Volume 14, Number 3Case ReviewMultibacterial Growth From a Surgical Renal Stone Culture: A Case Report and Literature ReviewDean G AssimosRoss P HolmesJessica N LangePatrick W MufarrijMajid MirzazadehUrinary calculi may harbor bacteria, and this may lead to deleterious events during stone fragmentation and removal. The isolation of such bacteria from surgically extracted calculi allows for the specific tailoring of antimicrobial therapy. Here, we describe a case involving percutaneous stone removal from which the stone culture demonstrated growth of five different microorganisms. The results of this culture prompted a change in the antibiotic coverage, resulting in a more targeted treatment and improved patient care. [Rev Urol. 2012;14(3/4):108-114 doi: 10.3909/riu0561] © 2013 MedReviews®, LLCUrinary tract infectionNephrolithiasisStone culture
Volume 15, Number 2Review ArticlesOptimizing Shock Wave Lithotripsy: A Comprehensive ReviewTreatment UpdateDean G AssimosPaul D McClainJessica N LangeShock wave lithotripsy is a commonly used procedure for eradicating upper urinary tract stones in patients who require treatment. A number of methods have been proposed to improve the results of this procedure, including proper patient selection, modifications in technique, adjunctive therapy to facilitate elimination of fragments, and changes in lithotripter design. This article assesses the utility of these measures through an analysis of contemporary literature. [Rev Urol. 2013;15(2):49-60 doi: 10.3909/riu0568] © 2013 MedReviews®, LLCUpper urinary tract stonesShock wave lithotripsyComminution