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dc.contributor.authorTaylor, Jonathan C.eng
dc.contributor.authorGauer, Roberteng
dc.contributor.authorRideout, Stacyeng
dc.date.issued2011-04eng
dc.description.abstractThe 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.citationJournal of Family Practice, 60(4) 2011: 232-233.eng
dc.identifier.urihttp://hdl.handle.net/10355/10387eng
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.relation.ispartofClinical Inquiries, 2011 (MU)eng
dc.relation.ispartofcommunityUniversity of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Networkeng
dc.rightsOpenAccess.eng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.eng
dc.subjectexpulsion therapyeng
dc.subject.lcshUrinary organs -- Calculieng
dc.subject.lcshUreters -- Diseases -- Treatmenteng
dc.subject.lcshUreters -- Surgeryeng
dc.titleUreteral calculi: What should you consider before intervening?eng
dc.typeArticleeng


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