Volume 8, Number 4Reviews in UrologyRobotic Ureterolysis, Retroperitoneal Biopsy, and Omental Wrap for the Treatment of Ureteral Obstruction Due to Idiopathic Retroperitoneal FibrosisCase ReviewPatrick W MufarrijMichael D StifelmanRetroperitoneal fibrosis (RPF) is a rare disorder of unclear etiology characterized by chronic inflammation of the retroperitoneum, which can involve any of the retroperitoneal structures, most notably the ureters, aorta, and vena cava. Historically, open biopsy, ureterolysis, and transpositioning or omental wrapping of the involved ureter(s) have been the preferred surgical treatments of RPF, with success rates greater than 90%. More recently, successful laparoscopic biopsy, ureterolysis, and ureteral omental wrapping and intraperitonealization have been described. We report the first case in the literature of idiopathic RPF managed with robotic ureterolysis and laparoscopic omental ureteral wrapping. [Rev Urol. 2006;8(4):226-230]Retroperitoneal fibrosisRobotic ureterolysisOmental wrap
Volume 13, Number 2Review ArticlesImpact of Stone Removal on Renal Function: A ReviewTreatment ReviewDean G AssimosKyle WoodPatrick W MufarrijTristan KeysStone removal can improve renal function by eradicating obstruction and, in certain cases, an underlying infection. Stone-removing procedures, however, may negatively impact functional integrity. Many things may impact the latter, including the procedures used, the methods of assessing function, the time when these assessments are made, the occurrence of complications, the baseline condition of the kidney, and patient-related factors. In the majority of cases, little significant functional impairment occurs. However, there are gaps in our knowledge of this subject, including the cumulative effects of multiple procedures violating the renal parenchyma and long-term functional outcomes. [Rev Urol. 2011;13(2):73-89 doi: 10.3909/riu0515] © 2011 MedReviews®, LLCUreteroscopyKidney stonesShock wave lithotripsyRenal functionPercutaneousnephrolithotomy
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