title: Myth: nephrolithiasis and medical expulsive therapy.
abstract: 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.
authors: Department of Emergency Medicine, Los Angeles, California, USA.
authors: May
authors: M
authors: Liu
authors: Sean O
authors: SO
authors: Henderson
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D018674:Adrenergic Antagonists / Q000627:therapeutic use*; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D006801:Humans; D053040:Nephrolithiasis / Q000188:drug therapy* / Q000473:pathology; D009543:Nifedipine / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D011282:Pregnenediones / Q000627:therapeutic use; D013449:Sulfonamides / Q000627:therapeutic use; D000077409:Tamsulosin; D014514:Ureteral Calculi / Q000188:drug therapy / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones; D018674:Adrenergic Antagonists; D002121:Calcium Channel Blockers; D011282:Pregnenediones; D013449:Sulfonamides; D000077409:Tamsulosin; D009543:Nifedipine; C021988:deflazacort; D011241:Prednisone