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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Main Author: Geert G. Tailly
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2003.71
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author Geert G. Tailly
author_facet Geert G. Tailly
author_sort Geert G. Tailly
collection DOAJ
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 doaj-art-e34579ab5b544a548d9ec786a7e53f8d2025-02-03T05:44:43ZengWileyThe Scientific World Journal1537-744X2003-01-01385386610.1100/tsw.2003.71Modern Approach to Ureteral StonesGeert G. Tailly0Department of Urology, AZ KLINA, Augustijnslei 100, 2930 Brasschaat, BelgiumUrolithiasis 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.http://dx.doi.org/10.1100/tsw.2003.71
spellingShingle Geert G. Tailly
Modern Approach to Ureteral Stones
The Scientific World Journal
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
url http://dx.doi.org/10.1100/tsw.2003.71
work_keys_str_mv AT geertgtailly modernapproachtoureteralstones