The role of inflammatory serum markers and ureteral wall thickness on spontaneous passage of ureteral stone &lt; 10 mm: A prospective cohort study

Aghaways, Ismaeel; Ibrahim, Rebaz; Bapir, Rawa; Salih, Rawezh Q.; Salih, Karzan M.; Abdulla, Berwn A.

doi:10.1016/j.amsu.2022.104198

Cited by 7 publications

(5 citation statements)

References 38 publications

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“…Several studies have identi ed UWT as an independent predictor of SSP, albeit with widely varying cut-off values [11,14,15]. The substantial variations in thresholds between the reports likely re ect the heterogeneity of the methods of measurement used across the studies, and the results of these studies…”

Section: Tran Et Al and Deguchi Et Al Recently Reported An Associatio...mentioning

confidence: 99%

“…One factor that may contribute to the discordant results of this study compared with those of other reports are differences in follow-up times. Most of the earlier published studies measured the outcomes after 4 weeks [11,12,14,15,18], which might be considered a rather short time, given that -for a ureteric stone > 2 mm -passage may take as long as 40 days [19]. Although the follow-up protocol in our study was not standardised, given its retrospective nature, one strength of this study was its long-term follow-up time of up to 24 weeks, which re ected the natural course of ureteral stones (without intervention).…”

Section: Tran Et Al and Deguchi Et Al Recently Reported An Associatio...mentioning

confidence: 99%

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Radiological signs of stone impaction add no value in predicting spontaneous stone passage

Popiolek,

Lidén,

Georgouleas

et al. 2024

Preprint

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Stone size and location are key factors in predicting spontaneous stone passage (SSP), but little attention has been paid to the influence of radiological signs of stone impaction (RSSI). This research aims to determine whether RSSI, alongside stone size, can predict SSP and to evaluate the consistency of ureteral wall thickness (UWT) measurements among observers. In this retrospective study, 160 patients with a single upper or middle ureteral stone on acute non-enhanced computed tomography (NECT) were analysed. Patient data were collected from medical records. Measurements of RSSI, including UWT, ureteral diameters, and average attenuation above and below the stone, were taken on NECT by four independent readers blind to the outcomes. The cohort consisted of 70% males with an average age of 51 ± 15. SSP occurred in 61% of patients over 20 weeks. The median stone length was 5.7 mm (IQR: 4.5–7.3) and was significantly shorter in patients who passed their stones at short- (4.6 vs. 7.1, p < 0.001) and long-term (4.8 vs. 7.1, p < 0.001) follow-up. For stone length, the area under the receiver operating characteristic curve (AUC) for predicting SSP was 0.90 (CI 0.84–0.96) and only increased to 0.91 (CI 0.85–0.95) when adding ureteral diameters and UWT. Ureteral attenuation did not predict SSP (AUC < 0.5). Interobserver variability for UWT was moderate, with ± 2.0-mm multi-reader limits of agreement (LOA). The results suggest that RSSI do not enhance the predictive value of stone size for SSP. UWT measurements exhibit moderate reliability with significant interobserver variability.

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Section: Tran Et Al and Deguchi Et Al Recently Reported An Associatio...mentioning

confidence: 99%

Section: Tran Et Al and Deguchi Et Al Recently Reported An Associatio...mentioning

confidence: 99%

Radiological signs of stone impaction add no value in predicting spontaneous stone passage

Popiolek,

Lidén,

Georgouleas

et al. 2024

Preprint

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“…The thickness of the ureteral wall, which can be measured by ultrasonography, is associated with the likelihood of spontaneous stone passage. If the ureteral wall thickness exceeds 2.4 mm, it is less likely to have spontaneous stone passage with a sensitivity of 83% and a specificity of 86% [ 5 ]. Ultrasonography is the diagnostic imaging method of choice, especially for pregnant patients, due to its non-invasive nature and absence of radiation exposure.…”

Section: Urolithiasismentioning

confidence: 99%

Ultrasonography of acute retroperitoneum

Liu,

Lin,

Lin

et al. 2024

Ultrasonography

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The retroperitoneum is an important space in the human body that is often implicated in a range Epub ahead of print of acute medical conditions, some of which can be life-threatening. Ultrasonography may serve as a pivotal first-line imaging technique when assessing patients with suspected retroperitoneal abnormalities. Effective ultrasonography of the retroperitoneum requires a comprehensive grasp of its anatomy, adjacent structures, and potential pathologies. Being well-acquainted with the imaging characteristics of acute conditions can meaningfully assist in an accurate diagnosis and guide subsequent management. This review article summarizes and illustrates the acute conditions involving the retroperitoneum through the lens of ultrasound imaging.

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“…Ureteral stones (UTSs) are a common presentation and referral in daily urological practice, frequently causing episodes of acute renal colic due to obstruction. Among all urinary stones, ~20% can be located in the ureter, while 70% are found in the distal ureteric segment 2 , 3 . The escalating burden of kidney stone disease has substantial costs for healthcare systems, and the disease also has a negative impact on the patient’s quality of life 4 .…”

Section: Introductionmentioning

confidence: 99%

“…These options include observation for spontaneous passage, medical expulsive therapy (MET), ureterorenoscopic lithotripsy (URSL), and extracorporeal shockwave lithotripsy (ESWL). However, invasive techniques are associated with several drawbacks, like high cost, work loss, complications, and hospitalization 2 , 5 , 6 . Recently, several studies have indicated that sexual intercourse may serve as a potential alternative therapeutic approach in the treatment of UTS.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of sexual intercosurse in the spontaneous passage of distal or intramural ureteral stones: a randomsized controlled trial

Bhatti,

Bapir,

Bhatti

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: The role of sexual intercourse as an alternative treatment approach for ureteral stones is a recent area of investigation with only small sample-sized studies. This study aims to evaluate the role of sexual intercourse in the spontaneous passage of distal or intramural ureteral stones via a larger sample size. Materials and Methods: The study population included cases that had either a distal ureteric or an intramural radiopaque stone. The patients were divided into two groups; Group A was instructed to engage in sexual intercourse 2-3 times per week while also receiving symptomatic treatment for 4 weeks. Group B received symptomatic treatment alone and was instructed to abstain from sexual intercourse or masturbation for the same period. Results: A total of 160 male patients were enrolled in this study. The ages of the patients ranged from 21 to 58 years. The rate of stone expulsion after two weeks was 68.18% in Group A and 53% in Group B (P-value=0.053). The expulsion rate after 4 weeks was 80% in Group A and 68.4% in Group B (P-value=0.072). The mean expulsion time was 13.9±5.4 days for the experimental group and 15.2±6.7 days for the control group (P-value=0.179). The experimental group required fewer analgesic injections in comparison to the control group (P-value <0.05). Conclusion: While the role of sexual intercourse in facilitating the passage of distal or intramural ureteral stones cannot be fully established, it may aid to some extent. However, it should not be relied upon as a standalone treatment modality.

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The role of inflammatory serum markers and ureteral wall thickness on spontaneous passage of ureteral stone < 10 mm: A prospective cohort study

Cited by 7 publications

References 38 publications

Radiological signs of stone impaction add no value in predicting spontaneous stone passage

Radiological signs of stone impaction add no value in predicting spontaneous stone passage

Ultrasonography of acute retroperitoneum

Efficacy of sexual intercosurse in the spontaneous passage of distal or intramural ureteral stones: a randomsized controlled trial

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