A new method for the management of ureteral colic after extracorporeal shock wave lithotripsy.
In ten patients, who underwent ESWL of renal calculi and had severe ureteral colic due to acute obturation of the ureteral lumen by larger stone fragments, i.v. glucagon injections combined with laevulose infusion were applied. All patients reported relief of pain and discomfort within 15-20 minutes after glucagon injection. Position of the stones in the ureter was regularly checked. No particular adverse effects of glucagon were noted. Glucagon increases GFR and diuresis and exhibits spasmolytic effect on the smooth muscle of the ureteral wall, thus facilitating the passage of stone fragments after ESWL. In certain cases and with certain indications we recommend the method as highly effective.
Minkov
N
N
RNPISMP Pirogov, Urological Clinic, Medical Academy, Sofia, Bulgaria.
Shumleva
V
V
Pironkov
A
A
Gotsev
G
G
Voinikova
I N
IN
Nicolov
N
N
D000328:Adult; D003085:Colic / Q000188:drug therapy* / Q000209:etiology; D005934:Glucagon / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000628:therapy; D008096:Lithotripsy / Q000009:adverse effects*; D008875:Middle Aged; D009325:Nausea / Q000139:chemically induced; D011859:Radiography; D014522:Urethral Diseases / Q000188:drug therapy* / Q000209:etiology
D005934:Glucagon