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[Current treatment of ureteral lithiasis]
C Reina Ruiz1, R Quintero Rodríguez, J Espinosa Olmedo
1Servicio de Urología, Hospital Universitario de Valme, Sevilla.
Actas Urologicas Espanolas
|November 1, 1995
Summary
Ureteral lithiasis treatment has evolved with new techniques. Grading calculi by features optimizes treatment selection, with "in situ" management preferred for lumbar calculi under 2 cm.
Area of Science:
- Urology
- Endourology
Context:
- Ureteral lithiasis treatment has evolved significantly with diverse therapeutic options.
- Ongoing research aims to clarify indications and reduce controversy surrounding various procedures.
- This study reviews established and emerging techniques for managing ureteral stones.
Purpose:
- To review diverse treatment modalities for ureteral lithiasis.
- To present therapeutic experience with 182 obstructive lumbar ureteral calculi.
- To propose an improved grading system for ureteral calculi to guide treatment selection.
Summary:
- The paper examines spontaneous ejection, medical management, surgery, endoscopic procedures, and extracorporeal lithotripsy for ureteral stones.
- Therapeutic outcomes for 182 lumbar ureteral calculi treated with different criteria are analyzed.
- Grading calculi by anatomical and functional features enhances treatment adjustment and results.
- For lumbar calculi <2 cm, adjunctive endourology with extracorporeal lithotripsy does not improve outcomes;
- in situ
- treatment is favored.
Impact:
- Optimizing treatment selection for ureteral lithiasis through improved calculi grading.
- Refining therapeutic algorithms for managing ureteral stones, particularly lumbar calculi.
- Providing evidence-based recommendations for clinical practice in endourology.