Search

Prostatic lithiasis is commonly found in patients over 50 years of age, is rare under 40 years of age and very rare in children. Asymptomatic prostatic calculus is frequently highlighted by routine ultrasound examination or radiological examinations. The association of prostatic lithiasis with chronic prostatitis and benign prostate hyperplasia is common. The vast majority of prostatic calculi are latent progressive, being incidentally discovered on prostate ultrasound, basin radiographs or adenomectomy. There is no pathognomonic symptomatology for prostate disease. Symptoms, when present, may be due to prostatic hypertrophy, urethral strictures or chronic prostatitis. In this review, we will describe the prevalence, ethiopathogenesis, symptomatology, diagnosis and treatment options currently available for prostatic lithiasis. [ABSTRACT FROM AUTHOR]

Objective. The objective of the study was to evaluate the internal ureteral drainage with a double J stent in treating symptomatic obstructive uropathy (lithiasic or physiologic) during pregnancy. Material and Methods. Between 2011-2017 we retrospective analysed 40 pregnant women who were admitted with renal colic, flank pain, urinary symptoms and inconstant fever. Renal ultrasound revealed hydronephrosis with clinical and paraclinical signs of acute pyelonephrytis in 19 (47.5%) patients. The age of pregnancy was between 20 - 30 weeks. All the cases where monitored by white blood cell count, serum creatinine levels, urinalysis, and urine culture. All ureteric stents were inserted successfully under local, spinal or general anesthesia. Antibiotic therapy was associated. Results. A total of 32/40 (80%) patients had a clinical improvement immediately or soon after intervention. All patients had complete resolution of the hydronephrosis on follow-up renal ultrasound and regression of hydronephrosis and urinary symptoms after ureteral stenting. Minor complications were reported as (stent irritation, stent encrustation, and stent migration). The post-natal evaluation confirmed that 18/40 (57%) patients had urinary calculus disease 22/40 (55%) patients with physiologic hydronephrosis during pregnancy. All pregnancies progressed uneventfully and 25/40 (62.5%) women had normal vaginal deliveries. The ureteric stent was removed 2 weeks after delivery and endoscopic removal of ureteral stone. Follow up renal ultrasound was normal. Conclusions. Ureteral stenting is a very efficient therapeutic option in treating pregnant women with renal colic and hydronephrosis. Ureteric double J stenting during pregnancy can be safe, with good symptom relief and has a low complication rate. [ABSTRACT FROM AUTHOR]