96 patients with 65 males and 24 femals aged from 19-65 years old with colic symptoms at lumbar- abdomen area. Among them 86 cases were urine calculus, 7 cases other conditions diagnosed by bidimension ultrasound a simple technique for diagnosis of most of simple kidney colics. Ultrasound should be used in acute lumbar- abdomen colic, with low sensitivity, this technique showed be associated with X Ray. Measuring the anterior and posterior pyelic diameters in comparing with the healthy kidney for detecting their contraction and dilatation. In case of proof lacking the combination with X Ray will be necessary to determine the function and morphology of ureteral system.
Urinary Calculi ; Diagnosis ; Ultrasonography

41 patients with the urethral stone received opertions to treat the urethral stone in Ha Tay hospital during 1996-1998. The results have shown that simple removal of stone (28), kidney removal (7), renal drainage (3), stone missing (1) and stone removal and drainage (3). It should early detect and select the suitable treatment in order to reduce the complication of urethral stone and accident
Urethral Diseases ; Calculi ; diagnosis ; therapeutics

Xanthogranulomatous pyelonephritis is an atypical form of severe chronic parenchymal infection and usually occurs in associated with urinary tract infection, obstruction and/or calculi. An accurate preoperative diagnosis is difficult because of its clinical and radiological similarities to various other renal lesions. We experienced two cases of xanthogranulomatous pyelonephritis, so we report with review of some literatures.
Calculi ; Diagnosis ; Pyelonephritis, Xanthogranulomatous* ; Urinary Tract Infections

From 1992 to 1997, 982 calculus in the upper urinary tract (UUT) was removed. There were 10 acute renal failure and 75 chronic renal failures. The study deserves special commentaries. Renal failure occurred in both groups patients bilateral calculi (group I) and calculus in the single kidney (group II). The members of chronic renal failure were much higher than that of acute renal failure. Renal failure in group II was 2.24 time higher than in group I. The risk was equal for both sex. In group I, the rate of renal failure increased with long history of disease and patients in very short time. Among high - risk factors for renal failure we noted: calculus in many location, bilateral Staghorn calculus multiple bilateral calculi or calculi with calculi in the single kidney, calculi urinary tract infection. Roentgenography, ultrasound, and radioisotope examinations were used as non-invasive techniques for those patients
Urinary Calculi ; Kidney Failure ; diagnosis ; complications

The spontaneous rupture of the ureter is a rare condition. Two cases are reported with a spontaneous rupture caused by ureteral calculi. The diagnosis was suspected by delayed post-CT KUB and confirmed by ureteroscopy. On the basis of the clinical evolution the authors discuss the diagnosis and pathogenesis of the observed ureteral rupture. Rupture of ureter must be considered as differential diagnosis of acute flank pain, especially when there is change of pain character or severity.
Diagnosis ; Diagnosis, Differential ; Flank Pain ; Rupture* ; Rupture, Spontaneous ; Ureter* ; Ureteral Calculi ; Ureteroscopy ; Urinary Calculi

Hemangiomas are relatively common benign lesions in head and neck, and are easily diagnosed when they present as cutaneous lesions. However, when a vascular lesion is located within the deeper tissues without a cutaneous component, it results in a large differential diagnosis and sometimes is misdiagnosed even using modern imaging studies. In certain instances, simple radiographic studies may be helpful in diagnosis. Hemangioma in the submandibular gland is extremely rare and when it has phleboliths within it, it is easily confused with calculis in the salivary gland. Recently we experienced one such case. The 63-years-old man complained of a painful bulging mass without cutaneous lesions in the right submandibular area, which had occurred in 2 or 3 times over a 2 year periods. Plain skull films revealed two radioopaque densities in submandibular area and ultrasonography revealed similar findings. Preoperatively he was thought to have sialoliths of a submandibular gland, but it was confirmed as a hemangioma with phleboliths after the operation.
Calculi ; Diagnosis ; Diagnosis, Differential ; Head ; Hemangioma* ; Neck ; Salivary Gland Calculi* ; Salivary Glands ; Skull ; Submandibular Gland* ; Ultrasonography

