| home | lectures | notes | images | flashcards | case of the week archives | | bone | cardiac | chest | gi | miscellaneous | med students | most common lists | quizzes | return to case steinstrasse post-extracorporeal lithotripsy may result in multiple stone fragments lining up in the ureter steinstrasse literally means “stone street” or “street of stones” coined by the german pioneers of lithotripsy the goal of lithotripsy is to fragment stones small enough to pass spontaneously into the bladder many patients have transient hematuria and sometimes colic as the stones pass symptomatic steinstrasse typically occurs in the distal ureter sometimes, the fragments themselves may cause obstruction either because of a single large fragment (>5mm), or accumulation of multiple small fragments imaging findings post-lithotripsy, the stones line up in the ureter producing what was once though to resemble a cobbled street conventional radiography is usually the modality necessary to display steinstrasse calculi identification of post-lithotripsy hydronephrosis is usually done with sonograms urinary tract obstruction has been reported in up to 31 % of patients who underwent lithotripsy the incidence of obstruction has been related to the size of the original stone (the larger, the more likely), the number of stones and their location (more likely with stones in the renal pelvis) most of these small calculi can be treated conservatively but some may require intervention if obstruction persists steinstrasse. grapefruit effect on viagra Viagra over the counter ireland Multiple small calculi are lined up in the distal left ureter (white oval) after extracorporeal shockwave lithotripsy had been performed in this patient. viagra dosage twice day generic viagra online pharmacy A ureteral stent had been placed (black arrow) as a precautionary measure. Viagra canada free sample viagra for women problems For the same photo without the arrows, click here | home | lectures | notes | images | flashcards | case of the week archives | | bone | cardiac | chest | gi | miscellaneous | med students | most common lists | quizzes | copyright © 2006 learningradiology. buy viagra generic viagra for sale online cheap Com about us . Viagra women india viagra buying Ternational), according to the manufacturer's protocol. grapefruit effect on viagra grapefruit effect on viagra Cells with nuclear positive staining by fluorescent antibodies for dna fragmentation were visualized directly by a fluorescence microscopy and counted (original magnification ã—400). reviews viagra vs viagra vs viagra discount generic viagra At least 3 fields per section were examined. buy viagra in usa online buy generic viagra online usa pharmacy Quantitative western blot analysis western blot analysis of hif-1î± and hif-2î± was performed as described previously . viagra tablets for sale cheap viagra free shipping Nuclear extracts were isolated from harvested whole kidneys using ne-per nuclear and cytoplasmic extraction reagents (pro. viagra women bangalore viagra cialis online
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