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Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Working closely with the people who use our products, we create solutions that are sensitive to their special needs. We call this intimate healthcare. Our business includes ostomy care, urology and continence care, wound and skin care. & Gynaecology Urology We operate globally and employ more than 10 000 employees. General Catalogue GENERAL CATALOGUE Urology & Gynaecology The Coloplast logo and Porgès logo are registered trademarks of Coloplast A/S. © [2016- 05.] All rights reserved. Coloplast A/S, 3050 Humlebaek, Denmark. 2016 - 000NGLOBALCATEN01 INTRODUCTION Introduction With a world class innovative spirit and the ultimate objective of always being able to make your life easier, Coloplast presents its latest dedicated Urology Care catalogue including all of our disposables and implants for urology and gynaecology. For over 120 years, we have supported the medical progress through the development of the latest techniques and devices in co-operation with our leading surgeon partners. Our know-how and high quality industrial processes permit us to offer you medical materials of the very highest standards with worldwide recognition and expertise. Within this catalogue you will find all of the latest products you will need for your daily operating practice: • Endourology : A wide range of disposable products for stone management like Dormia stone extractors, Ureteral stents, Access sheath (Retrace) and guidewires. We have extended our line with a new innovative digital solution to remove ureteral stents in one step: ISIRIS α . The product is a combination between a single use flexible cystoscope with an integrated grasper and a reusable portable device • Female Pelvic Health: slings (Altis, Aris), and lightweight meshes (Restorelle), to treat stress urinary incontinence and pelvic organ prolapses. • Men’s Health: male sling (Virtue), inflatable penile implants (Titan Touch), as well as malleable implants (Genesis) to treat erectile dysfunction. • General Surgery: a wide range of drains and a high quality suction/irrigation device for laparoscopy (Elefant). • Lower Urology: all disposable surgical devices required for handling Prostate disorders, from the diagnosis biopsy (Cobra) to the treatment -prostatic catheters, (X-Flow, Prostaflow), bladder evacuator (Easivac), post operative bags (Cysto-Care); and also addressing bladder and suprapubic drainage, urethral strictures, voiding dysfunctions, Bladder Outflow Obstruction and other urological conditions (Cystodrain). Coloplast is exceedingly proud to provide you with the highest level of services, products and guarantees. Customer Service and Sales representatives are available whenever you need them, to help you find the right solutions to your specific requirements. 3 • Catalogue 20162015 SYNOPSIS Synopsis UROLOGY 1 • Endourology 2 • Percutaneous access 3 • Urinary Diversion 4 • Connectors and spigot 5 • Lower urinary tract 6 • Organ procurement PROSTHESIS 1 • Penile prosthesis 2 • Ancillaries 3 • Male sling URODYNAMICS 1 • Urethrocystometry 2 • Cystometry 3 • Urethral pressure 4 • Abdominal pressure 5 • Line and accessories FEMALE PELVIC HEALTH 1 • Urinary incontinence 2 • Pelvic organ prolapse 3 • Gynaecology SURGERY 1 • Laparoscopic surgery 2 • Surgical drainage 3 • Pezzer - Malécot catheters 4 • Digestive surgery 5 • Miscellaneous 6 • Biliary stone extractors 4 • Catalogue 2016 UROLOGY UROLOGY Urology 1 • Endourology 1.1. Stone extractors 6 1.2. Access sheaths 10 1.3. Irrigation line 11 1.4. Double loop ureteral stents 12 1.5. Double loop ureteral stents: special models 24 1.6. Digital cystoscopic solution 28 1.7. Single loop ureteral stents 30 1.8. Subcutaneous ureteral bypass 31 1.9. Guidewires 32 1.10. Ureteral catheters 35 1.11. Ureteral dilators 38 1.12. Occlusion balloon catheters 39 1.13. High pressure ureteral balloon catheters 40 2 • Percutaneous access 2.1. Percutaneous nephrostomy set 42 2.2. Percutaneous nephrostomy accessories 45 2.3. Direct puncture 49 2.4. High pressure nephrostomy balloon catheters 50 2.5. Percutaneous renal drainage 51 2.6. Suprapubic drainage 52 3 • Urinary Diversion 3.1. Urinary Diversion 57 4 • Connectors and spigot 4.1. Connectors ans Spigot 58 5 • Lower urinary tract 5.1. Prostatic catheters 60 5.2. Urine bags 68 5.3. Bladder evacuator 69 5.4. Prostatic and urethral stents 70 5.5. Bladder injection 72 5.6. Prostate biopsy 73 5.7. Urethral dilation 74 5.8. Foley catheters 76 5.9. Catheters without balloon 81 6 • Organs procurement 83 Catalogue 2016 • 5 1 • ENDOUROLOGY 1.1. Stone extractors Dormia No-Tip Titane nickel (Nitinol) • 4 twisted wires. • Individually packaged • Sterile • Detachable handle. REF. Ch/Fr Length Basket size EXN434 3 90cm 14mm Designed for semi-rigid and rigid ureteroscopy. Titane nickel (Nitinol) • 4 round wires. • Individually packaged • Sterile • Detachable handle. REF. Ch/Fr Length Basket size EXN734 2.2 120cm 11mm EXN934 1.5 120cm 9mm Designed for flexible, semi-rigid and rigid ureteroscopy. Supplied with a waterproof connector (Tuohy-Borst). Dormia N.stone Titane nickel (Nitinol) • 4 helical wires. • Individually packaged • Sterile • Detachable handle. REF. Ch/Fr Length Basket size EXT224 4 90cm 15mm EXT424 3 90cm 15mm EXT624 2.5 90cm 12.5mm 6 • Catalogue 2016 UROLOGY Catalogue 2016 • 7 1 • ENDOUROLOGY 1.1. Stone extractors Dormia Pickstone Stainless steel • 4 helical wires. • Individually packaged • Sterile • Non detachable handle. REF. Ch/Fr Length Basket size DOR729 2.9 90cm 13.5mm DOR740 4 90cm 16.5mm Dormia Stainless steel • Flat or helical wires. • Individually packaged • Sterile • Detachable handle. 3 helical wires 4 helical wires 4 flat wires 6 helical wires Number and 1.9 Ch/Fr 2.5 Ch/Fr 3 Ch/Fr 3.5 Ch/Fr 4 Ch/Fr 5.5 Ch/Fr types of wires 90cm 90cm 120cm 90cm 120cm 90cm 120cm 70cm 90cm 70cm 3 helical wires DOR823 DOR323 DOR213 4 helical wires DOR624 DOR634 DOR424 DOR434 DOR324 DOR334 DOR214 DOR224 DOR114 4 flat wires EFP624 EFP634 EFP424 EFP434 EFP214 EFP224 6 helical wires DOR226 DOR116 6 crossed DOR111 helical wires 8 • Catalogue 2016 UROLOGY 1 • ENDOUROLOGY 1.1. Stone extractors Dormia Stainless steel • Helical wires with 5cm fi liform tip. • Individually packaged • Sterile. Number and 5.5 Ch/Fr types of wires 70cm 4 helical wires DOR115 6 helical wires DOR117 Dormia Stainless steel • Flat or helical wires with olive tip. • Individually packaged • Sterile. Number and 2.5 Ch/Fr 3 Ch/Fr 3.5 Ch/Fr 4 Ch/Fr 5.5 Ch/Fr types of wires 90cm 90cm 90cm 90cm 70cm 4 helical wires DOV624 DOV424 DOV324 DOV224 DOV114 4 fl at wires EFV624 EFV424 EFV224 Catalogue 2016 • 9 1 • ENDOUROLOGY 1.2. Access sheaths ReTrace Ureteral access sheaths Innovation: when the working guidewire becomes the safety guidewire. • Radiopaque ring. • Hydro-coated reinforced sheath. • Ergonomic shape. • Compatible with a 0.038” stiff guidewire. • Individually packaged • Sterile. REF. Sheath diameter Length ACXL10 35cm 10-12 Ch/Fr AXXL10 45cm ACXL12 35cm 12-14 Ch/Fr AXXL12 45cm 10 • Catalogue 2016 UROLOGY 1 • ENDOUROLOGY 1.3. Irrigation line HiLine Irrigation line Designed to control irrigation and increase visibility during ureteroscopy. • Anti-refl ux valve to prevent backfl ow. • Removable tubing extension to allow pump manipulation by surgeons or assistants. • Luer-Lock connection suitable for use with all brands of endoscopes. • Box of 10 • Sterile. REF. AK7000 Catalogue 2016 • 11 1 • ENDOUROLOGY 1.4. Double loop ureteral stents ImaJin Silicone double loop ureteral stents The remarkable biocompatibility and flexibility of silicone makes it the material of choice for long-term implantation : improved patient comfort and less incrustation material. Duration of i mplantation: 12 months. • Kit composition: each stent is supplied in a set with a pusher (simple or steerable) and with or without a guidewire depending on the model. Ø Guide: 0.035”. Steerable pusher: with or without radiopaque ring. • Individually packaged (with a guidewire) • Sterile. • Box of 5 (without a guidewire) • Sterile. Sets with Sets with Sets with simple pusher steerable pusher steerable pusher O/O O/C O/O O/C C/C Fixed Fixed Fixed Movable ® TM Fixed Movable Fixed core core core core Terumo Orchestra Without core core core Ch/Fr Length guidewire guidewire guidewire guidewires guidewire guidewire guidewire guidewire guidewire guidewire 16cm AJ4A61 AJ4261 AJ5061 AJ4861 AJ4761 AJ4161 20cm AJ4262 AJ4562 AJ42D2 AJ5062 AJ4C62 24cm AJ4A63 AJ4263 AJ4563 AJ42D3 AJ5063 AJ4C63 AJ4863 AJ4763 AJ4163 6 26cm AJ4A64 AJ4964 AJ4264 AJ4564 AJ42D4 AJ5064 AJ4C64 AJ4864 AJ4764 AJ4164 28cm AJ4A65 AJ4965 AJ4265 AJ4565 AJ42D5 AJ5065 AJ4C65 AJ4865 AJ4765 AJ4165 30cm AJ4266 AJ42D6 AJ5066 AJ4C66 16cm AJ4A71 AJ4271 AJ5071 AJ4871 AJ4171 20cm AJ4A72 AJ4272 AJ42E2 AJ5072 AJ4C72 24cm AJ4A73 AJ4973 AJ4273 AJ4573 AJ42E3 AJ5073 AJ4C73 AJ4873 AJ4773 AJ4173 7 26cm AJ4A74 AJ4974 AJ4274 AJ4574 AJ42E4 AJ5074 AJ4C74 AJ4874 AJ4774 AJ4174 28cm AJ4A75 AJ4975 AJ4275 AJ4575 AJ42E5 AJ5075 AJ4C75 AJ4875 AJ4775 AJ4175 30cm AJ4A76 AJ4276 AJ4576 AJ42E6 AJ5076 AJ4C76 AJ4876 AJ4776 AJ4176 16cm AJ4281 AJ5081 20cm AJ4282 AJ5082 24cm AJ4283 AJ5083 8 26cm AJ4A84 AJ4284 AJ4584 AJ42F4 AJ5084 AJ4C84 AJ4884 28cm AJ4A85 AJ4285 AJ4585 AJ42F5 AJ5085 AJ4C85 AJ4885 30cm AJ4286 AJ4586 AJ42F6 AJ5086 AJ4C86 12 • Catalogue 2016 UROLOGY 1 • ENDOUROLOGY 1.4. Double loop ureteral stents ImaJin Hydro-Coated Silicone double loop ureteral stents The remarkable biocompatibility and fl exibility of silicone makes it the material
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    Original Article Obstet Gynecol Sci 2018;61(3):367-373 https://doi.org/10.5468/ogs.2018.61.3.367 pISSN 2287-8572 · eISSN 2287-8580 Sonographic evaluation of bladder wall thickness in women with lower urinary tract dysfunction Un Ju Shin1, Jihye Koh1, Jiwon Song1, Soyun Park2, Eun Joo Park3, Chung-Hoon Kim1, Sung Hoon Kim1, Byung Moon Kang1, Hee Dong Chae1 Department of Obstetrics and Gynecology, 1University of Ulsan College of Medicine, Asan Medical Center, Seoul; 2Jeju National University College of Medicine, Jeju National University Hospital, Jeju; 3Eulji University, Nowon Eulji Medical Center, Seoul, Korea Objective To investigate the correlation between bladder wall thickness (BWT) measured by ultrasonography and lower urinary tract dysfunction (LUTD) in patients with lower urinary tract symptoms (LUTS). Methods Forty-eight women with LUTS who underwent urodynamic study and BWT by ultrasonography as outpatients were studied. We assessed LUTS during a medical examination by interview. The thinnest part of the bladder wall was measured by a transabdominal ultrasonography. We excluded patients who had visited another hospital previously because we did not know what treatment they had received, including medications, behavioral therapy, or other treatments. We constructed receiver operating characteristic (ROC) curves for diagnosis of LUTD and also determined reliable BWT criteria by calculating the area under the curve. Statistical analyses were performed using the Kolmogorov-Smirnov method and Student's t-test. Results The mean age, body mass index, and duration of symptoms were 59.9±9.7 years, 26.06±3.4 kg/m2, and 53.4±38.2 months, respectively. Urodynamic study parameters (Valsalva leak point pressure, maximal urethral closure pressure, functional length, and postvoid residual volume) were lower in patients with BWT <3 mm; however, these differences were not significant.
  • EAU Guidelines on Urological Infections 2018

    EAU Guidelines on Urological Infections 2018

    EAU Guidelines on Urological Infections G. Bonkat (Co-chair), R. Pickard (Co-chair), R. Bartoletti, T. Cai, F. Bruyère, S.E. Geerlings, B. Köves, F. Wagenlehner Guidelines Associates: A. Pilatz, B. Pradere, R. Veeratterapillay © European Association of Urology 2018 TABLE OF CONTENTS PAGE 1. INTRODUCTION 6 1.1 Aim and objectives 6 1.2 Panel composition 6 1.3 Available publications 6 1.4 Publication history 6 2. METHODS 6 2.1 Introduction 6 2.2 Review 7 3. THE GUIDELINE 7 3.1 Classification 7 3.2 Antimicrobial stewardship 8 3.3 Asymptomatic bacteriuria in adults 9 3.3.1 Evidence question 9 3.3.2 Background 9 3.3.3 Epidemiology, aetiology and pathophysiology 9 3.3.4 Diagnostic evaluation 9 3.3.5 Evidence summary 9 3.3.6 Disease management 9 3.3.6.1 Patients without identified risk factors 9 3.3.6.2 Patients with ABU and recurrent UTI, otherwise healthy 9 3.3.6.3 Pregnant women 10 3.3.6.3.1 Is treatment of ABU beneficial in pregnant women? 10 3.3.6.3.2 Which treatment duration should be applied to treat ABU in pregnancy? 10 3.3.6.3.2.1 Single dose vs. short course treatment 10 3.3.6.4 Patients with identified risk-factors 10 3.3.6.4.1 Diabetes mellitus 10 3.3.6.4.2 ABU in post-menopausal women 11 3.3.6.4.3 Elderly institutionalised patients 11 3.3.6.4.4 Patients with renal transplants 11 3.3.6.4.5 Patients with dysfunctional and/or reconstructed lower urinary tracts 11 3.3.6.4.6 Patients with catheters in the urinary tract 11 3.3.6.4.7 Patients with ABU subjected to catheter placements/exchanges 11 3.3.6.4.8 Immuno-compromised and severely