KOLIK URETER PDF

When endourologic management fails, ureteroneocystostomy or pyeloureteral anastomosis to the native ureter is the treatment of choice. Nevertheless, such procedures are not always successful. We present what we believe to be the first two North American cases of silicone-polyester artificial ureters pyelovesical bypass graft after failed endourologic or open management of ureteral strictures after renal transplantation. After 12 and 15 months of follow-up, the renal function was stable, with no evidence of obstruction. Long-term follow-up is needed to monitor the rate of late encrustation and obstruction.

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The management of ureteric colic has also changed. The role of medical treatment has expanded beyond symptomatic control to attempt to target some of the factors in stone retention and thereby improve the likelihood of spontaneous stone expulsion. Ureteric colic is an important and frequent emergency in medical practice. It is most commonly caused by the obstruction of the urinary tract by calculi.

The pain is often described as the worst pain the patient has ever had experienced. Ureteric colic occurs as a result of obstruction of the urinary tract by calculi at the narrowest anatomical areas of the ureter: the pelviureteric junction PUJ , near the pelvic brim at the crossing of the iliac vessels and the narrowest area, the vesicoureteric junction VUJ.

Location of pain may be related but is not an accurate prediction of the position of the stone within the urinary tract. As the stone approaches the vesicoureteric junction, symptoms of bladder irritability may occur. Physical examination typically shows a patient who is often writhing in distress and pacing about trying to find a comfortable position; this is, in contrast to a patient with peritoneal irritation who remains motionless to minimise discomfort.

Tenderness of the costovertebral angle or lower quadrant may be present. DIAGNOSIS Besides routine history and clinical examination, investigations of patients with suspected ureteric colic include plain abdominal radiography, ultrasound, intravenous urography and computed tomography.

Figure 1 Patient presented with left loin pain. Kidney, ureter and bladder KUB x ray showing 7 mm radiopaque stone laying lateral to the tip of transverse process of L2.

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Zainal Abidin, Sp. Pendahuluan Kolik abdomen merupakan salah satu keadaan darurat non trauma dimana seorang penderita oleh karena keadaan kesehatannya memerlukan pertolongan secepatnya untuk dapat dibebaskan atau diringankan penderitaannya atau mencegah memburuknya keadaan penderita. Kolik abdomen bisa disebabkan oleh kolik ureter atau kolik ginjal, kolik biliaris dan kolik intestinal Dibidang urologi dikenal beberapa keadaan darurat misalnya, karena trauma, gangguan pengeluaran urine oleh karena obstruksi traktus urinarius bagian atas atau bawah, nyeri pinggang, kolik ureter, infeksi dan urosepsis, torsio testis, phymosis dan para phymosis. Pada makalah ini akan dibahas keadaan darurat di bidang urologi yang berhubungan dengan kolik ginjal atau ureter. Nyeri Pinggang Nyeri pinggang atau sering juga disebut sakit pinggang dapat disebabkan oleh karena adanya kelainan pada ginjal biasanya bersifat nyeri tumpul dull pain yang dapat hilang timbul atau terus menerus didaerah costo vertebra sebelah lateral dari otot sacro spinalis dibawah iga XII. Rasa nyeri dapat menyebar ke sekitar daerah sub costal kearah umbilicus atau perut quadrant bawah. Rasa nyeri ini biasanya disebabkan oleh peregangan kapsul ginjal yang mendadak seperti pada pyelonefritis akuta dengan edema atau sumbatan mendadak kolik ureter yang menyebabkan hydronefrosis yang hebat Diagnosa banding oleh kerena keadaan ini adalah nyeri oleh karena radiculitis sering disebut nyeri Pseudorenal.

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Ureteric colic: new trends in diagnosis and treatment

Aneurisma ruptur aorta Pielonefritis Penanganan awal kolik ginjal adalah dengan menangani nyeri yang dirasakan pasien. Obat golongan NSAID seperti diklofenak intramuscular efektif sebagai analgesic, walaupun analgesic opiate seperti tramadol mungkin diperlukan. Obat antiemetik diberikan untuk menangani mual dan muntah, namun bila muntahnya persisten, diberikan cairan intravena. Pasien tanpa tanda obstruksi ureter pada urogram diizinkan pulang dan diberikan obat analgesic serta diberikan penjelasan yang cukup tentang gejala-gejala yang dialaminya. Pasien harus diingatkan bahwa nyeri seperti itu bisa berulang dan segera ke kembali bila gejala ini terjadi.

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kolik ureter

The management of ureteric colic has also changed. The role of medical treatment has expanded beyond symptomatic control to attempt to target some of the factors in stone retention and thereby improve the likelihood of spontaneous stone expulsion. Ureteric colic is an important and frequent emergency in medical practice. It is most commonly caused by the obstruction of the urinary tract by calculi. The pain is often described as the worst pain the patient has ever had experienced.

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