Imaging Modalities in Genitourinary Emergencies

Jakubowski, Julian; Moskovitz, Joshua B.; Leonard, Nicole

doi:10.1016/j.emc.2019.07.013

Cited by 4 publications

(2 citation statements)

References 80 publications

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“…Despite the great efficacy of the existing radiological tools (e.g. CDUS), to distinguish TT from other causes of acute scrotum [19], there is still no harmonized treatment algorithm, and some clinicians advise surgical exploration in all cases of the acute scrotum to ensure a maximal testicular salvage [20,21]. Thus, a retrospective study of Molokwu et al using this approach, diagnosed TT in only 51% of the cases [21].…”

Section: Discussionmentioning

confidence: 99%

Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study

Zvizdić

Aganovic

Milišić

et al. 2021

The American Journal of Emergency Medicine

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Objective: Testicular torsion (TT) is an emergency requiring a prompt diagnosis and surgery to avoid irreversible changes and a complete loss of testis. The present study aimed to identify potential factors that may be predict a testicular salvage after TT in pediatric patients. Methods: Consecutive medical records of all children ≤16 years old with surgically confirmed TT over a period of five years (2011-2016) were collected. Patients were divided into 2 groups according to testicular viability and the type of treatment: Orchidectomy and orchidopexy. The differences between the two groups and potential predictors of testicular salvage were analyzed.Results: Thirty-one boys with TT met the inclusion criteria and were included in the study. The mean age was 13.6 years (range, 10 days -15.8 years). Testicular salvage was possible in 18 (58.1%) patients. The duration of symptoms and a lesser degree of torsion indicated a testicular salvage in children and adolescents with testicular torsion, but in multivariate analysis only duration of symptoms (time to surgical detorsion) was significantly associated with the risk of non-salvage. At follow-up, testicular atrophy affected 73.3% of the patients treated with orchidopexy. Conclusion: Duration of symptoms is the only predictor of successful testicular salvage following testicular torsion in children. It is associated with a substantial risk of testicular loss and atrophy.

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Section: Discussionmentioning

confidence: 99%

Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study

Zvizdić

Aganovic

Milišić

et al. 2021

The American Journal of Emergency Medicine

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“…[10][11][12][13][14][15][16] But with the technological advances in this ultrasound area has allowed us to identify almost completely said pathology, visualizing renal anatomical alterations, ureters and the difference between the pathological and non-pathological bladder ureter jet. [17][18][19][20][21][22][23][24] This protocol aims to study the existence of a correlation between the size of the ureteral calculus and the bladder ureter jet, because as mentioned above, a distortion in this flow has been reported when this pathology occurs.Technological and methodological advances in the field of radiology have allowed us to diagnose ureteral stones with great certainty by means of Computed Tomography as a gold standard, and by ultrasound as a first-line diagnosis, but sometimes there is no means to be able to make the diagnosis in certain units since they do not have CT, we believe that the definitive diagnosis of this disease can be made and its size can be calculated only with simple use of ultrasound and its derived methods such as Doppler. emergency department of the ISSSTE Monterrey Regional Hospital with the diagnosis of ureteral lithiasis, who have undergone Doppler Ultrasound and Computed Tomography, who enter the urology department during the study period, and that meet the inclusion criteria in the period from March 2018 to November 2018.…”

Section: Introductionmentioning

confidence: 99%

Relationship between ureterovesical flow and the size of ureteral lites measured with doppler ultrasound

Hernández¹

2019

IJFCM

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Background: The prevalence of lithiasis in the urinary tract is estimated at 12% of the general population in industrialized countries, of which 2.3% of the population that suffers it with a picture of renal colic. Radiological studies have been the tool used to establish the diagnosis of this pathology. The Gold Standard is computed tomography because it has a sensitivity of 96%-98% and a specificity of 95%-98%. We currently know that Ultrasound is a first-line tool and with technological advances has allowed us to identify almost all of this pathology, visualizing the renal anatomical alterations, ureters and the difference between the pathological and non-pathological bladder ureter jet. Material and methods: Analytical study, observations, prospective and correlation. The sample consists of patients older than 18 years who enter the emergency department of the Regional Hospital of Monterrey with the diagnosis of ureteral lithiasis, which has been performed Doppler Ultrasound and Computed Tomography, with entering the department of urology in the study period, and that meet the inclusion criteria in the period from March 2018 to November 2018. Results: Of the patients found, the majority were women, with 16 samples having an average of 72.7% of the general population. An almost similar relationship was found in the distribution of affected ureters, being mainly the right ureter. Discussion and conclusion: The use of Doppler ultrasound for the detection and measurement of Ureterovesical flow proved to be an effective method to correlate the size of the stone when it occurs in the uretero. Ultrasound has been placed as a form of current diagnosis for ureteral lithiasis, contrary to what was previously believed because the BMI, age and other factors affect the image at the time of diagnosing the lithium, but new forms have been found to relate this pathology as they are through the degree of hydronephrosis. It was shown that the larger the size of the stone, the lower the ureterovesical flow and vice versa the smaller the size of the stone, the greater the ureterovesical flow.

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Imaging Kidneys and the Urinary Tract

Loewen

Greenbaum

2022

Pediatric Nephrology

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Imaging Modalities in Genitourinary Emergencies

Cited by 4 publications

References 80 publications

Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study

Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study

Relationship between ureterovesical flow and the size of ureteral lites measured with doppler ultrasound

Imaging Kidneys and the Urinary Tract

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