopted for pain assessment respectively. The clinical efficacy and the recurrence of the disease were observed in the two groups. Results The clinically cured and remarkably effective rate was 69.2% （18/26） in the electroacupuncture group, which was superior to 44.0% （11/25） in the medicine group （P0.05）. Separately, in 10 min, 30 min, 60 min and 120 min after treatment, in either group, SF-MPQ and VAS scores were obviously reduced as compared with those before treatment （all P0.05）. The scores in 10 min and 30 min after treatment in the electroacupuncture group were reduced more remarkably as compared with those in the medicine group （both P0.05）. The complete remission time in the electroacupuncture group was shorter apparently than that in the medicine group [（131.19±152.12） min vs （184.29±84.04） min, P0.05]. The recurrence rate of renal colic in 24 h was 8.0% （2/25） in the electroacupuncture group, which was lower slightly than 31.6% （6/19） in the medicine group （P0.05）. Conclusion Renal colic can be effectively relieved in the treatment with either electroacupuncture at the Xi-cleft points and the Front-mu points of kidney and bladder meridians or intramuscular injection with Fortanodyn. But, the electroacupuncture therapy achieves much better efficacy.展开更多
Objective： To evaluate the clinical effects of combined acupuncture and ear-puncture in treating renal colic. Methods： Sixty subjects were randomized into an acupuncture group and a medication group, 30 in each, to ...Objective： To evaluate the clinical effects of combined acupuncture and ear-puncture in treating renal colic. Methods： Sixty subjects were randomized into an acupuncture group and a medication group, 30 in each, to receive acupuncture and Western medicine respectively. The analgesic effects and pain relief time were measured in both groups. Results： Both of the two groups got pain relieved or reduced. The total effective rate was 89.7% in the acupuncture group, significantly superior to 77.4% in the medication group （P〈0.05）. Conclusion： Combined body and auricular acupuncture is efficient in relieving pain in treating renal colic, and its effective rate was higher compared with medication treatment.展开更多
Treated 50 cases of renal colic with electroacupuncture and compared the results with those in two control groups. Total effective rate in the treatment group, control group I and control group II was 98.0%, 90.0% and...Treated 50 cases of renal colic with electroacupuncture and compared the results with those in two control groups. Total effective rate in the treatment group, control group I and control group II was 98.0%, 90.0% and 92.0% respectively. Key Words Electroacupuncture - Renal Colic - Ureterolith Author: Zou Lan-lin (1969-), male, attending physician展开更多
Introduction: Urological emergencies play a significant role in the medical and surgical activity of a urology department. The objective of this study was to determine the hospital prevalence of urological emergencies...Introduction: Urological emergencies play a significant role in the medical and surgical activity of a urology department. The objective of this study was to determine the hospital prevalence of urological emergencies at the University Hospital of Brazzaville (CHUB), identify the different pathologies requiring urgent care, and list the various therapeutic methods. Patients and methods: A retrospective study of patients admitted to the medical and surgical emergencies department of CHUB over a 5-year period. Patient records admitted and treated for a urological emergency were included. The variables studied were the frequency of urological emergencies, patient age at admission, gender, nature of the emergency, and various therapeutic options. Results: Urological emergencies accounted for 4.3% of all medical and surgical emergencies. The mean age was 57 ± 28 years with a range of 3 to 93 years. The male-to-female ratio was 7.1. The most common conditions were urinary retention (54.67%), hematuria (17.20%), and renal colic (8.13%). Therapeutically, surgical urinary drainage was dominated by cystostomy. Conclusion: Urological emergencies are infrequent at the University Hospital of Brazzaville. Their management is often delayed.展开更多
<b><span>Background</span></b><b><span>: </span></b><span>In view of the high recurrence of kidney stones in patients, the search for less aggressive, preventive t...<b><span>Background</span></b><b><span>: </span></b><span>In view of the high recurrence of kidney stones in patients, the search for less aggressive, preventive treatments has become increasingly essential. Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span> offers a phytotherapy alternative. Due to its diuretic and kidney stone demineralisation properties, it has been widely used in this patient population, disintegrating and eliminating calcium oxalate and struvite kidney stones painlessly in the genitourinary system. </span><b><span>Methods</span></b><b><span>: </span></b><span>A Phase II, randomised, prospective, observational, single-blind study with two treatment arms was conducted in order to determine the efficacy of this alternative therapy: a total of 155 patients were enrolled, 120 were assigned to a Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span> treatment group and 35 to the placebo group. All were over 18 years of age, of both genders, diagnosed with kidney stones of under 10 mm in diameter, present along the entire renal-ureteral-vesicular tract, diagnosed by ultrasound and renal CAT scan. Divided into two study arms, 120 were administered a dosage of a single 325 mg capsule of the Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span> product half an hour before the two main meals for 3 months. The presence of kidney stones in any part of the renal-ureteral tract was assessed at monthly consultations using one of the above-mentioned diagnostic tools. </span><b><span>Results</span></b><b><span>: </span></b><span>Study results show a high rate of effectiveness with Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span>, finding up to a 65% expulsion rate (78 patients) in the first 8 weeks of treatment, compared to 11.4% (4 patients) in the placebo control group, P < 0.001. It is likely a longer follow-up period would be necessary in patients with kidney stones of 10 mm in diameter or larger than the period applied in the study.