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Myth: Nephrolithiasis and medical expulsive therapy

Published online by Cambridge University Press:  21 May 2015

May Liu  and
Sean O. Henderson
May Liu
Affiliation:
Department of Emergency Medicine, University of Southern California, Los Angeles, Calif.
Sean O. Henderson*
Affiliation:
Department of Emergency Medicine, University of Southern California, Los Angeles, Calif. Department of Preventive Medicine Keck School of Medicine, University of Southern California, Los Angeles, Calif.
*
Department of Emergency Medicine, LAC+USC Medical Center, Unit #1, Rm. 1011, 1200 N. State St., Los Angeles CA 90033; [email protected]

Abstract

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There is a medical myth that ureteral stones larger than 5 mm will not pass spontaneously and require urological intervention for removal. Recent findings indicate that medical expulsive therapy can facilitate spontaneous passage for stones up to 10 mm. For the management of ureteral stones, we recommend administering tamsulosin and a corticosteroid (deflazacort or prednisone) along with the standard therapy of analgesics, antibiotics and hydration.

Keywords

renal colicmedical therapyexpulsive therapykidney stone
Type
Knowledge Applied to Practice Application des connaissances à la Pratique
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 6 , November 2007 , pp. 463 - 465
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

References

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