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Modern Approach to Ureteral Stones

Urolithiasis is a very common affliction of mankind. In western countries incidence is increasing steadily. An increasing proportion of patients are presenting with ureteral stones, of which renal colic most often is the first complaint and the most common reason for an emergency visit to a urologis...

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Autor principal: Tailly, Geert G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: TheScientificWorldJOURNAL 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5974739/
https://www.ncbi.nlm.nih.gov/pubmed/14532425
http://dx.doi.org/10.1100/tsw.2003.71
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author Tailly, Geert G.
author_facet Tailly, Geert G.
author_sort Tailly, Geert G.
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description Urolithiasis is a very common affliction of mankind. In western countries incidence is increasing steadily. An increasing proportion of patients are presenting with ureteral stones, of which renal colic most often is the first complaint and the most common reason for an emergency visit to a urologist. Proper imaging strategy is of paramount importance in the diagnosis of acute flank pain and in the subsequent therapy planning once a ureteral stone is diagnosed. Renal colic during pregnancy poses specific problems, both in imaging and therapy. Apart from the adequate treatment of renal colic, modern therapy of those ureteral calculi that will not pass spontaneously will consist of a judicious combination of ESWL (extracorporeal shock wave lithotripsy), endourology, and laparoscopy. Open surgery should only be reserved for limited and very specific indications. Although beyond the scope of this article, metaphylaxis should take an important role in the follow-up of stone patients in general.
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spelling pubmed-59747392018-06-10 Modern Approach to Ureteral Stones Tailly, Geert G. ScientificWorldJournal Mini-Review Article Urolithiasis is a very common affliction of mankind. In western countries incidence is increasing steadily. An increasing proportion of patients are presenting with ureteral stones, of which renal colic most often is the first complaint and the most common reason for an emergency visit to a urologist. Proper imaging strategy is of paramount importance in the diagnosis of acute flank pain and in the subsequent therapy planning once a ureteral stone is diagnosed. Renal colic during pregnancy poses specific problems, both in imaging and therapy. Apart from the adequate treatment of renal colic, modern therapy of those ureteral calculi that will not pass spontaneously will consist of a judicious combination of ESWL (extracorporeal shock wave lithotripsy), endourology, and laparoscopy. Open surgery should only be reserved for limited and very specific indications. Although beyond the scope of this article, metaphylaxis should take an important role in the follow-up of stone patients in general. TheScientificWorldJOURNAL 2003-09-03 /pmc/articles/PMC5974739/ /pubmed/14532425 http://dx.doi.org/10.1100/tsw.2003.71 Text en Copyright © 2003 Geert G. Tailly. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Mini-Review Article
Tailly, Geert G.
Modern Approach to Ureteral Stones
title Modern Approach to Ureteral Stones
title_full Modern Approach to Ureteral Stones
title_fullStr Modern Approach to Ureteral Stones
title_full_unstemmed Modern Approach to Ureteral Stones
title_short Modern Approach to Ureteral Stones
title_sort modern approach to ureteral stones
topic Mini-Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5974739/
https://www.ncbi.nlm.nih.gov/pubmed/14532425
http://dx.doi.org/10.1100/tsw.2003.71
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