title: [Medical therapy for ureteral stones: high versus low fluid intake].
abstract: The mainstays of renal colic medical treatment are first to provide efficient pain relief, and second to facilitate migration of the ureteral stone or dissolve it. In the ambulatory setting, non steroidal anti-inflammatory drugs are the treatment of choice of pain relief. To facilitate stone migration, the debate between hydric restriction and hyperhydration remains somewhat open. Besides that, alpha-blockers and anti-calcic agents appear to speed up stone explusion, whereas stone chemolysis acts on a longer time scale.
authors.affiliation: Service d'urologie, Département de chirurgie HUG, 1211 Genève 14. Johannes.Hauser@hcuge.ch
authors.forename: Johannes
authors.initials: J
authors.lastname: Hauser
authors.forename: Alessandro
authors.initials: A
authors.lastname: Caviezel
authors.forename: Christophe
authors.initials: C
authors.lastname: Iselin
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002021:Buffers; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D002951:Citrates / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D000077559:Sodium Citrate; D014514:Ureteral Calculi / Q000628:therapy*
chemical_list: D000305:Adrenal Cortex Hormones; D000317:Adrenergic alpha-Antagonists; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D002021:Buffers; D002121:Calcium Channel Blockers; D002951:Citrates; D000077559:Sodium Citrate