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Tag: Kidney Stones

For patients with ureteral stones

Medical Expulsive Therapy Underused for Ureteral Stones

Patients treated with medical expulsive therapy achieve spontaneous passage more quickly
Just over half of kidney stone patients are adherent to preventive pharmacological therapy

Only Half of Kidney Stone Patients Compliant With Tx

Compliant patients have fewer ER visits, hospitalizations, stone disease surgeries
A growing number of teens

Incidence of Nephrolithiasis Rising in Teens, Blacks

Researchers also report growing number of cases among women and children
Half of patients with recurrent urinary tract infections and asymptomatic renal calculi can be rendered infection-free with stone extraction

Stone Removal Helps Half of Patients With Recurrent UTI

Patients in study had nonobstructive renal stones; black race, HTN tied to higher recurrence risk
Compliance with American Urological Association guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy

Shorter Antibiotic Prophylaxis Doesn’t Raise Infection Rates

Findings based upon ≤24 hours versus six days of antibiotics with percutaneous nephrolithotomy
Tamsulosin can boost the passage of large kidney stones

Tamsulosin Could Help Passage of Larger Kidney Stones

Especially helpful with larger stones, while smaller ones may pass on their own
For ureteral stones

Extracorporeal Shock Wave Lithotripsy Best at 90 Pulses/Min

Difference in outcomes due to patients with proximal and mid ureteral, not distal, stones
Delaying surgery for nephrolithiasis can increase the risk of complications

AUA: Delay to Surgery for Nephrolithiasis Ups Costs

Complications more likely to arise with surgical delay
The need for repeat high-acuity care affects one in nine patients discharged from initial emergency department visits for kidney stones

One in Nine Needs Emergency Revisit for Kidney Stones

Access to urologic care, processes of care cut risk of repeat emergency encounters
Some people who develop recurring kidney stones may also have high levels of calcium deposits in their blood vessels

Recurrent Kidney Stones Linked to Arterial Calcium Deposits

Patients might need closer monitoring for further signs of pending cardiovascular issues