Urinary Calculi - Related Resources

Cochrane reviews

Single dose dipyrone appears to have similar efficacy to other analgesics used in renal colic pain Dipyrone for Acute Renal Colic Pain.
Both NSAIDs and opioids provide effective analgesia in acute renal colic, but opioids are associated with a higher incidence of adverse events, particularly vomiting. If an opioid is to be used it should not be pethidine Nsaids Versus Opioids and Non-Opioids for Acute Renal Colic.
There is no evidence on the effect of diuretics or high volume intravenous or oral fluid therapy for treating adult patients presenting with uncomplicated acute ureteric colic Fluids and Diuretics for Acute Ureteric Colic.
Extracorporeal shock wave lithotripsy (ESWL) appears to be less effective for lower pole kidney stones than percutaneous nephrolithotomy (PCNL). There seems to be no difference between ESWL and retrograde intrarenal surgery (RIRS) Extracorporeal Shock Wave Lithotripsy (Eswl) Versus Percutaneous Nephrolithotomy (Pcnl) or Retrograde Intrarenal Surgery (Rirs) for Kidney Stones.

Türk C, Knoll T, Petrik A, Sarica K, Straub M, Seitz C. Guidelines on urolithiasis. European Association of Urology 2013 http://www.uroweb.org/gls/pdf/21_Urolithiasis_LR.pdf

Miller NL, Lingeman JE. Management of kidney stones. BMJ 2007 Mar 3;334(7591):468-72. [PubMed]
Küpeli B, Irkilata L, Gürocak S, Tunç L, Kiraç M, Karaoglan U, Bozkirli I. Does tamsulosin enhance lower ureteral stone clearance with or without shock wave lithotripsy? Urology 2004 Dec;64(6):1111-5. [PubMed]
Parmar MS. Kidney stones. BMJ 2004 Jun 12;328(7453):1420-4. [PubMed]

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