Scand J Urol Nephrol
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Scand J Urol Nephrol · Jan 2008
Randomized Controlled Trial Comparative StudyLornoxicam in extracorporeal shock-wave lithotripsy; comparison with tenoxicam and placebo in terms of analgesic consumption.
To assess the analgesic efficacy of lornoxicam and compare it with that of tenoxicam in patients undergoing extracorporeal shock-wave lithotripsy (ESWL) for renal stones. ⋯ In patients undergoing ESWL the i.v. administration of a single dose of 8 mg lornoxicam provides significantly better pain control compared with tenoxicam 20 mg and placebo, without increasing adverse side-effects.
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Scand J Urol Nephrol · Jan 2008
Randomized Controlled TrialEvaluation of a non-invasive bladder volume measurement in children.
Postoperative urinary retention (PUR) is associated with overdistension of the bladder. The prevention of PUR by routine catheterization may increase the risk of urinary tract infection. Postoperative monitoring of the bladder volume by ultrasound to prevent PUR is reliable in adults, but has not been evaluated in children. ⋯ This study could not confirm good agreement between the ultrasound-estimated volumes and the injected volumes at volumes below 5 ml/kg. Bladder volumes were underestimated with a very broad 95% confidence interval. The ultrasound device should not replace current clinical assessment.
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Scand J Urol Nephrol · Jan 2008
Review Case ReportsRenal artery pseudoaneurysm secondary to blunt trauma nine years earlier: case report and review of the literature.
This report describes a 59-year-old male with a renal artery pseudoaneurysm secondary to blunt trauma from a snowmobile accident. The patient presented with haematuria and flank pain, 9 years after the injury. ⋯ The diagnosis was delayed because the doctors were unaware of the initial trauma. In cases of haematuria, flank pain and computed tomography showing a tumour in the renal hilum, the patient should be questioned about previous abdominal trauma, as pseudoaneurysms can rupture many years after the causative injury.
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A 77-year-old man was referred to the urological clinic with asymptomatic gross hematuria. Cystoscopy revealed a papillary tumor within the diverticulum of the bladder. ⋯ One month later, partial cystectomy was performed and histopathological examination indicated goblet cell metaplasia without residual tumor cells. The patient is currently well with no evidence of tumor.
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Scand J Urol Nephrol · Jan 2008
Randomized Controlled TrialEfficacy of tamsulosin in medical expulsive therapy for distal ureteral calculi.
To evaluate the potential role of tamsulosin in the medical treatment of distal ureteral stones. ⋯ Our study reveals the efficacy of tamsulosin for the treatment of distal ureteral stones. Tamsulosin should be added to the standard medical approach for treating these stones.