Management of ureteric stones: issues and controversies

@article{Gettman2005ManagementOU,
  title={Management of ureteric stones: issues and controversies},
  author={Matthew T. Gettman and Joseph W. Segura},
  journal={BJU International},
  year={2005},
  volume={95}
}
passage in 29–98% of stones of < 5 mm diameter above the iliac vessels, and 71–98% of stones of < 5 mm diameter below the iliac vessels. For stones of 5–10 mm diameter, spontaneous passage occurred in 10–53% of proximal calculi and 25–53% of distal calculi. In a multivariate analysis of risk factors associated with spontaneous ureteric stone passage, Miller and Kane [2] found that smaller, more distal stones on the right side were more likely to spontaneously pass and require fewer surgical… 
Factors that predict the spontaneous passage of ureteric stones in children
Complications of ureteroscopic stone treatment Complications Number % Minor Hematuria Fever Renal colic
TLDR
A retrospective review of 904 Ureteroscopies for ureteric lithiasis performed in 810 patients at Prince Hussein Bin Abdullah Urology Center between January 2006 and January 2008 resulted in successful stone removal in 750 patients and success and complication rates are presented.
Fragmentation without extraction in ureteral stones: outcomes of 238 cases
TLDR
Leaving the fragments (<4 mm) in place for spontaneous passage following a successful disintegration in URS could be a reasonable approach with acceptable and comparable stone-free rates, and this approach appears to give chance of shortening the duration of operation and also avoiding from the potential morbidity of repeated manipulations during the both further disintegration and extraction.
Ureteroscopy in the Treatment of Ureteral Calculi: Efficacy and Safety
TLDR
Ureteroscopy is an effective interventional modality for ureteric stones with a low complication rate and is presented on the basis of the experience of patients treated at Prince Hussein Bin Abdullah Urology Center.
Rigid ureteroscopy for ureteral stones: factors associated with intraoperative adverse events.
TLDR
Ridid ureteroscopic stone manipulation remains a procedure that should be handled cautiously and should alert urologists, particularly at training centers, to adopt all possible precautionary measures.
Influence of Ureteral Stone Components on the Outcomes of Electrohydraulic Lithotripsy
TLDR
The results of the present study suggest that successful fragmentation by URS with EHL could be associated with the proportion of the UA component.
The management of ureteric colic
TLDR
The options available to the urologist in the treatment of ureteric colic are reviewed, as well as the advantages and disadvantages of each therapy.
Emergency ureteroscopic lithotripsy in acute renal colic caused by ureteral calculi: a retrospective study
TLDR
With the recent advances in ureteroscopic technology, intracorporeal probes and stone extraction devices, emergency uretersoscopic lithotripsy is found to be a safe and effective procedure with immediate relief from Ureteral colic and u reteral stone fragmentation.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 95 REFERENCES
Ureteroscopy for proximal ureteral calculi: prevention of stone migration.
TLDR
The balloon on a wire is a useful tool to aid in the prevention of proximal ureteral stone migration during Ureteroscopy and to minimize the number of secondary procedures, and appears to be cost-effective.
Time to stone passage for observed ureteral calculi: a guide for patient education.
TLDR
Interval to stone passage is highly variable and dependent on stone size, location and side, and Stones that were smaller, more distal and on the right side were more likely to pass spontaneously and required fewer interventions.
Relationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT.
TLDR
The rate of spontaneous passage of ureteral stones does vary with stone size and location as determined by CT, but rates are similar to those previously published based on radiography.
Primary treatment of ureteral stones by new multiline lithotripter.
TLDR
Primary SWL treatment of ureteral stones with the new Multiline showed good results in about 84% of cases, although 43% of patients required auxiliary procedures.
Primary Endoscopic Treatment of Ureteric Calculi
TLDR
Ureteroscopy with miniscopes has a high success rate with low morbidity and can be given as a primary approach in the management of ureteral calculi and in the lumbar ureters this technique can represent a good alternative to ESWL in the treatment of obstructing stones or when the patient asks for a ‘one-shot’ treatment.
...
1
2
3
4
5
...