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Urinary Stone Disease: Diagnosis, Medical Therapy, and Surgical Management.

Abstract Clinical suspicion of urolithiasis should be evaluated with low-dose computed tomography as the first-line imaging modality for nonpregnant, adult patients. A period of observation may be appropriate for ureteral stones less than 10 mm, and medical expulsive therapy may be beneficial for facilitating passage of distal ureteral stones. Regardless of stone type, patients should adhere to a low-sodium diet and attempt to achieve a urine volume of more than 2.5 L daily. Individuals with calcium stones should maintain a normal calcium diet, and if stones persist, citrate therapy or thiazide diuretics in the setting of hypercalciuria may be indicated.
PMID
Related Publications
Authors

Mayor MeshTerms
Keywords

Dietary therapy

Extracorporeal shockwave lithotripsy

Medical therapy

Percutaneous nephrolithotomy

Ureteroscopy

Urolithiasis

Journal Title the medical clinics of north america
Publication Year Start




PMID- 29406057
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1557-9859 (Electronic)
IS  - 0025-7125 (Linking)
VI  - 102
IP  - 2
DP  - 2018 Mar
TI  - Urinary Stone Disease: Diagnosis, Medical Therapy, and Surgical Management.
PG  - 265-277
LID - S0025-7125(17)30158-X [pii]
LID - 10.1016/j.mcna.2017.10.004 [doi]
AB  - Clinical suspicion of urolithiasis should be evaluated with low-dose computed
      tomography as the first-line imaging modality for nonpregnant, adult patients. A 
      period of observation may be appropriate for ureteral stones less than 10 mm, and
      medical expulsive therapy may be beneficial for facilitating passage of distal
      ureteral stones. Regardless of stone type, patients should adhere to a low-sodium
      diet and attempt to achieve a urine volume of more than 2.5 L daily. Individuals 
      with calcium stones should maintain a normal calcium diet, and if stones persist,
      citrate therapy or thiazide diuretics in the setting of hypercalciuria may be
      indicated.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Ludwig, Wesley W
AU  - Ludwig WW
AD  - Department of Urology, The James Buchanan Brady Urological Institute, Johns
      Hopkins Hospital, The Johns Hopkins University School of Medicine, 600 North
      Wolfe Street, Marburg 134, Baltimore, MD 21287, USA. Electronic address:
      [email protected]
FAU - Matlaga, Brian R
AU  - Matlaga BR
AD  - Department of Urology, The James Buchanan Brady Urological Institute, Johns
      Hopkins Hospital, The Johns Hopkins University School of Medicine, 600 North
      Wolfe Street, Marburg 134, Baltimore, MD 21287, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20171209
PL  - United States
TA  - Med Clin North Am
JT  - The Medical clinics of North America
JID - 2985236R
SB  - AIM
SB  - IM
MH  - Humans
MH  - Urinary Calculi/*diagnosis/pathology/*therapy
MH  - Urolithiasis/*diagnosis/pathology/*therapy
OTO - NOTNLM
OT  - Dietary therapy
OT  - Extracorporeal shockwave lithotripsy
OT  - Medical therapy
OT  - Percutaneous nephrolithotomy
OT  - Ureteroscopy
OT  - Urolithiasis
EDAT- 2018/02/07 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/07 06:00
PHST- 2018/02/07 06:00 [entrez]
PHST- 2018/02/07 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - S0025-7125(17)30158-X [pii]
AID - 10.1016/j.mcna.2017.10.004 [doi]
PST - ppublish
SO  - Med Clin North Am. 2018 Mar;102(2):265-277. doi: 10.1016/j.mcna.2017.10.004. Epub
      2017 Dec 9.