scholarly journals “Time is urosepsis”: evaluation of clinical predictive factors for “not deferable” stenting in renal colic due to ureteral stone urolithiasis

2021 ◽  
Vol 32 ◽  
pp. S85
Author(s):  
G.A. Larganà ◽  
G.F. Reale ◽  
R. Pernetti ◽  
F. Giugliano ◽  
D. Cantoro ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Renal Colic ◽  
Ureteral Stone

scholarly journals Renal colic, where is it headed? An observational study

2016 ◽  
Vol 88 (1) ◽  
pp. 7 ◽  
Author(s):  
Paolo Beltrami ◽  
Andrea Guttilla ◽  
Lorenzo Ruggera ◽  
Patrizia Bernich ◽  
Filiberto Zattoni
Keyword(s):  
Emergency Department ◽  
Urinary Tract ◽  
Observational Study ◽  
Clinical Management ◽  
Renal Colic ◽  
Ureteral Stone ◽  
Ureteral Calculi ◽  
Ureteral Calculus ◽  
Spontaneous Expulsion ◽  
Pain Symptoms

Aim: In the last thirty years, the treatment for renal and ureteral calculi has undergone profound variations. The objective of this study has been to evaluate the existence of parameters which can affect the spontaneous expulsion of a symptomatic ureteral stone in a reasonably brief period of time and to identify whether certain parameters such as sex, age, the location and dimension of the stone, the presence of dilation in the urinary tract together with the administered therapy, can be used for a correct clinical management of the patient. Methods: In a period of 9 months, 486 cases of renal colic were registered at emergency department. Results: The cases of renal colic due to ureteral calculus were 188 (38.7%). The patients’ charts, complete of all data and therefore, valid for this research, resulted to be 120 (64%). In the presence of a symptomatic ureteral stone, the correct approach must first of all, focalize on the dimension of the calculus itself; less importance instead, is given to the location, as reported in other studies, the presence of hydroureteronephrosis, sex and the side. Conclusion: In the cases when the pain symptoms cannot be solved by means of the administration of analgesics, it is then reasonable to take into consideration an immediate endourological treatment. If the pain symptoms are promptly solved, an attentive wait of 4 weeks should be considered reasonable in order to allow spontaneous expulsion of the calculus.

scholarly journals The identification of pregnant women with renal colic who may need surgical intervention

2021 ◽  
Author(s):  
He Maomao ◽  
Ming Lei ◽  
Lin Xiaoting ◽  
Xiaolan Xu ◽  
Zhihui He
Keyword(s):  
Pregnant Women ◽  
Renal Colic ◽  
Surgical Intervention ◽  
Clinical Laboratory ◽  
Ureteral Stone ◽  
Univariate Analysis ◽  
White Blood Cells ◽  
Stone Size ◽  
Related Factors ◽  
In Pregnancy

Abstract Objectives: To analyze clinical data and stone-related factors to identify predictive factors for surgical intervention in pregnant women with renal colic. Methods: We conducted a retrospective review of 212 pregnant women presenting with renal colic between 1st January 2009 and 31st December 2019. Patients were grouped according to surgical intervention and a range of demographic, clinical, laboratory, and ultrasound data were obtained. Univariate and multivariate analyses identified a range of predictive variables for surgical intervention. In addition, we used receiver operating characteristic (ROC) curve analysis to evaluate the predictive power of our model and created a nomogram for clinical application. Results: Of the 212 patients presenting with acute renal colic in pregnancy, 100 patients (47.2%) underwent surgical intervention and 112 patients (52.8%) were treated conservatively. Univariate analysis identified significant differences between the two groups with regards to fever, the duration of pain, white blood cells (WBCs), C-reactive protein (CRP), ureteral stone size, hydronephrosis, and stone location. Multivariate analysis further identified a number of independent predictors for surgical intervention, including fever, a duration of pain ≥4 days, a ureteral stone size ≥ 8 mm, and moderate or severe hydronephrosis.Conclusions: We identified several independent predictors for surgical intervention for renal colic in pregnancy. Fever, a duration of pain ≥4 days, a ureteral stone size ≥8 mm, and moderate/severe hydronephrosis, play significant roles in predicting surgical intervention. Our nomogram can help to calculate the probability of surgical intervention in a simple and efficient manner. Prospective studies are now required to validate our model.

