OBJECTIVE To evaluate the effects of terazosin and tolterodine on ureteral stent discomfort. MATERIALS AND METHODS Of 163 patients assessed for eligibility, 104 patients were randomly assigned to receive placebo, 2 mg of terazosin twice daily, 2 mg of tolterodine daily, or both terazosin plus tolterodine during the stenting period. Prior to stenting and at stent removal, the International Pro...

Introduction: Our aim was to determine the incidence and spectrum of significant alternate or incidental diagnoses established or suggested on spiral computed tomography (CT) in a large series of patients with suspected renal colic. Materials and Methods: Records of all patients that had undergone spiral CT (5-mm to 7-mm slice thickness) for acute flank pain during a 5-year period were reviewed...

a 55-year-old man presented with pain in the left flank for the last 8 months with history of significant weight loss. the pain was relieved on assuming a knee-chest position. on clinical examination the patient was afebrile with mild tenderness in the left hypochondrium. there was no icterus or lymphadenopathy. the spleen was palpable 6 cm below the costal margin and was firm and non-tender. t...

Spontaneous renal artery dissection is a rare but important cause of flank pain. We report a case of isolated spontaneous renal artery dissection in 56-year-old man complicated by renal infarction presented with flank pain. Doppler study pointed towards vascular pathology. Computed tomography (CT) angiography was used to make final diagnosis which demonstrated intimal flap in main renal artery ...

Renal colic pain due to an obstructing stone is the main renal cause of acute flank pain; however, other causes may be responsible for the same clinical findings, including acute pyelonephritis, acute vascular conditions, and hemorrhage. The purpose of this review is to describe the differential diagnosis, the CT findings and pitfalls, and the role and impact of CT in the diagnosis and manageme...