Medical and Surgical Management of Urinary Tract Diseases (Second Edition)

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 927

Special Issue Editor


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Guest Editor
Department of Urology at Tenon Hospital, Sorbonne University, GRC #20 Urolithiasis, 75006 Paris, France
Interests: urinary stones; RIRS; kidney; ureter; laser; lithotripsy; UTUC; tumor; technique
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Special Issue Information

Dear Colleagues,

Nowadays, urinary tract diseases, such as renal or ureteral stones, as well as tumors or polyps in the upper urinary tract, can be treated in a conservative fashion. The prevalence of urolithiasis is increasing worldwide, partly due to dietary modifications such as increases in the consumption of sodium, animal proteins, and refined sugar and decreases in the intake of fiber. On the other hand, bladder cancer and upper tract urinary carcinoma (UTUC) are two diseases that can be treated in a conservative way (i.e., with laser ablation) depending on several factors.

The arrival of minimal invasive treatments and new technologies is focused on reducing patient morbidity and performing more efficient procedures. Recent innovations include new single-use flexible endoscopes and laser technologies.

Following on from the success of the Special Issue titled “Medical and Surgical Management of Urinary Tract Diseases” (https://www.mdpi.com/journal/jcm/special_issues/Urinary_Tract_Diseases), this second volume aims to continue providing new insights into the medical and surgical management of urinary tract diseases.

Prof. Dr. Olivier Traxer
Guest Editor

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Keywords

  • urinary stones
  • RIRS
  • kidney
  • ureter
  • laser
  • lithotripsy
  • UTUC
  • tumor

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Published Papers (1 paper)

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Review

18 pages, 463 KiB  
Review
Interdisciplinary Management of Traumatic Injuries to the Kidneys and Urinary Tract Caused by Blunt Abdominopelvic Trauma
by Johann J. Wendler, Christian Albert, Hannes Cash, Frank Meyer, Maciej Pech, Martin Schostak, Peter R. Mertens and Markus Porsch
J. Clin. Med. 2024, 13(19), 5765; https://doi.org/10.3390/jcm13195765 - 27 Sep 2024
Viewed by 748
Abstract
Purpose: Blunt abdominopelvic trauma frequently results in injuries to the urinary organs, especially in polytrauma. The urotrauma is rarely an acute life-threatening event; however, it may lead to severe complications. Methods: This review addresses the under-representation of urological trauma management in interdisciplinary medical [...] Read more.
Purpose: Blunt abdominopelvic trauma frequently results in injuries to the urinary organs, especially in polytrauma. The urotrauma is rarely an acute life-threatening event; however, it may lead to severe complications. Methods: This review addresses the under-representation of urological trauma management in interdisciplinary medical training and its impact on patient outcomes. It compiles evidence-based recommendations and guidelines from multiple specialties, focusing on common challenges in managing these injuries. The resource is tailored for primary care physicians in radiology, trauma surgery, internal medicine, urology, and nephrology. Results: Urinary tract injuries can occur even if the patient’s condition initially appears normal. An exclusion diagnosis is obligatory by contrast medium tomography of the entire urinary tract and, if suspected, an additional uroendoscopic examination. Interventional therapy by catheterisation of the urinary tract is often required. Urosurgical treatment is not commonly needed, but when there is a demand, it must be administered via an interdisciplinary approach with visceral and trauma surgery. Over 90% of life-threatening kidney injuries (usually up to grade 4–5 AAST) are presently treated by interventional radiologists. Acute kidney injury (AKI) as a complication in trauma patients may complicate clinical management and often worsens the outcome. The incidence of trauma-associated AKI in patients admitted to an intensive care unit is high. Conclusions: Patients suffering from blunt abdominopelvic trauma should ideally be referred to certified trauma centres with subspecialised or fully specialised care provided by visceral/vascular surgery, trauma surgery, interventional radiology, urology, and nephrology. This recommendation is based on the complex nature of most damage patterns. Full article
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