Published in:
01-02-2015 | Topic Paper
Acute management of stones: When to treat or not to treat?
Authors:
Helene Jung, Palle J. S. Osther
Published in:
World Journal of Urology
|
Issue 2/2015
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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.