PMID- 30932423
OWN - NLM
STAT- MEDLINE
DCOM- 20190802
LR  - 20190802
IS  - 2282-4197 (Electronic)
IS  - 1124-3562 (Linking)
VI  - 91
IP  - 1
DP  - 2019 Mar 29
TI  - Factors associated with urinoma accompanied by ureteral calculi.
PG  - 11-15
LID - 10.4081/aiua.2019.1.11 [doi]
AB  - OBJECTIVE: Urinoma is a rare entity and mainly occurs due to acute obstruction 
      such as ureteral stone. We aimed to demonstrate factors associated with urinoma 
      accompanied by ureteral calculi. MATERIAL AND METHODS: Data of 550 patients who 
      were diagnosed with ureteral stone by computed tomography (CT) were analyzed 
      retrospectively. In 20 patients perirenal urinoma was associated with ureteral 
      calculi (group I), whereas in other 530 patients no urinoma was detected (group 
      II). Gender, age, size, side and localization of the stone, hydronephrosis, 
      fever, sepsis, urinary tract infections (UTIs), hematuria, serum creatinine, 
      blood urea nitrogen (BUN), white blood cell (WBC), C-reactive protein (CRP), 
      presence of diabetes mellitus (DM), hypertension (HT) and cronic kidney disease 
      (CKD) of the two groups were compared. RESULTS: The average age of the patients 
      were 46.2 (20-71) and 44.9 (10-82) years in group I and group II, respectively (p 
      > 0.05). According to our results leukocytosis, microscopic and macroscopic 
      hematuria, UTIs, increase of serum creatinine, BUN and CRP, diagnosis of DM and 
      HT were significantly associated with urinoma (p < 0.05). In addition, patients 
      with distal ureteral stones are more prone to urinoma (p = 0.001). An interesting 
      finding of the study was that the stone size in group I (median 5 mm [range 3-8]) 
      was significantly smaller than in group II (9.3 mm [4-25]; p = 0.001). 
      CONCLUSIONS: Small stone size, distal localisation of the stone in ureter, 
      leukocytosis, hematuria, UTIs, increase of serum creatinine, BUN and CRP, 
      presence of DM and HT are associated with perirenal urinoma.
FAU - Ogreden, Ercan
AU  - Ogreden E
AD  - Giresun University, Faculty of Medicine, Department of Urology, Giresun. 
      ercanogreden@gmail.com.
FAU - Oguz, Ural
AU  - Oguz U
FAU - Karadayi, Mehmet
AU  - Karadayi M
FAU - Demirelli, Erhan
AU  - Demirelli E
FAU - Tosun, Alptekin
AU  - Tosun A
FAU - Gunaydin, Mucahit
AU  - Gunaydin M
LA  - eng
PT  - Journal Article
DEP - 20190329
PL  - Italy
TA  - Arch Ital Urol Androl
JT  - Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa 
      italiana di ecografia urologica e nefrologica
JID - 9308247
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Diabetes Mellitus/epidemiology
MH  - Female
MH  - Hematuria/epidemiology
MH  - Humans
MH  - Hydronephrosis/epidemiology
MH  - Hypertension/epidemiology
MH  - Leukocytosis/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Tomography, X-Ray Computed/*methods
MH  - Ureteral Calculi/*diagnostic imaging
MH  - Urinary Tract Infections/epidemiology
MH  - Urinoma/*diagnostic imaging/etiology
MH  - Young Adult
EDAT- 2019/04/02 06:00
MHDA- 2019/08/03 06:00
CRDT- 2019/04/02 06:00
PHST- 2018/08/26 00:00 [received]
PHST- 2018/09/03 00:00 [accepted]
PHST- 2019/04/02 06:00 [entrez]
PHST- 2019/04/02 06:00 [pubmed]
PHST- 2019/08/03 06:00 [medline]
AID - 10.4081/aiua.2019.1.11 [doi]
PST - epublish
SO  - Arch Ital Urol Androl. 2019 Mar 29;91(1):11-15. doi: 10.4081/aiua.2019.1.11.