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    Ureteral calculi: What should you consider before intervening?

    Taylor, Jonathan C.
    Gauer, Robert
    Rideout, Stacy
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    [PDF] UreteralCalculiConsider.pdf (243.2Kb)
    Date
    2011
    Format
    Article
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    Abstract
    The size of the calculi, their location, and complicating factors such as infection should all be considered. Most ureteral calculi smaller than 5 mm pass spontaneously, as do approximately half of calculi between 5 and 10 mm. Calculi larger than 10 mm are unlikely to pass without intervention. Distal calculi are more likely to pass spontaneously than calculi in mid- or proximal ureteral locations; most spontaneous passage occurs within 4 to 6 weeks (strength of recommendation [SOR]: A, prospective cohort studies). All patients with calculi complicated by such factors as obstruction, infection, renal injury, or a single kidney require surgical consultation (SOR: C, expert opinion). Medical expulsion therapy with alpha-blockers (usually tamsulosin) and nifedipine improves passage rates, including for some calculi larger than 10 mm (SOR: A, metaanalysis of prospective cohort studies).
    URI
    http://hdl.handle.net/10355/10387
    Part of
    Journal of family practice, 60, no. 04 (April 2011): 232-233.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • Clinical Inquiries, 2011

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