Medical expulsive therapy.

Abstract:

:Minimally invasive therapies for urolithiasis including extracorporeal shock wave lithotripsy, ureteroscopy, and percutaneous nephrostolithotomy are highly efficacious, yet expensive. Medical expulsive therapy offers a cost-effective, nonsurgical approach for appropriate patients with ureteral stones. The use of hormones, nonsteroidal anti-inflammatories, calcium channel blockers, corticosteroids, and adrenergic alpha antagonists all have been proposed as a way to enhance stone passage. In view of the available clinical trials and meta-analysis, patients with distal ureteral stones measuring 1 cm who are candidates for observation deserve a trial of medical expulsive therapy. Nifedipine, a calcium channel blocker, and adrenergic alpha antagonists have been proven to be clinically efficacious, safe, and well tolerated as medical expulsive agents.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Sterrett SP,Nakada SY

doi

10.1016/j.semnephrol.2008.01.002

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

192-9

issue

2

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(08)00027-2

journal_volume

28

pub_type

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