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  • Open Access

    ARTICLE

    Internet program for facilitating dietary modifications limiting kidney stone risk

    Jessica N. Lange1, Linda Easter1, Robert Amoroso1, Debra Benfield1, Patrick W. Mufarrij2, John Knight3, Ross P. Holmes3, Dean G. Assimos3

    Canadian Journal of Urology, Vol.20, No.5, pp. 6922-6926, 2013

    Abstract Introduction: Certain dietary modifications limit the risk of stone recurrence. Compliance is an important component of dietary therapy for stone prevention, and self-efficacy is an important ingredient of compliance. We developed an internet program to facilitate dietary compliance for stone prevention and performed a pilot study to assess its effectiveness.
    Materials and methods: The internet program provides information regarding dietary modifications including increased fluid consumption, limited animal protein, sodium, and oxalate intake, and adequate calcium consumption. Participants record their daily food and fluid intake and receive immediate feedback as to whether they were compliant or not. Five… More >

  • Open Access

    ARTICLE

    Practice patterns in the emergency care of kidney stone patients: an analysis of the National Hospital Ambulatory Medical Care Survey (NHAMCS)

    Elias S. Hyams1, Brian R. Matlaga1, Frederick K. Korley2

    Canadian Journal of Urology, Vol.19, No.4, pp. 6351-6359, 2012

    Abstract Introduction: The emergency department (ED) is a common setting for evaluation of patients with urolithiasis based on acute symptoms and a propensity for recurrent disease. We sought to characterize practice patterns in the emergency treatment of stone disease, and to identify potential disparities in care based on non-medical factors.
    Materials and methods: We performed a cross-sectional analysis of ED visits using the National Hospital Ambulatory Medical Care Survey from 2005-2009. Visits with a diagnosis of urolithiasis were identified. The associations between patient, provider, and institutional characteristics were analyzed with regard to timing of clinical assessment, use of… More >

  • Open Access

    RESIDENT’S CORNER

    Renal matrix stone managed by ureteroscopic holmium laser lithotripsy

    Carlos H. F. Chan, Assaad El-Hakim, Sero Andonian

    Canadian Journal of Urology, Vol.17, No.2, pp. 5127-5130, 2010

    Abstract Introduction: Matrix stones are rare types of urinary calculi composed of mucoproteins and mucopolysaccharides. Since isolated flank pain may be the only presenting symptom and routine radiographic studies are usually non-informative, diagnosis of such urinary calculi represents a clinical challenge. Traditionally, these matrix stones have been managed by either open pyelolithotomy or percutaneous nephrolithotomy (PCNL). Ureteroscopic management of a patient with matrix renal stones and review of literature is presented.
    Case report: A 34-year-old woman presented with chronic right flank pain. Abdominal ultrasound found a 5.3 cm heterogeneous right renal pelvic mass with 9.7 mm stone. CT… More >

  • Open Access

    CASE REPORT

    Suture urolithiasis in the renal pelvis secondary to prior subtotal colectomy

    Luke T. Lavallee, J. P. McCarthy, Richard W. Norman

    Canadian Journal of Urology, Vol.15, No.1, pp. 3928-3929, 2008

    Abstract We report upon a patient who underwent a subtotal colectomy 2 years prior to presenting for a percutaneous nephrolithotomy of a large stone in the left renal pelvis. At the time of surgery, a non-absorbable suture was found embedded in the stone. Both stone and suture were removed percutaneously. More >

  • Open Access

    ARTICLE

    Research priorities for urological care following spinal cord injury: recommendations of an expert panel

    K. C. Hayes, K. Bassett-Spiers, R. Das, K. D. Ethans, C. Kagan, J. L. K. Kramer, T. Linsenmeyer, K. N. Moore, H. Razvi, G. Reid, J. S. Walter, J. W. L. Wilson

    Canadian Journal of Urology, Vol.14, No.1, pp. 3416-3423, 2007

    Abstract Objective: A multidisciplinary panel of experts from Canada and the United States was convened by the Ontario Neurotrauma Foundation (ONF) to establish research priorities in the area of urological care following spinal cord injury (SCI).
    Design: The panel reviewed a synthesis of published literature in five areas of urology, identified emerging opportunities in the private and public sector, and used a modified Delphi approach to reach consensus on priorities for funding.
    Results: The panel recommendations included: clinical trials of the safety and efficacy of M3 receptor specific anti-muscarinic agents for bladder hyperactivity in SCI patients; development and… More >

  • Open Access

    RESIDENT’S CORNER

    Spontaneous dissolution of a guaifenesin stone

    Thai T. Nguyen, Bernard Fallon, Howard N. Winfield

    Canadian Journal of Urology, Vol.12, No.4, pp. 2769-2771, 2005

    Abstract Guaifenesin is a commonly used expectorant whose use may lead to the occasional formation of guaifenesin urinary stones. We herein describe a patient who was taking 2400 mg Guaifenesin per day as part of his treatment for asthma. He had a past history of a guaifenesin stone removed ureteroscopically. His current presentation was with a 9 mm by 6 mm stone in the upper left ureter, seen on CT scan, and treated initially with a ureteral stent and hydration. After 3 weeks, the stone had disappeared, as confirmed by repeat CT scan. The genesis and More >

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