scholarly journals Predictive factors for stone disease in patients with renal colic

2017 ◽  
Vol 89 (2) ◽  
pp. 143 ◽  
Author(s):  
Hakan Türk ◽  
Sıtkı Ün
Keyword(s):  
Predictive Factors ◽  
Renal Colic ◽  
Urine Analysis ◽  
Urinary Stone ◽  
Stone Disease ◽  
Urinary System ◽  
Study Results ◽  
Acute Renal Colic ◽  
Nausea And Emesis ◽  
Group 2

Introduction: Many patients present to urology and emergency departments for acute renal colic complaints. There are many different imaging studies that can be used in patients with a pre-diagnosis of acute renal colic. In this study, we would like to assess the efficacy of using clinical and laboratory results in patients with flank pain complaint as a predictive factor of urinary system stone disease. Materials and methods: All patients were assessed using spinal non-contrast complete abdominal computerized tomography and urine analysis. Presence of stones and their number and size were recorded. Results: 516 patients who were included in the study were divided into 2 groups according to urinary stone presence. Group 1 (n = 388) consisted of patients with stones meanwhile patients in Group 2 (n = 128) were stone-free. According to these results, male sex, presence of microscopic hematuria, stone history in the family, nausea and emesis in addition to pain and accompanying urinary symptoms were detected as predictive factors in diagnosing urinary stone disease by multivariate analysis. Conclusion: From our study results, we can conclude that uroflowmetry is a very useful tool in monitoring lower urinary system complaints.

RENAL COLIC IN CASES OF RENAL AND URETERAL STONE

JAMA ◽  
1922 ◽  
Vol 79 (20) ◽  
pp. 1651
Author(s):  
HENRY H. MORTON
Keyword(s):  
Renal Colic ◽  
Ureteral Stone

The relationship between ureteral stone characteristics and secondary signs in renal colic

2012 ◽  
Vol 36 (6) ◽  
pp. 768-772 ◽  
Author(s):  
Nurith Hiller ◽  
Nadav Berkovitz ◽  
Natalia Lubashevsky ◽  
Shaden Salaima ◽  
Natalia Simanovsky
Keyword(s):  
Renal Colic ◽  
Ureteral Stone ◽  
Stone Characteristics ◽  
The Relationship ◽  
Secondary Signs

scholarly journals Treatment Management of COVID‐19 Positive Patients with Renal Colic Secondary to Distal Ureteral Stone

2020 ◽  
Author(s):  
Saban Oguz Demirdogen ◽  
Ahmet Emre Cinislioglu ◽  
Nazan Cinislioglu ◽  
Mehmet Sefa Altay ◽  
Ibrahim Karabulut ◽  
...  
Keyword(s):  
Renal Colic ◽  
Ureteral Stone ◽  
Treatment Management ◽  
Distal Ureteral Stone

scholarly journals Modern Approach to Ureteral Stones

2003 ◽  
Vol 3 ◽  
pp. 853-866 ◽  
Author(s):  
Geert G. Tailly
Keyword(s):  
Renal Colic ◽  
Ureteral Stone ◽  
Ureteral Stones ◽  
Therapy Planning ◽  
Modern Approach ◽  
Adequate Treatment ◽  
Extracorporeal Shock Wave ◽  
Acute Flank Pain ◽  
Imaging Strategy

Urolithiasis is a very common affliction of mankind. In western countries incidence is increasing steadily. An increasing proportion of patients are presenting with ureteral stones, of which renal colic most often is the first complaint and the most common reason for an emergency visit to a urologist. Proper imaging strategy is of paramount importance in the diagnosis of acute flank pain and in the subsequent therapy planning once a ureteral stone is diagnosed. Renal colic during pregnancy poses specific problems, both in imaging and therapy. Apart from the adequate treatment of renal colic, modern therapy of those ureteral calculi that will not pass spontaneously will consist of a judicious combination of ESWL (extracorporeal shock wave lithotripsy), endourology, and laparoscopy. Open surgery should only be reserved for limited and very specific indications. Although beyond the scope of this article, metaphylaxis should take an important role in the follow-up of stone patients in general.

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