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Related Concept Videos

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
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Related Experiment Video

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Vessel-sparing Excision and Primary Anastomosis
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Follow-Up Survey for Conservatively Managed Ureteric Stones.

Farhan Jarral1, Abdelrahman Hamdy2, Jakub Wrazen1

  • 1Urology, Doncaster Royal Infirmary, Doncaster, GBR.

Cureus
|September 16, 2024
PubMed
Summary

Urology consultants in the UK lack consensus on managing ureteric stones conservatively. Key factors like stone size and location influence follow-up, but standardized guidelines are needed.

Keywords:
conservative stone managementdistal ureteric stonesendourologylowers ureteric stonesureteric stones

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Area of Science:

  • Urology
  • Nephrology
  • Medical Guidelines

Background:

  • Conservative management of ureteric stones lacks established investigation and follow-up protocols.
  • Variability in practice necessitates understanding current expert consensus.

Purpose of the Study:

  • To investigate the consensus among UK urology consultants regarding the conservative management of ureteric stones.
  • To identify key factors influencing follow-up decisions for ureteric stones managed conservatively.

Main Methods:

  • A national online questionnaire-based survey was distributed to UK urological consultants.
  • Data from 61 consultants specializing in endourology and stone surgery were analyzed using descriptive statistics.

Main Results:

  • Stone size (98%), location (92%), and renal function (79%) were the primary factors influencing follow-up.
  • Most consultants opted for 2-4 week follow-up for asymptomatic stones, with varied imaging modalities.
  • Diclofenac was the preferred analgesic (93%), and renal function tests were repeated only if initially abnormal.

Conclusions:

  • No overarching consensus exists for the follow-up of conservatively managed ureteric stones among UK urology consultants.
  • While some 'best practice' factors are consistent, further randomized controlled trials are required to formalize national guidelines.