NSAIDs provide optimal analgesia in renal colic due to the reduction in glomerular filtration and renal pelvic pressure, ureteric peristalsis and ureteric oedema. Prevention of glomerular afferent arteriolar vasodilatation renders these patients at risk of renal impairment. NSAIDs have the additional benefit of reducing the number of new colic episodes and preventing subsequent readmission to h...

Renal colic is a common emergency department (ED) presentation. The use of CT in the diagnosis of renal colic has increased over the past two decades and is now the most common imaging modality used in many institutions. However, with growing concerns about cumulative radiation exposure, increasing healthcare costs and patient flow in EDs, alternative approaches may need to be considered. Point...

OBJECTIVES To determine whether β-adrenoreceptor agonists are effective analgesics for patients with renal colic through a systematic review of the literature. SETTING Adult emergency departments or acute assessment units. PARTICIPANTS Human participants with proven or suspected renal colic. INTERVENTIONS β-adrenoreceptor agonists. OUTCOME MEASURES Primary: level of pain at 30 min follo...

objective: to compare the efficacy of desmopressin (ddavp), tramadol and indomethacin on pain intensity of patients with acute renal colic caused by urolithiasis. m et h o d s : this prospective, randomized clinical trial was conducted between july 2005 and july 2006 including 120 patients (70 men and 50 women, mean age 38.2±5.8 years) referring to emergency room of shahid faghihi hospital with...

double-j (dj) stents are the main tools used in urological practice for prevention and treatment of obstruction. stenting is also mandatory after complicated ureteroscopy or tul (transureteral lithotripsy). known complications are upper migration of dj stents into the kidney and lower migration to the bladder. in a man with an impacted right lower ureteral stone, a dj stent was placed because t...

PURPOSE Despite the routine use of helical CT in diagnosis of renal colic, there are recent concerns regarding the radiation exposure, overuse and costs. We attempted in this retrospective study to evaluate the accuracy of ultrasound (gray-scale and color Doppler with twinkling), KUB and urinalysis in diagnosis of renal colic due to ureteral calculi presented in Emergency Room. MATERIALS AND ...

BACKGROUND/AIM To investigate the seasonal variations of the incidence of renal colic by a computerized analysis of cyclic climatic features. METHODS 1,163 consecutive patients with acute renal colic were studied. Eigendecomposition and signal reconstruction of district temperature and humidity were performed to establish any cyclic variation. Average temperatures and humidity values were cal...

OBJECTIVES To determine the utility of hematuria testing in a large series of patients with suspected renal colic using unenhanced helical computed tomography (CT) as the reference standard. METHODS A retrospective review of the CT reports of all patients who underwent unenhanced helical CT for suspected renal colic at one institution during a 3.5-year period and who also underwent a formal m...

BACKGROUND Urolithiasis affects an estimated 5% of the population and the lifetime risk of passing a stone in the urinary tract is estimated to be 8-10%. Urinary calculus formation is highly variable and while certain risk factors such as age, gender, seasonality, anatomic abnormality, and metabolic diseases have been identified, not much is known regarding the association of environmental fact...