Cairns urology history of urology movies news & updates search members home | about us | location | contact us prostate prostate cancer stones extracorporeal shockwave lithotripsy. Extracorporeal shockwave lithotripsy video penis testis urinary tract infection kidney stones bladder impotence vasectomy vasectomy reversal male infertility andrology incontinence catheter management cryotherapy peyronie's disease medical books stones stones (calculi) as all primary school children know it is not possible to form crystals in a solution unless that solution is concentrated or super saturated. The principle is the same in urine. It is unlikely that dilute urine will form stones. The children also know that in order to form crystals it is necessary to have a nidus, such as a string dangling in a glass of concentrated salt or sugar solution. viagra reviews vs viagra Similarly in the urinary tract often a nidus to start crystal collection and aggregation similar to a pearl forming in an oyster. Records regarding kidney stones date back to egyptian skeletons from over six thousand years ago. Incidence it is estimated that approximately 3-5% of the australia population may well develop urinary tract stones some time during their lives. Presentation presentation for a patient with a calculus is with renal colic. generic viagra This is a severe pain, which usually radiates from the loin (side) to the suprapubic (bladder) region. It comes in waves and characteristically the patient cannot find any position of comfort and paces the room. It is often accompanied by sweating, nausea and vomiting and may also be accompanied by painful urination and blood in the urine. viagra without prescription Furthermore the pain may radiate to the testis of the affected site or to the labia in the female. Some patients only present with a genital ache. Female patients who have had children will describe the pain as being worse than labour. viagra peak effect time Treatment treatment is placed here before investigations because this is an extremely painful condition requiring analgesia. The quickest and most effective analgesia is usually with non-steroidal anti-inflammatory medications such as: indomethacin, diclofenac or similar. viagra online Indomethacin may be given as hundredmg suppositories. generic viagra without prescription If the patient is vomiting, then medication may be given intravenously. Narcotic analgesia is extremely effective, but in some patients does precipitate vomiting. Laboratory investigations blood test are usually carried out: fbe – a full blood picture. viagra cost Kidney function: urea, electrolytes, and creatinine estimation are the most appropriate in the initial stages. viagra pills europe Urine testing: the urine is usually positive for blood. viagra dosage for men If infection is suspected then the specimen is usually sent to the lab. buy viagra online For confirmation and antibiotics started imaging usually a kub (kidneys, ureters and bladder) abdominal film plus an ultrasound is carried out. Many departments have the ability to carry out an urgent ct scan. Stones tend to be held up in. viagra and blood pressure drugs

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