</span><span> </span><b><span>Discussion</span></b><b><span>: </span></b><span>We strongly recommend the inclusion of this product in kidney stone disease management protocols, especially for patients with kidney stones under 10 mm in diameter, where high response and effectiveness have been observed. Thus, it should be evaluated to reduce surgical treatment costs, as well as those for possible colic episodes and other associated complications.</span>展开更多
文摘Objective To investigate the method of emergent relief of special renal colic and treatment of ureter diseases causing renal colic. Methods By analyzing 63 cases of special renal colic treated with ureteroscope and Holmium YAG laser. Results 61 cases of renal colic were relieved in a short period of time and the original ureter diseases causing renal colic were cured. Conclusion Special renal colic could be treated with ureteroscope and Holmium YAG laser in a quick and effective manner.
文摘Introduction: Renal colic is a medico-surgical emergency in which complicated forms could progress to renal failure and nonfunctional kidney. The objective of our study is to describe the epidemiological, diagnostic and therapeutic aspects of renal colic at the urology department of the NGRH. Methods: This was a prospective study involving 101 patients followed up for renal colic. The study spanned from July 2015 to July 2016 at the urology department of the NGRH. Results: A total of 101 patients suffering from renal colic were enrolled in the study giving a prevalence of 5.1%. The mean age was 38.89 years with a standard deviation of 14.5 years and a sex ratio of 1:3. Flank or lumbar pain of crushing type (45.5%), constant and of severe intensity (61.4%) were the most frequent clinical characteristics. The plain abdominal radiography (Kidney-Ureter-Bladder) coupled with ultrasonography had a 100% sensitivity for the etiological diagnosis of renal colic. Urinary lithiasis was the most frequent cause with 73.3%. Uroculture revealed a urinary tract infection in 44 patients (43.6%). The most frequent germ isolated on the culture was Escherichia coli (27.7%). Renal function was abnormal in 34 patients (33.7%). Medical treatment was composed of analgesics, NSAIDs and antispasmodic representing 93.1%. Percutaneous nephrostomy was performed in 6.9%. Pyelolithotomy was the most frequently performed surgical procedure and was done in 11 patients that are 39.3%. Fifty seven patients (56.4%) got healed without sequelae;6 cases (5.9%) of recurrence and 2 deaths (2%) were recorded. Conclusion: Renal colic is common in urology. Urinary lithiasis was the major cause in our series. Renal function could be endangered in case of late management.
文摘Objective To observe the efficacy difference of renal colic treated with electroacupuncture in comparison with intramuscular injection with Fortanodyn. Methods Fifty-one patients with renal colic were randomly divided into an electroacupuncture group （26 cases） and a medicine group （25 cases）. In the electroacupuncture group, electroacupuncture was applied to the Xi-cleft points of kidney and bladder meridians, named Shuǐquán （水泉 KI 5） and Jīnmén （金门 BL 63） as well as the relevant Front-mu points, Jīngmén （京门 GB 25） and Zhōngjí （中极 CV 3）. In the medicine group, intramuscular injection with Fortanodyn （100 mg） was administered. Once treatment was applied for immediate analgesia in each group. Before and after treatment, the Simplified McGill Pain Questionnaire （SF-MPQ） and the Visual Analogy Scale （VAS） were adopted for pain assessment respectively. The clinical efficacy and the recurrence of the disease were observed in the two groups. Results The clinically cured and remarkably effective rate was 69.2% （18/26） in the electroacupuncture group, which was superior to 44.0% （11/25） in the medicine group （P0.05）. Separately, in 10 min, 30 min, 60 min and 120 min after treatment, in either group, SF-MPQ and VAS scores were obviously reduced as compared with those before treatment （all P0.05）. The scores in 10 min and 30 min after treatment in the electroacupuncture group were reduced more remarkably as compared with those in the medicine group （both P0.05）. The complete remission time in the electroacupuncture group was shorter apparently than that in the medicine group [（131.19±152.12） min vs （184.29±84.04） min, P0.05]. The recurrence rate of renal colic in 24 h was 8.0% （2/25） in the electroacupuncture group, which was lower slightly than 31.6% （6/19） in the medicine group （P0.05）. Conclusion Renal colic can be effectively relieved in the treatment with either electroacupuncture at the Xi-cleft points and the Front-mu points of kidney and bladder meridians or intramuscular injection with Fortanodyn. But, the electroacupuncture therapy achieves much better efficacy.
