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Current Urology Reports
Erschienen in: Current Urology Reports 3/2016

01.03.2016 | Urosurgery (J Collins, Section Editor)

Evolving Guidance on Ureteric Calculi Management in the Acute Setting

verfasst von: Jonathan K. Makanjuola, Sophie Rintoul-Hoad, Matthew Bultitude

Erschienen in: Current Urology Reports | Ausgabe 3/2016

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Abstract

Ureteric colic is a common presentation to acute emergency services. The gold standard test for the diagnosis of acute ureteric colic is a non-contrast computer tomography of the kidneys ureters and bladder (CT KUB). Non-steroidal anti-inflammatory drugs (NSAIDs) should be used as first-line analgesia, with studies showing that there is no role for steroid or phosphodiesterase-5 inhibitors. There is emerging evidence that a high body mass index (BMI) is a risk factor. The drugs used to facilitate stone passage are known as medical expulsive therapy (MET). The most evaluated being alpha-blockers. The Spontaneous Urinary Stone Passage Enabled by Drugs (SUSPEND) trial was designed to evaluate the use of MET (tamsulosin and nifedipine). This trial showed that there was no difference with MET and placebo for the spontaneous passage of ureteric stones. There is an emerging role for the use of primary ureteroscopy in the management of non-infective ureteric stones.
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Metadaten
Titel
Evolving Guidance on Ureteric Calculi Management in the Acute Setting
verfasst von
Jonathan K. Makanjuola
Sophie Rintoul-Hoad
Matthew Bultitude
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 3/2016
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-016-0574-6

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