{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:23:51Z","timestamp":1787772231460,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Renal forniceal rupture (FR) is a unique complication of obstructive uropathy. This study aimed to identify the predictors of FR among patients presenting with renal colic due to obstructing ureteral calculi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>After obtaining ethics approval, electronic records of patients from three National Guard hospitals in Saudi Arabia were reviewed between 2016 and 2020 to identify patients who presented with renal colic and were diagnosed with FR due to obstructive ureteric stones (FR group). An equivalent number of consecutive patients presenting with renal colic due to obstructing ureteric stones without FR was selected as a control group (non-FR group). Patients were grouped according to age group (&lt;30, 30\u201340, 41\u201350, and &gt;50 years), body mass index (BMI) class, gender, comorbidities, grade of hydronephrosis, location of the stone in the ureter, size of the stone (&lt;3 mm, 3\u20137 mm, and &gt;7 mm), and stone former status. Baseline patients\u2019 and stone characteristics were compared, and a regression analysis was performed to identify predictors of FR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 50 patients with FR were identified, and a control group of 50 patients without FR were selected. The baseline patients\u2019 and stone demographic characteristics in terms of age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.42), gender (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.275), BMI (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.672), comorbidity, grade of hydronephrosis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.201), and stone location (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.639) were comparable between the FR group and the non-FR group. However, the stone size was statistically significant between both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014). On multivariable analysis, it was found that the stone size was associated with a significantly higher increase in the incidence of FR (odds ratio [OR]: 6.5 [1.235\u201334.434];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.027). Furthermore, the age group between 30 and 40 years was potentially at a lower risk for FR (OR: 0.262 [0.069\u20130.999];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.049).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This multicenter study showed that the stone size 3\u20137 mm had a six-fold increase in the chance of FR, and the age group between 30 and 40 years is potentially at a lower risk for FR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_57_23","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T02:00:08Z","timestamp":1713405608000},"page":"146-149","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Predictors of forniceal rupture in patients with obstructing ureteral calculi: Analysis of multicenter data"],"prefix":"10.4103","volume":"16","author":[{"given":"Yahya G.","family":"Ghazwani","sequence":"first","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed M. Bin","family":"Hamri","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid A.","family":"Alrabeeah","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah M.","family":"Alkhayal","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bader H.","family":"Alsaikhan","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turki Ahmed","family":"Alferayan","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Badr","family":"Alfraidi","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal Khalid","family":"Balaraj","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad A.","family":"Alghafees","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah A.","family":"Al Qurashi","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser A.","family":"Noureldin","sequence":"additional","affiliation":[{"name":"Division of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia"},{"name":"Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.aju.2012.04.003","article-title":"Stone formation in the Middle Eastern Gulf states: A review","volume":"10","author":"Robertson","year":"2012","journal-title":"Arab J Urol"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1111\/j.1464-410X.2011.10164.x","article-title":"Causes of renal forniceal rupture","volume":"108","author":"Gershman","year":"2011","journal-title":"BJU Int"},{"key":"R3-20260504","doi-asserted-by":"crossref","first-page":"68","DOI":"10.4274\/jus.1639","article-title":"Etiology and treatment of renal forniceal rupture: A single center experience","volume":"5","author":"Ercil","year":"2018","journal-title":"J Urol Surg"},{"key":"R4-20260504","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s13089-009-0019-2","article-title":"Spontaneous rupture of the renal pelvis due to an obstructing ureteral calculus diagnosed by point-of-care ultrasound","volume":"1","author":"Stone","year":"2010","journal-title":"Crit Ultrasound J"},{"key":"R5-20260504","first-page":"385","article-title":"Physiopathology of spontaneous extravasation of urine in the upper urinary tract. Apropos of 24 cases","volume":"82","author":"Balcells","year":"1976","journal-title":"J Urol Nephrol (Paris)"},{"key":"R6-20260504","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/0974-7796.198883","article-title":"Spontaneous forniceal rupture: Can it be treated conservatively?","volume":"9","author":"Al-Mujalhem","year":"2017","journal-title":"Urol Ann"},{"key":"R7-20260504","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.urology.2017.07.045","article-title":"Renal forniceal rupture: Is conservative management safe?","volume":"109","author":"Morgan","year":"2017","journal-title":"Urology"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1089\/end.2019.0706","article-title":"Renal forniceal rupture in the setting of obstructing ureteral stones: An analysis of stone characterization and urologic intervention pattern","volume":"34","author":"Setia","year":"2020","journal-title":"J Endourol"},{"key":"R9-20260504","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1093\/bja\/aet127","article-title":"Sex differences in pain: A brief review of clinical and experimental findings","volume":"111","author":"Bartley","year":"2013","journal-title":"Br J Anaesth"}],"container-title":["Urology Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_57_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:34:14Z","timestamp":1787769254000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_57_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ua.ua_57_23","relation":{},"ISSN":["0974-7796","0974-7834"],"issn-type":[{"value":"0974-7796","type":"print"},{"value":"0974-7834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-05-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}