[Diagnosis and therapy of acute ureteral colic].
Acute ureteral colic presents with a complex of acute and characteristic flank pain that usually indicates the presence of a stone in the urinary tract. Diagnosis and management of renal colic have undergone considerable evolution and advancement in recent years. The application of noncontrast helical computed tomography (CT) in patients with suspected ureteral colic is one major advance in the primary diagnostic process. The superior sensitivity and specificity of helical CT allow ureterolithiasis to be diagnosed without the potential side effects of contrast media. Initial management is based on three key concepts: (A) rational and fast diagnostic process (B) effective pain control (C) and understanding of the impact of stone location and size on the natural course of the disease and definitive urologic management. These concepts are discussed in this review with reference to contemporary literature.
Forster
Thomas H
TH
Urologische Klinik, Solothurner Spitäler AG (soH), Switzerland. tforster_ol@spital.ktso.ch
Bonkat
Gernot
G
Wyler
Stephen
S
Ruszat
Robin
R
Ebinger
Nicole
N
Gasser
Thomas C
TC
Bachmann
Alexander
A
D000208:Acute Disease; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects / Q000627:therapeutic use; D003085:Colic / Q000000981:diagnostic imaging* / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D007813:Laparotomy; D008096:Lithotripsy; D009403:Nephrostomy, Percutaneous; D012680:Sensitivity and Specificity; D036542:Tomography, Spiral Computed; D014514:Ureteral Calculi / Q000000981:diagnostic imaging; D014515:Ureteral Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D018666:Ureteroscopy; D014567:Urography
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal