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Book: Urological tests in clinical practice

Rao, Nagaraja P. / Srirangam, Shalom J. / Preminger, Glenn M.

2007

Author's details	Nagaraja P. Rao ; Shalom J. Srirangam ; Glenn M. Preminger
Language	English
Size	X, 291 S. : Ill., graph. Darst.
Publisher	Springer
Publishing place	London
Publishing country	Great Britain
Document type	Book
HBZ-ID	HT014940559
ISBN	1-84628-390-6 ; 978-1-84628-390-1
Database	Catalogue ZB MED Medicine, Health

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Book ; Online: Urological Tests in Clinical Practice

Rao, Nagaraya P. / Preminger, Glenn M. / Srirangam, Shalom J.

2007

Author's details	by Nagaraya P. Rao, Shalom J. Srirangam, Glenn M. Preminger
Keywords	Family medicine ; Radiology, Medical ; Urology
Language	English
Publisher	Springer-Verlag London Limited
Publishing place	London
Document type	Book ; Online
HBZ-ID	TT050387234
ISBN	978-1-8462-8390-1 ; 978-1-8462-8422-9 ; 1-8462-8390-6 ; 1-8462-8422-8
DOI	10.1007/978-1-84628-422-9
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Does the mineral content of tap water correlate with urinary calculus composition?

Michael, Kirolos G F T / Michael, Sarah / Abusada, Ehab / Srirangam, Shalom J / Bourdoumis, Andreas / Surange, Raveendra

Urolithiasis

2022 Volume 50, Issue 6, Page(s) 691–699

Abstract: The association between the mineral content of drinking water and urolithiasis remains elusive. The aim of this study is to investigate whether the mineral composition of tap water correlates with urinary calculus composition. Patients with calculi that ... ...

Abstract	The association between the mineral content of drinking water and urolithiasis remains elusive. The aim of this study is to investigate whether the mineral composition of tap water correlates with urinary calculus composition. Patients with calculi that underwent biochemical analysis at two urological centres in the North-West of England between November 2015 and December 2020 were included. Calculus composition was reviewed with respect to patient demographics, serum biochemical variables, and water mineral composition data obtained from the local water supply company using patient postcodes. 1711 urinary tract calculi from 1518 patients, living in 87 water supply zones were included. Water sodium concentration was an independent predictor of mixed calcium oxalate/uric acid calculi (OR 1.157, p < 0.001) and a negative independent predictor of calcium oxalate monohydrate (OR 0.896, p = 0.001) and dihydrate (OR 0.742, p = 0.034) calculi. Moreover, the magnesium-to-calcium ratio of tap water was a negative independent predictor of calcium oxalate monohydrate calculi (OR < 0.001, p = < 0.001), while tap water magnesium concentration inversely correlated with the percentage of calcium oxalate within calculi (r
MeSH term(s)	Humans ; Calcium Oxalate/analysis ; Magnesium ; Calcium/analysis ; Uric Acid/analysis ; Drinking Water/analysis ; Urinary Calculi/etiology ; Urinary Calculi/chemistry ; Urolithiasis ; Minerals ; Urinary Tract/chemistry ; Sodium
Chemical Substances	Calcium Oxalate (2612HC57YE) ; Magnesium (I38ZP9992A) ; Calcium (SY7Q814VUP) ; Uric Acid (268B43MJ25) ; Drinking Water ; Minerals ; Sodium (9NEZ333N27)
Language	English
Publishing date	2022-08-28
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2703553-0
ISSN	2194-7236 ; 2194-7228
ISSN (online)	2194-7236
ISSN	2194-7228
DOI	10.1007/s00240-022-01358-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 928: Show issues

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Article: Handling and protecting your flexible ureteroscope: how to maximise scope usage.

Hosny, Khaled / Clark, Jennifer / Srirangam, Shalom J

Translational andrology and urology

2019 Volume 8, Issue Suppl 4, Page(s) S426–S435

Abstract: Flexible ureteroscopy is an important therapeutic and diagnostic procedure and has seen rapid rise in its utilisation in recent years. There have been numerous developments in flexible ureteroscope (fURS) technology but scope fragility, and the ... ...

Abstract	Flexible ureteroscopy is an important therapeutic and diagnostic procedure and has seen rapid rise in its utilisation in recent years. There have been numerous developments in flexible ureteroscope (fURS) technology but scope fragility, and the associated high maintenance costs, remains a concern. A comprehensive Medline search for related publications from the last 20 years was undertaken to identify common causes of fURS damage and ascertain practices to minimise this. Flexible ureteroscopy can be due to intraoperative causes (loss of the deflection mechanism, damage to the working channel due and fibreoptic bundle injury) and non-operative damage which occur during cleaning, sterilisation and handling of the fURS. The review summarises the available literature to help highlight common mechanisms of scope damage, and outlines evidence-based measures to reduce the risk of damage and maximise durability. Scope fragility remains a problem with significant associated cost implications. In a culture of rising fURS use and reducing re-imbursement for endourologists, prolonging the longevity of the fURS is imperative for maintaining profitability. There are simple and inexpensive practices which can be immediately adopted to maximise fURS use and reduce the need for repairs.
Language	English
Publishing date	2019-09-05
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2851630-8
ISSN	2223-4691 ; 2223-4691 ; 2223-4683
ISSN (online)	2223-4691
ISSN	2223-4691 ; 2223-4683
DOI	10.21037/tau.2019.07.08
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Upper Tract Imaging in Patients with Initial or Terminal Hematuria Suggestive of Bleeding from the Lower Urinary Tract: How Often is the Upper Urinary Tract Responsible for the Hematuria?

Al-Mula Abed, Omar W S / Srirangam, Shalom J / Wemyss-Holden, Guy D

Oman medical journal

2018 Volume 33, Issue 5, Page(s) 374–379

Abstract: Objectives: Visible hematuria (VH) is a common urological complaint. A history of initial or terminal VH in men is indicative of a lower urinary tract (LUT) source. A careful clinical history could limit unnecessary extensive upper tract imaging in this ...

Abstract	Objectives: Visible hematuria (VH) is a common urological complaint. A history of initial or terminal VH in men is indicative of a lower urinary tract (LUT) source. A careful clinical history could limit unnecessary extensive upper tract imaging in this group of patients with VH. We conducted a single-center prospective study to examine the usefulness of investigating the upper tract in patients with a history of VH likely from a LUT source (initial and/or terminal VH) with specific reference to the incidence of demonstrable significant upper tract abnormalities. Methods: We conducted a single-center prospective study of consecutive male patients presenting with VH over eight months. All patients underwent standard investigations including physical examination, flexible cystoscopy (FC), and radiological imaging (ultrasound scan (USS) and/or computed tomography urogram (CTU)). Those with a clear history of initial or terminal VH were identified for further scrutiny with regards to detectable upper tracts abnormalities. Results: In total, 57 patients (aged 23-95 years) with initial or terminal VH were identified. Of these, 56 had FC and nine patients were subsequently diagnosed with a LUT malignancy. With regards to upper urinary tract (UUT), 35 patients (61.4%) had an USS, 46 (80.7%) underwent a CTU, and 25 (43.9%) patients had both. In this group, no UUT malignancy was identified on upper tract imaging. Conclusions: Initial or terminal VH patients may not need extensive upper tract imaging. FC is recommended, but a non-invasive USS can be a safe initial investigation for the UUT, with a CTU subsequently considered in those with abnormalities on USS and those with ongoing bleeding. Further combined multicenter analysis will help corroborate these findings and could have several beneficial outcomes including a reduction in investigations cost, patient inconvenience, and ionizing radiation.
Language	English
Publishing date	2018-08-23
Publishing country	Oman
Document type	Journal Article
ZDB-ID	2571431-4
ISSN	2070-5204 ; 1999-768X
ISSN (online)	2070-5204
ISSN	1999-768X
DOI	10.5001/omj.2018.70
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: UTI in primary care. Midstream urine sampling is still helpful.

Srirangam, Shalom J / Bondin, Daniela

BMJ (Clinical research ed.)

2010 Volume 340, Page(s) c1859

MeSH term(s)	Anti-Bacterial Agents/therapeutic use ; Female ; Humans ; Reagent Strips ; Urinary Tract Infections/diagnosis ; Urinary Tract Infections/urine
Chemical Substances	Anti-Bacterial Agents ; Reagent Strips
Language	English
Publishing date	2010-04-01
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.c1859
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Ua VI Zs.10: Show issues

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Article ; Online: Risks of working time directive. Shorter shifts and more frequent handover.

Manjunath, Aditya / Srirangam, Shalom J

BMJ (Clinical research ed.)

2010 Volume 341, Page(s) c4858

MeSH term(s)	Continuity of Patient Care/standards ; Continuity of Patient Care/statistics & numerical data ; Humans ; Medical Staff, Hospital/statistics & numerical data ; Personnel Staffing and Scheduling ; Time Factors
Language	English
Publishing date	2010-09-07
Publishing country	England
Document type	Letter
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.c4858
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Upper Tract Imaging in Patients with Initial or Terminal Hematuria Suggestive of Bleeding from the Lower Urinary Tract

Omar W.S. Al-Mula Abed / Shalom J. Srirangam / Guy D. Wemyss-Holden

Oman Medical Journal, Vol 33, Iss 5, Pp 374-

How Often is the Upper Urinary Tract Responsible for the Hematuria?

2018 Volume 379

Abstract	Objectives: Visible hematuria (VH) is a common urological complaint. A history of initial or terminal VH in men is indicative of a lower urinary tract (LUT) source. A careful clinical history could limit unnecessary extensive upper tract imaging in this group of patients with VH. We conducted a single-center prospective study to examine the usefulness of investigating the upper tract in patients with a history of VH likely from a LUT source (initial and/or terminal VH) with specific reference to the incidence of demonstrable significant upper tract abnormalities. Methods: We conducted a single-center prospective study of consecutive male patients presenting with VH over eight months. All patients underwent standard investigations including physical examination, flexible cystoscopy (FC), and radiological imaging (ultrasound scan (USS) and/or computed tomography urogram (CTU)). Those with a clear history of initial or terminal VH were identified for further scrutiny with regards to detectable upper tracts abnormalities. Results: In total, 57 patients (aged 23–95 years) with initial or terminal VH were identified. Of these, 56 had FC and nine patients were subsequently diagnosed with a LUT malignancy. With regards to upper urinary tract (UUT), 35 patients (61.4%) had an USS, 46 (80.7%) underwent a CTU, and 25 (43.9%) patients had both. In this group, no UUT malignancy was identified on upper tract imaging. Conclusions: Initial or terminal VH patients may not need extensive upper tract imaging. FC is recommended, but a non-invasive USS can be a safe initial investigation for the UUT, with a CTU subsequently considered in those with abnormalities on USS and those with ongoing bleeding. Further combined multicenter analysis will help corroborate these findings and could have several beneficial outcomes including a reduction in investigations cost, patient inconvenience, and ionizing radiation.
Keywords	Hematuria ; Urinary Tract ; Cystoscopy ; Ultrasound ; Urogram ; Malignancy ; Medicine ; R
Subject code	610
Language	English
Publishing date	2018-09-01T00:00:00Z
Publisher	Oman Medical Specialty Board
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Pain related and overall morbidity with TRUS guided prostate biopsy--a prospective study.

Ubee, Sarvpreet S / Marri, Rajendra R / Srirangam, Shalom J

International braz j urol : official journal of the Brazilian Society of Urology

2013 Volume 39, Issue 5, Page(s) 671–674

Abstract: Objective: To assess analgesia requirement after trans-rectal ultrasound guided prostate biopsy(TRUSBx) for appropriate counselling.: Materials and methods: Prospectively, successive patients undergoing TRUSBx between July 2009 and November 2011 were ...

Abstract	Objective: To assess analgesia requirement after trans-rectal ultrasound guided prostate biopsy(TRUSBx) for appropriate counselling. Materials and methods: Prospectively, successive patients undergoing TRUSBx between July 2009 and November 2011 were given questionnaires prior to procedure. Standard 12-core TRUSBx under peri-prostatic block (10 mL of 1% lidocaine) and antibiotic prophylaxis (oral ciprofloxacin, intravenous gentamicin and metronidazole suppository) were performed. Pain perception was assessed using a Visual Analogue Score (VAS). Results: Mean (range) age of the 405 patients was 67.3 years (48-88). Mean VAS during the procedure was 2.93 and 2.20 on reaching home. Mean maximum VAS for the cohort on day 1 and day 2 were 1.27 and 0.7 respectively. 140 (35%) were independent with some or minimal discomfort. 14 patients required assistance for some of their basic daily needs. 9 patients (2.2%) were hospitalised due to sepsis. 131 patients (32.4%) required additional oral analgesia following TRUSBx on days 0, 1 and 2. These patients were generally younger with a mean age for this group of 63.6 years (46-88). The difference in the mean age between those self-medicating and not was not statistically significant (p > 0.005). This group had mean VAS during the procedure of 4 and when patients reached home was 3.5. Mean maximum VAS on day 1 and 2 was 2.1 and 1.3 respectively. 11 patients required assistance from another adult. Conclusion: A third of patients required self-medicated analgesia post-procedure. Age alone cannot be used as a criterion to identify patients who will subsequently require analgesia post-procedure, but a higher VAS during the procedure may be indicative. These patients must be counselled appropriately.
MeSH term(s)	Age Factors ; Aged ; Aged, 80 and over ; Analgesia/methods ; Anesthetics, Local/therapeutic use ; Humans ; Image-Guided Biopsy/methods ; Male ; Middle Aged ; Pain/drug therapy ; Pain Measurement ; Pain, Postoperative ; Prospective Studies ; Prostate/diagnostic imaging ; Prostate/pathology ; Prostatic Neoplasms/diagnostic imaging ; Prostatic Neoplasms/pathology ; Surveys and Questionnaires ; Time Factors ; Ultrasonography, Interventional/methods ; Visual Analog Scale
Chemical Substances	Anesthetics, Local
Language	English
Publishing date	2013-09
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2206649-4
ISSN	1677-6119 ; 1677-5538
ISSN (online)	1677-6119
ISSN	1677-5538
DOI	10.1590/S1677-5538.IBJU.2013.05.09
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Medium-term Outcomes of Urolift (Minimum 12 Months Follow-up): Evidence From a Systematic Review.

Jones, Patrick / Rajkumar, G N / Rai, Bhavan Prasad / Aboumarzouk, Omar M / Cleaveland, Paul / Srirangam, Shalom J / Somani, Bhaskar K

Urology

2016 Volume 97, Page(s) 20–24

Abstract: The urolift device has emerged as a novel intervention for men with lower urinary tract symptoms secondary to benign prostatic hyperplasia, and in recent years there has been an increasing amount of primary research published on it. However, critical ... ...

Abstract	The urolift device has emerged as a novel intervention for men with lower urinary tract symptoms secondary to benign prostatic hyperplasia, and in recent years there has been an increasing amount of primary research published on it. However, critical medium-term appraisal remains lacking. Our objective was to perform a systematic review and therefore identify, appraise, and synthesize the existing evidence for the minimally invasive technique.
Language	English
Publishing date	2016-11
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2016.05.003
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