dc.contributor.author | Taylor, Jonathan C. | eng |
dc.contributor.author | Gauer, Robert | eng |
dc.contributor.author | Rideout, Stacy | eng |
dc.date.issued | 2011 | eng |
dc.description.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). | eng |
dc.identifier.uri | http://hdl.handle.net/10355/10387 | eng |
dc.language | English | eng |
dc.publisher | Family Physicians Inquiries Network | eng |
dc.relation.ispartofcollection | Clinical Inquiries, 2011 (MU) | eng |
dc.relation.ispartofcommunity | University of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network | eng |
dc.relation.ispartofseries | Journal of family practice, 60, no. 04 (April 2011): 232-233. | eng |
dc.rights | OpenAccess. | eng |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. | eng |
dc.subject | expulsion therapy | eng |
dc.subject.lcsh | Urinary organs -- Calculi | eng |
dc.subject.lcsh | Ureters -- Diseases -- Treatment | eng |
dc.subject.lcsh | Ureters -- Surgery | eng |
dc.title | Ureteral calculi: What should you consider before intervening? | eng |
dc.type | Article | eng |