Acute flank pain is a frequent clinical presentation encountered in emergency departments, and a work-up for obstructive urolithiasis in this setting is a common indication for computed tomography (CT). However, imaging alternatives to CT for the evaluation of renal colic are warranted in some clinical situations, such as younger patients, pregnancy, patients that have undergone multiple prior ...

OBJECTIVES Symptomatic ureterolithiasis (renal colic) is a common Emergency Department (ED) complaint. Variation in practice surrounding the diagnosis and management of suspected renal colic could have substantial implications for both quality and cost of care as well as patient radiation burden. Previous literature has suggested that CT scanning has increased with no improvements in outcome, o...

INTRODUCTION Renal colic can be managed by preventing the contraction movements of ureter muscles. By reducing acetylcholine in the nerve terminals, magnesium sulfate could be effective in this regard. The aim of this study is to investigate the effect of magnesium sulfate on acute renal colic pain relief. METHOD The present study was a double-blind clinical trial in which the patients suffer...

INTRODUCTION Supporting an "ultrasound-first" approach to evaluating renal colic in the emergency department (ED) remains important for improving patient care and decreasing healthcare costs. Our primary objective was to compare emergency physician (EP) ultrasound to computed tomography (CT) detection of hydronephrosis severity in patients with suspected renal colic. We calculated test characte...

INTRODUCTION To evaluate the intracutaneous injection of sterile water in the treatment of renal colic. MATERIALS AND METHODS One hundred patients with renal colic were randomly divided into two groups of 50 patients and underwent the treatment. In the first (study) group 0.5 ml of sterile water and in the control group, 0.5 ml of normal saline was intradermally injected. The severity of pain...

OBJECTIVE To compare the analgesiceffects of Nitrous oxide and morphine sulfate in patients with acute renal colic due to urolithiasis. METHODS This was randomized clinical trial being performed in Imam Hossein hospital affiliated with Shahid Beheshti University of Medical Sciences during a 1-year period from May2013 to May2014.  A total of number of 100 patients, with an age range of 20-50 y...

The management of ureteral obstruction in pregnancy remains controversial. Clinically oriented literature review on diagnostic and therapeutic decisions concerning renal colic in pregnancy has been published in this issue of the Central European Journal of Urology [1]. We all still face several challenges of differentiating renal colic in pregnancy caused by the uretheral stone or by physiologi...