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Ureteral calculi secondary to a gradually migrated acupuncture needle

Asian Journal of Urology 2021年第1期8卷 134-136页

作者： Masahiro Matsuki Atsushi Wanifuchi Ryuta Inoue Fumiyasu Takei yasuharu kunishima Department of Urology Hokkaido Social Work Association Obihiro HospitalObihiroJapan Medical Incorporated Association Tenshunkai Tokachi Urological Clinic ObihiroJapan

We herein presented a case of calculi secondary to a migrated acupuncture needle.A 74-year-old woman with a history of acupuncture therapy for lumbago was referred to our hospital for treatment of ureteral and renal pelvic *** multi-detector computed tomography scans showed ipsilateral hydronephrosis and two calculi secondary to a migrated acupuncture ***,a percutaneous nephrolithotomy was performed to extract two calculi and fine needle fragments from the ***,residual needle fragments and calculi in the ureter were then removed by flexible transurethral lithotripsy using a holmium *** the present case,the formation of the calculi was caused by a migrated acupuncture *** and needle fragments were removed safely endoscopically because the whole calculi and needle fragments were located in the ureteral lumen.ª2021 Editorial Office of Asian Journal of *** and hosting by Elsevier *** is an open access article under the CC BY-NC-ND license(http://***/licenses/by-nc-nd/4.0/).

关键词： Acupuncture needle Endoscopic approach Ureteral calculus Renal calculus Flexible transurethral lithotripsy

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Difference in symptom manifestation between postmenopausal and premenopausal women in acute uncomplicated cystitis:A multi-institutional pilot study

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Current Urology 2023年第3期17卷 174-178页

作者： Atsushi Wanifuchi Yuki Kyoda Takuto Ogasawara Ko Kobayashi Naoki Ito Tetsuya Shindo Atsushi Takahashi yasuharu kunishima Naoya Masumori Department of Urology Sapporo Medical University School of MedicineSapporo060-8543Japan Department of Urology NTT East Sapporo HospitalSapporoJapan Department of Urology Hakodate Goryoukaku HospitalHakodateJapan Department of Urology Sunagawa City Medical CenterSunagawaJapan

Objectives:We aimed to prospectively compare lower urinary tract symptoms in premenopausal and postmenopausal women with acute uncomplicated cystitis before and after antibiotic *** and methods:This study included adult women with acute uncomplicated cystitis who visited 4 institutions between 2019 and *** registration,we administered oral antibiotics and prospectively documented the changes in lower urinary tract symptoms from the first visit to a follow-up visit at 1 week using the Core Lower Urinary Tract Symptoms Score(CLSS)***:After treatment,pyuria disappeared in 60 of the 66 patients(14 premenopausal and 46 postmenopausal).The CLSS total score(range)changed from 13(3-29)to 4(0-18)with a significant improvement in all CLSS *** baseline,nocturia,urgency,and urgency incontinence were more prominent in postmenopausal women than in premenopausal *** contrast,baseline urethral pain and quality of life index were more severe in premenopausal women than in postmenopausal *** treatment,the CLSS total score was still higher in postmenopausal women,as reflected by the relatively higher scores for nocturia and urgency,irrespective of the comparable scores for urethral pain and the quality of life index in the 2 ***:Our results suggest that if storage symptoms persist,they should be carefully interpreted according to menopausal status.

关键词： Acute uncomplicated cystitis Core Lower Urinary Tract Symptoms Score Lower urinary tract symptoms Postmenopausal women

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