UROLITHIASIS/ENDOUROLOGY
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Suggested Reading Pearle MS, Goldfarb DS, Assimos DG et al; American Urological Assocation: Medical management of kidney stones: AUA guideline. J Urol 2014; 192: 316. Singh P, Knoedler JJ, Krambeck AE et al: Thiazide diuretic prophylaxis for kidney stones and the risk of diabetes mellitus. J Urol 2014; 192: 1700.
Re: Clinical Outcomes after Ureteroscopic Lithotripsy in Patients Who Initially Presented with Urosepsis: Matched Pair Comparison with Elective Ureteroscopy R. F. Youssef, A. Neisius, Z. G. Goldsmith, M. Ghaffar, M. Tsivian, R. H. Shin, F. Cabrera, M. N. Ferrandino, C. D. Scales, G. M. Preminger and M. E. Lipkin Division of Urology, Comprehensive Kidney Stone Center, Duke University Medical Center, Durham, North Carolina J Endourol 2014; 28: 1439e1443.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.02.018 available at http://jurology.com/ Editorial Comment: The authors report that patients with a history of urosepsis are more prone to complications during elective ureteroscopic stone removal, which may result in longer hospitalization and health care expenditures. Use of an access sheath to decrease intrarenal pressure in such patients is encouraged. In addition, treatment based on culture of collecting system urine is endorsed due to reported discordance with voided specimen cultures. Dean G. Assimos, MD
Suggested Reading Pearle MS, Pierce HL, Miller GL et al: Optimal method of urgent decompression of the collecting system for obstruction and infection due to ureteral calculi. J Urol 1998; 160: 1260. Wang HS, Wiener JS, Ferrandino MN et al: Complications of surgical management of upper tract calculi in spina bifida patients: analysis of nationwide data. J Urol 2015; 193: 1270.
Re: Antimicrobial Resistance Patterns in Cases of Obstructive Pyelonephritis Secondary to Stones T. Marien, A. Y. Mass and O. Shah Department of Urology, New York University School of Medicine, New York, New York Urology 2015; 85: 64e68.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.02.019 available at http://jurology.com/ Editorial Comment: These findings suggest that it may be useful to obtain an aliquot of urine for culture from the collecting system in addition to that obtained from the bladder if obstructive pyelonephritis is observed in patients with ureteral stones. Discordance between voided and collecting system cultures has also been reported in patients with renal stones. In addition, knowing your local antibiotic resistance pattern is important when assigning antibiotic therapy in this setting. Dean G. Assimos, MD
Suggested Reading Borofsky MS, Walter D, Li H et al: Institutional characteristics associated with receipt of emergency care for obstructive pyelonephritis at community hospitals. J Urol 2015; 193: 851. Borofsky MS, Walter D, Shah O et al: Surgical decompression is associated with decreased mortality in patients with sepsis and ureteral calculi. J Urol 2013; 189: 946. Viprakasit DP, Sawyer MD, Herrell SD et al: Changing composition of staghorn calculi. J Urol 2011; 186: 2285.
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Suggested Reading Pearle MS, Goldfarb DS, Assimos DG et al; American Urological Assocation: Medical management of kidney stones: AUA guideline. J Urol 2014; 192: 316. Singh P, Knoedler JJ, Krambeck AE et al: Thiazide diuretic prophylaxis for kidney stones and the risk of diabetes mellitus. J Urol 2014; 192: 1700.
Re: Clinical Outcomes after Ureteroscopic Lithotripsy in Patients Who Initially Presented with Urosepsis: Matched Pair Comparison with Elective Ureteroscopy R. F. Youssef, A. Neisius, Z. G. Goldsmith, M. Ghaffar, M. Tsivian, R. H. Shin, F. Cabrera, M. N. Ferrandino, C. D. Scales, G. M. Preminger and M. E. Lipkin Division of Urology, Comprehensive Kidney Stone Center, Duke University Medical Center, Durham, North Carolina J Endourol 2014; 28: 1439e1443.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.02.018 available at http://jurology.com/ Editorial Comment: The authors report that patients with a history of urosepsis are more prone to complications during elective ureteroscopic stone removal, which may result in longer hospitalization and health care expenditures. Use of an access sheath to decrease intrarenal pressure in such patients is encouraged. In addition, treatment based on culture of collecting system urine is endorsed due to reported discordance with voided specimen cultures. Dean G. Assimos, MD
Suggested Reading Pearle MS, Pierce HL, Miller GL et al: Optimal method of urgent decompression of the collecting system for obstruction and infection due to ureteral calculi. J Urol 1998; 160: 1260. Wang HS, Wiener JS, Ferrandino MN et al: Complications of surgical management of upper tract calculi in spina bifida patients: analysis of nationwide data. J Urol 2015; 193: 1270.
Re: Antimicrobial Resistance Patterns in Cases of Obstructive Pyelonephritis Secondary to Stones T. Marien, A. Y. Mass and O. Shah Department of Urology, New York University School of Medicine, New York, New York Urology 2015; 85: 64e68.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.02.019 available at http://jurology.com/ Editorial Comment: These findings suggest that it may be useful to obtain an aliquot of urine for culture from the collecting system in addition to that obtained from the bladder if obstructive pyelonephritis is observed in patients with ureteral stones. Discordance between voided and collecting system cultures has also been reported in patients with renal stones. In addition, knowing your local antibiotic resistance pattern is important when assigning antibiotic therapy in this setting. Dean G. Assimos, MD
Suggested Reading Borofsky MS, Walter D, Li H et al: Institutional characteristics associated with receipt of emergency care for obstructive pyelonephritis at community hospitals. J Urol 2015; 193: 851. Borofsky MS, Walter D, Shah O et al: Surgical decompression is associated with decreased mortality in patients with sepsis and ureteral calculi. J Urol 2013; 189: 946. Viprakasit DP, Sawyer MD, Herrell SD et al: Changing composition of staghorn calculi. J Urol 2011; 186: 2285.
