Acute management of stones: When to treat or not to treat?

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

INTRODUCTION: Stone management is often conservative due to a high spontaneous stone passage rate or non-symptomatic calyceal stones that do not necessarily require active treatment. However, stone disease may cause symptoms and complications requiring urgent intervention.

MATERIAL AND METHODS: In this review, we update latest research and current recommendations regarding acute management of stones, with particular focus on imaging, pain management, active stone interventions, medical expulsive therapy, and urolithiasis in pregnancy and childhood.

RESULTS: Acute stone management should be planned with careful consideration of stone size and location, symptoms, patient comorbidity and radiation dose.

CONCLUSION: In case of infective hydronephrosis, compromised renal function or persistent pain despite adequate analgesic treatment acute intervention is indicated.

Original languageEnglish
JournalWorld Journal of Urology
Volume33
Issue number3
Pages (from-to)203-211
ISSN0724-4983
DOIs
Publication statusPublished - 2015

Keywords

  • Acute management
  • Childhood
  • Imaging
  • Kidney calculi
  • Medical expulsive therapy
  • Pregnancy
  • SWL
  • Ureteral calculi
  • Ureteroscopy
  • Acute Disease
  • Urological Agents/therapeutic use
  • Humans
  • Decompression, Surgical
  • Urinary Calculi/complications
  • Female
  • Urolithiasis/complications
  • Analgesics/therapeutic use
  • Pyonephrosis/etiology
  • Pain/drug therapy
  • Pregnancy Complications/therapy
  • Child

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