Category: Clinical Stones: Outcomes
Introduction & Objective : Renal colic is a common urological emergency. The gold standard for diagnosis of renal colic in ER is the NCCT. The objective was
to analyze and characterize the urinary stones in renal colic patients. The management of the stones and the outcome are reported.
A total of consecutive 1392 presented to ER with symptoms and signs of renal colic were subjected to abdominal NCCT. Conservative medical treatment, endoscopic intervention and ESWL were employed when indicated. The outcome of the patients management was evaluated after 4 weeks of follow up after the renal colic episode.
there were 1189 (86%) males, 193 (14%0 females. NCCT showed ureteral stones in 1046 (75.7%) and no stones found in 4 (0.3%) and non-urological causes in 332 (24%). The location of the ureteral stones was; 973 (70.4%) in the lower ureter, 119 (8.6%) in the middle ureter and 288 (20.8%) in the upper ureter. The mean stone size was 5 mm in 354 (25.6%) patients, 5-10 mm in 919 (66.5%) and more than 10 mm in 108 (7.8%). 876 (63.4%) of the stones passed spontaneously, 199 (14.4%) patients underwent ureteroscopy, 263 (19%) received one session o ESWL, and 38 (2.7%) were lost during follow up.
The majority of the stones in renal colic patients were located in the lower ureter. Two-thirds of the stones passed spontaneously during the conservative medical period. The least location of the stones was in the middle part of the ureter. Stones more than 10 mm in transverse diameter needed either endoscopic intervention or ESWL.
Mahmoud Abdel-Gawad– Consultant Urologist, Elnagar Urology Center, Mansoura, Ad Daqahliyah, Egypt
Emad Elsobky– Consultant Urologist, Al-Noor Hospital, Abu Dhabi, Abu Dhabi, United Arab Emirates
Ravi Kadasne– Consultant Radiologist, Emirates International Hospital, AlAin, Abu Dhabi, United Arab Emirates
Elnagar Urology Center
Mansoura, Ad Daqahliyah, Egypt
Abu Dhabi, Abu Dhabi, United Arab Emirates