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The Kidney Injury Test (KIT) Stone-Score provides an objective measure of stone burden. Unlike urinary supersaturation the KIT Stone-Scores assess underlying stone disease rather than urinary solute composition. We report a case of a 43-year-old woman with no history of nephrolithiasis who underwent an elective, voluntary KIT assay and was diagnosed with a large staghorn renal stone after an unanticipated markedly elevated score. This clinical scenario highlights the potential future use of the non-invasive urinary KIT assay as a reliable non-invasive tool to detect and monitor urinary stone disease.
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http://dx.doi.org/10.1016/j.eucr.2021.101854 | DOI Listing |
Medicine (Baltimore)
August 2025
Department of Urology, The Thirteenth People's Hospital, Chongqing, China.
Background: Percutaneous nephrolithotomy (PCNL) is commonly used for the treatment of large loads of upper urinary tract stones. Bleeding is one of the major complications of PCNL, and severe bleeding affects patient life and recovery in the perioperative period. There are few high-quality studies on the risk factors for severe bleeding with PCNL, and the conclusions of multiple studies are not entirely consistent.
View Article and Find Full Text PDFMedicine (Baltimore)
July 2025
Department of Urology, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong Province, China.
Rationale: Staghorn calculi are a challenging type of kidney stone traditionally treated with percutaneous nephrolithotomy (PCNL) or multiple endoscopic procedures. However, these methods are often associated with a higher risk of postoperative complications and prolonged recovery periods. Recent advancements in flexible ureteroscopy (fURS) technology have offered the potential for improving the management of kidney stones, but its application in treating complex staghorn stones remains limited due to technical and anatomical challenges.
View Article and Find Full Text PDFWorld J Urol
July 2025
Department of Surgery, Brebes Regional General Hospital, Brebes, Indonesia.
Purpose: Percutaneous nephrolithotomy (PCNL) is an effective treatment for large kidney stones, but wider access paths increase the risk of bleeding. While modern miniaturized PCNL techniques reduce invasiveness, they can compromise stone fragment clearance. This study aims to evaluate the efficacy and safety of a novel PCNL technique utilizing pediatric trocar laparoscopy to enhance visualization and potentially minimize blood loss.
View Article and Find Full Text PDFStaghorn corals are ecological keystone species in shallow lagoons and back reef habitats throughout the tropics. Their widespread decline coupled with their amenability for asexual propagation propelled them to the forefront of global coral restoration efforts-albeit frequently without much scientific input. To guide these efforts and as a blueprint for similar projects, we conducted a comprehensive population genomic study of cf.
View Article and Find Full Text PDFIntroduction: Currently, percutaneous nephrolithotomy (PCNL) is a first-line treatment method for large and staghorn kidney stones. Predicting the efficiency of the performed surgical procedure is relevant at the stage of preoperative counseling of patients.
Aim: To develop a universal nomogram for predicting the efficiency of mini-PCNL taking into account the baseline characteristics and features of the patient.