The severe pain of the urogenital organ may arise not only from other various diseases, but especially from the urinary tract calculi which present the characteristic pain. We must differentiate the pain from the calculi and other diseases for the patients who department of urology. The differential diagnosis must be made under consideration of the findings of physical examination and urinalysis, but simple K.U.B. and I.V.P. have the absolute diagnostic value among the patients who complain of the characteristic pain due to the urinary tract calculi. The author have studied the relationship between the pain and urinary tract calculi and have the following result. 1) 132(67.O%) urinary tract calculi among total 197 cases who complain of the pain. 2) 37(56.9%) urinary tract calculi among 65 cases who complain of dull pain. 3) 70(72.8%) urinary tract calculi among 96 cases who complain of colicky pain. 4) 25(69.4%) urinary tract calculi among 36 cases who complain intermittent colic and dull pain.
Calculi* ; Abdominal Pain ; Diagnosis, Differential ; Humans ; Physical Examination ; Urinalysis ; Urinary Calculi ; Urinary Tract* ; Urology

PURPOSE: Terpene combination (Rowatinex) is known to help with the expulsion of urinary stones. The aim of this study was to determine how Rowatinex affects the expulsion of remnant stones after shock wave lithotripsy (SWL). MATERIALS AND METHODS: Clinical data were collected retrospectively from 499 patients with a diagnosis of ureteral stones who underwent SWL from January 2009 to August 2012. Ureteral stones were diagnosed in all patients by kidney, ureter, and bladder x-ray and abdominal computed tomography (CT). The progress of patients was documented every 2 weeks to confirm remnant stones after SWL. The patients with remnant stones underwent SWL again. Group 1 consisted of patients who were prescribed an analgesic, Tamsulosin 0.2 mg, and Rowatinex. Group 2 consisted of patients who were prescribed only an analgesic and Tamsulosin 0.2 mg. The expulsion rate of urinary stones was compared between groups. RESULTS: The expulsion rate of urinary stones was not significantly different between the two groups after 2 weeks. However, after 4 weeks, group 1 had a significantly higher expulsion rate (72.2% compared with 61.1%, p=0.022). Fifteen patients (10.2%) in group 1 and 40 (11.4%) in group 2 had to undergo ureteroscopic removal of the stone (p=0.756). Acute pyelonephritis occurred in one patient (0.7%) in group 1 and in one patient (0.3%) in group 2 (p=0.503). CONCLUSIONS: The long-term administration of Rowatinex for 4 weeks increased the expulsion rate of urinary stones after SWL.
Calculi* ; Diagnosis ; Humans ; Kidney ; Lithotripsy* ; Pyelonephritis ; Retrospective Studies ; Shock* ; Ureter* ; Urinary Bladder ; Urinary Calculi ; Urolithiasis

ESWL is a safe and effective treatment for renal calculi. However, on destruction of the stone, the pressure of shock waves produces renal microdamage. Urinary enzyme testing has been used to diagnosis and monitor various types of renal injured. Three urinary enzymes, N-acetyl-beta- glucosaminidase, beta-galactosidase, gamma-glutamyl transferase in 24 hour urine were monitored in 20 patients before and after ESWL and in 5 controls. The ESWL, a single session treatment, was performed using EDAP LT-01. The amount of the shock wave treated was same regardless of stone size and location. The results were obtained as follows. 1. Post-ESWL N-acetyl-beta-glucosaminidase level was higher than that of control on day 1 and showed a rapid decrease on day 3, and returned to normal by day 28. 2. Post-ESWL beta-galactosidase level was higher than that of control on day 1 and was still higher on day 7, and returned to normal by day 28. 3. Post-ESWL gamma-glutamyl transferase level reached to a peak on day 1 and showed a rapid decrease on day 3, and returned to normal by day 28. In summary, ESWL for renal stones elevates urinary enzymes transiently, which was on peak one day after the treatment and returned to nearly normal level by 1 month after the treatment. Therefore, urinary enzymes seem to be useful in evaluation of the functional recovery of the kidney after ESWL.
beta-Galactosidase ; Diagnosis ; Hexosaminidases ; Humans ; Kidney ; Kidney Calculi ; Shock ; Transferases

A retrospective study on computed tomographic (CT) findings in 35 surgically confirmed cases of common bile duct stones was performed to analyze the characteristic CT findings. Choledocholithiasis was correctly diagnosed by CT in 33 our of 35 cases(sensitivity, 94.3%) and among these CT demonstrated calculi of high attenuation in 32 and of soft tissue density in one case. The thirty two included 23 totally calcified, 5 rim calcified and 4 laminated stones. The target sign was observed in 30 out of 33 CT positive cases (90.1%). We concluded that CT is an accurate modality in the diagnosis of common bile duct stones with its' reliable display of the calcified or the laminated stone itself and its' characteristic target sign.
Bile* ; Calculi ; Choledocholithiasis ; Common Bile Duct ; Diagnosis ; Retrospective Studies