{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T23:48:32Z","timestamp":1781308112946,"version":"3.54.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Objective:<\/jats:title>\n                    <jats:p>Forniceal rupture due to obstructing ureterolithiasis (FROU) is a seldom encountered radiographic finding, but the impact of this diagnosis and influence on stone management has not been well studied in the literature. The purpose of the study is to examine stone characteristics and intervention patterns of patients with radiographic evidence of FROU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis of all patients with radiographic evidence of FROU was compared with patients with obstructing ureteral stones without forniceal ruptures (noFROU). All patients presented to our Emergency Department from January 2015 until December 2018. Data analyzed included patient demographics, clinical presentation, stone characteristics, and management pattern. Primary outcome was need for hospital admission and surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirty-two patients with FROU (mean age\u2009=\u200945) were compared with 50 patients with noFROU (mean age\u2009=\u200957). Univariate analysis revealed that age, history of diabetes mellitus, history of hypertension, days of symptoms, degree of hydronephrosis, and degree of perinephric stranding were associated with forniceal rupture (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\u2264\u20090.05). On multivariate analysis, only degree of perinephric stranding remained significant (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\u2264\u20090.05). Average maximum axial stone diameter in the FROU group was 5.1\u2009mm\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      4.7\u2009mm in the noFROU group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.66). Overall, 68.8% of stones were located within the distal ureter in the FROU group\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      48.8% in the noFROU group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.09). There was no difference in hospital admission (FROU 37.5%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      noFROU 44%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.56) and need for surgical intervention (FROU 50%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      noFROU 48%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.86). There were no 30-day complications in patients with FROU.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Ureteral stone location and size does not seem to impact the presence of FROU. FROU may be an alarming reported finding but its presence does not appear to impact clinical outcomes or affect urological management, including admission or need for urologic intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2019.0706","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T06:06:29Z","timestamp":1579241189000},"page":"373-378","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Renal Forniceal Rupture in the Setting of Obstructing Ureteral Stones: An Analysis of Stone Characterization and Urologic Intervention Pattern"],"prefix":"10.1177","volume":"34","author":[{"given":"Shaan A.","family":"Setia","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Urology, Rush University Medical Center, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierce L.","family":"Massie","sequence":"additional","affiliation":[{"name":"Rush Medical College, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline J.","family":"Epsten","sequence":"additional","affiliation":[{"name":"Rush Medical College, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avishkar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Radiology, Rush University Medical Center, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Fogg","sequence":"additional","affiliation":[{"name":"Department of Community, Systems and Mental Health Nursing, College of Nursing, Rush University, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward E.","family":"Cherullo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Rush University Medical Center, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander K.","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Rush University Medical Center, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10164.x"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1626-1-320"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)47551-3"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.11.5.345.346"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0817-y"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199307000-00003"},{"key":"e_1_3_3_8_2","first-page":"329","article-title":"[Fornix rupture\u2014a review of pathophysiology and clinical aspects]","volume":"28","author":"Breun H","year":"1989","unstructured":"Breun H, , Csapo Z, , Sigel A. 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Relationship between renal blood flow and ureteral pressure during 18 hours of total unilateral uretheral occlusion. Implications for changing sites of increased renal resistance. 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