The authors report on the treatment of lower-pole caliceal nephrolithiasis with extracorporeal shockwave lithotripsy (SWL) using the Czech-made Medilit M-5 lithotripter. In 310 patients, they have performed 452 treatments and evaluated the results 3 months after the last session using plain radiographs and ultrasound examination. The effectiveness of treatment and the success rate of SWL decreased with increasing size of stones: with stones >20 mm, it declined to 30%. This poor success rate was attributable not only to the size of the concrement, but also to its location in a lower calix, which is unfavorable for the passage of fragments. For big lower-pole caliceal stones (>20 mm in the longest diameter), the authors recommend percutaneous nephrolithotomy as the primary management method, the effectiveness of which does not depend on the size of the stone. The success rate achieved in treating the lower-pole caliceal lithiasis using the Medilit M-5 machine was 61.3%, similar to that achieved with other lithotripters.
Prezentujeme kazuistiku pacienta s bilaterálním multifokálním světlobuněčným renálním karcinomem, kterému byla provedena radikální nefrektomie vlevo a záchovný resekční výkon vpravo. S odstupem 30 měsíců byla zjištěna vzácně se vyskytující metastáza renálního karcinomu (RCC) do močového měchýře, která byla řešena transuretrální resekcí. Následně byl verifikován metastatický proces do plic a mozku. Klíčová slova: renální karcinom, metastáza, močový měchýř. Metachronous metastasis of renal cell carcinoma to the urinary bladderA case is reported of a patient with a bilateral clear renal cell carcinoma who underwent radical nephrectomy on the left side and nephron-sparing surgery on the right side. Thirty months later, a rare metastasis of renal cell carcinoma (RCC) into the urinary bladder was detected and treated by transuretral resection. Subsequently, it was established that the metastatic process had also begun to take place in the patient's lungs and brain.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.