文摘Objective： To evaluate the clinical effects of combined acupuncture and ear-puncture in treating renal colic. Methods： Sixty subjects were randomized into an acupuncture group and a medication group, 30 in each, to receive acupuncture and Western medicine respectively. The analgesic effects and pain relief time were measured in both groups. Results： Both of the two groups got pain relieved or reduced. The total effective rate was 89.7% in the acupuncture group, significantly superior to 77.4% in the medication group （P〈0.05）. Conclusion： Combined body and auricular acupuncture is efficient in relieving pain in treating renal colic, and its effective rate was higher compared with medication treatment.
文摘Treated 50 cases of renal colic with electroacupuncture and compared the results with those in two control groups. Total effective rate in the treatment group, control group I and control group II was 98.0%, 90.0% and 92.0% respectively. Key Words Electroacupuncture - Renal Colic - Ureterolith Author: Zou Lan-lin (1969-), male, attending physician
文摘Introduction: Urological emergencies play a significant role in the medical and surgical activity of a urology department. The objective of this study was to determine the hospital prevalence of urological emergencies at the University Hospital of Brazzaville (CHUB), identify the different pathologies requiring urgent care, and list the various therapeutic methods. Patients and methods: A retrospective study of patients admitted to the medical and surgical emergencies department of CHUB over a 5-year period. Patient records admitted and treated for a urological emergency were included. The variables studied were the frequency of urological emergencies, patient age at admission, gender, nature of the emergency, and various therapeutic options. Results: Urological emergencies accounted for 4.3% of all medical and surgical emergencies. The mean age was 57 ± 28 years with a range of 3 to 93 years. The male-to-female ratio was 7.1. The most common conditions were urinary retention (54.67%), hematuria (17.20%), and renal colic (8.13%). Therapeutically, surgical urinary drainage was dominated by cystostomy. Conclusion: Urological emergencies are infrequent at the University Hospital of Brazzaville. Their management is often delayed.
文摘<b><span>Background</span></b><b><span>: </span></b><span>In view of the high recurrence of kidney stones in patients, the search for less aggressive, preventive treatments has become increasingly essential. Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span> offers a phytotherapy alternative. Due to its diuretic and kidney stone demineralisation properties, it has been widely used in this patient population, disintegrating and eliminating calcium oxalate and struvite kidney stones painlessly in the genitourinary system. </span><b><span>Methods</span></b><b><span>: </span></b><span>A Phase II, randomised, prospective, observational, single-blind study with two treatment arms was conducted in order to determine the efficacy of this alternative therapy: a total of 155 patients were enrolled, 120 were assigned to a Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span> treatment group and 35 to the placebo group. All were over 18 years of age, of both genders, diagnosed with kidney stones of under 10 mm in diameter, present along the entire renal-ureteral-vesicular tract, diagnosed by ultrasound and renal CAT scan. Divided into two study arms, 120 were administered a dosage of a single 325 mg capsule of the Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span> product half an hour before the two main meals for 3 months. The presence of kidney stones in any part of the renal-ureteral tract was assessed at monthly consultations using one of the above-mentioned diagnostic tools. </span><b><span>Results</span></b><b><span>: </span></b><span>Study results show a high rate of effectiveness with Renalof</span><sup><span style="vertical-align:super;"><span style="white-space:nowrap;">®</span></span></sup><span>, finding up to a 65% expulsion rate (78 patients) in the first 8 weeks of treatment, compared to 11.4% (4 patients) in the placebo control group, P < 0.001. It is likely a longer follow-up period would be necessary in patients with kidney stones of 10 mm in diameter or larger than the period applied in the study.</span><span> </span><b><span>Discussion</span></b><b><span>: </span></b><span>We strongly recommend the inclusion of this product in kidney stone disease management protocols, especially for patients with kidney stones under 10 mm in diameter, where high response and effectiveness have been observed. Thus, it should be evaluated to reduce surgical treatment costs, as well as those for possible colic episodes and other associated complications.</span>
