Abbreviations & Acronyms Introduction:To determine the association of the basic metabolic panel with stone type. Methods: The present study was a retrospective review of 492 stone formers with both stone composition analysis and basic metabolic panel available. Analysis of a basic metabolic panel across stone types was carried out using Fisher's exact test and analysis of variance. Multinomial logistic regression was used to predict stone type based on a basic metabolic panel.Results: A total of 272 (55%) patients had predominantly calcium oxalate stones, 100 (21%) had uric acid stones, 93 (19%) had calcium phosphate stones, 16 (3%) had mixed stones and 11 (2%) had other types of stones. Uric acid stone formers had the highest serum glucose, blood urea nitrogen and creatinine levels. Calcium oxalate stone formers had the highest serum sodium. No significant differences in mean serum calcium levels across different stone types were identified. The predicted risk of uric acid stone over the other stone types increased with an increase in serum glucose and decreased with an increase in carbon dioxide levels. The predicted risk of calcium oxalate stones increased with an increase in serum sodium and chloride levels. The predicted risk of calcium phosphate and oxalate stones over the other stone types increased with an increase in serum calcium levels. The overall accuracy of the basic metabolic panel alone to predict stone type was 59%. Conclusion: A basic metabolic panel alone or in combination with 24-h urinalysis and demographics does not accurately predict stone type. However, it can be used in combination with other variables to predict stone composition.
Our series suggests that two of three individuals who undergo ureteral stent removal experience symptoms thereafter. Individuals undergoing stone basket extraction and those who experienced stent discomfort were more likely to have pain after stent removal. Anticholinergic use and stents indwelling for a longer time were associated with less pain after stent removal.
INTRODUCTION AND OBJECTIVES: To describe our technique and to report intra-and postoperative bench-marks of robot-assisted isolated sacrocolpopexy and sacrocolpopexy combined with modified Burch colposuspension procedure. The video shows all steps of the procedure in detail: from port placement (five-port transperitoneal approach) over dissection of vesicovaginal and rectovaginal spaces to the suture of a Y-shaped piece of synthetic mesh to the vagina and promontory.METHODS: We enrolled 120 consecutive patients in this observational study. We assessed surgery duration, console duration, blood loss, intra-and postoperative complications. We described frequencies as number and/or percent and continuous data as mean (standard deviation, SD) as appropriate. We also calculated the correlation between the total and console duration and centre experience by linear regression.RESULTS: The mean age was 69,2 (SD 10,9) years, the mean BMI 26.8 (SD 5.2). Eighty-four (70%) patients were ASA 1e2, 35 (29,2 %) ASA 3 and one was ASA 4 (0,8%). Seventy-seven (76.2%) women had undergone previous abdominal surgery. Seventy-three (60,8%) of the patient had a previous history of hysterectomy (abdominal or vaginal). All procedures could be conducted without conversion to open surgery. Intraoperative complications occurred in six cases (5,0 %): superficial lesions (serosa) of the bowel in three cases and lesion of the bladder in other 3 cases. The overall mean surgery duration was 104 minutes (SD29,8), thereof 69,2 (SD27,0) minutes console time. The mean blood loss amounted to 32 ml (SD 38,6). The mean console duration was 56,9 minutes (SD22,8) in patients with isolated sacrocolpopexy and 86,7 minutes (SD23,3) in combined sacrocolpopexy and modified Burch colposuspension procedure (p¼0.003). There was a significant correlation between duration and centre experience for total surgery time (R0.610, p<0.001) and console time (R 0.666, p<0.001).CONCLUSIONS: Both robot-assisted isolated sacrocolpopexy and combined sacrocolpopexy modified Burch colposuspension were safe procedures, resulted in minimal blood loss and were feasible within moderate surgery duration. Surgery duration reduction in our centre solely depended on console surgeon experience.INTRODUCTION AND OBJECTIVES: To review our experience with the long-term outcome after Skene's gland cyst excision METHODS: A surgical database of all procedures performed by two surgeons at one institution was reviewed for Skene's gland cyst excision. Data extracted from an electronic medical record or medical charts were presenting symptoms, pre-operative evaluation, site of excision, peri-operative complications, and clinical outcomes. Technique of surgical excision is presented in the attached movie, and includes cystoscopy, dissection of cyst wall from the floor of the urethra with scissors or bovie on low setting, distal urethroplasty as indicated, complete removal of the cyst wall, and primary vaginal wall closure. Urethral Foley catheter is left indwelling for 3e5 days afterwards and sexual...
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