Abstract
This chapter explores the diagnosis as well as various methods for stone clearance and recent advancements in each of the avenues, so as to provide the avid reader an understanding of the basis of each intervention and new exciting technology that lay on the horizon. Each section is further subdivided such that it would be easy for readers to search and look up relevant information at a glance without having to read through the entirety of the chapter. Firstly, diagnosis of renal calculi is explored, as renal tract pain can mimic a variety of abdomino-pelvic conditions and cause the same constellation of symptoms. Evidence based investigation modalities are discussed. Subsequently, management of renal tract calculi are divided into conservative management with analgesia and medical expulsion therapy, extracorporeal shock wave lithotripsy, ureteropyeloscopy and laser lithotripsy, as well as percutaneous nephrolithotomy. The different stone size, composition, location and patient factors have all contributed to the different surgical options as detailed above. Each section end with a discussion of new and exciting innovations in each of the areas that may lead to even more efficient and safer interventions for the Urology of the future.
Reference121 articles.
1. Thia I, Saluja M. An update on the Management of Renal Colic. AJGP. 2021;50(7):445-449. DOI: 10.31128/AJGP-11-20-5751
2. Australian Institute of Health and Welfare. Media Release: Emergency Department Care. Bruce, ACT: AIHW, 2020. Available at www.aihw.gov.au/reports-data/myhospitals/sectors/emergency-department-care [Accessed 23 July 2022].
3. Pathan SA, Mitra B, Bhutta ZA, et al. A comparative, epidemiological study of acute renal colic presentations to emergency departments in Doha, Qatar, and Melbourne, Australia. International Journal of Emergency Medicine. 2018;11(1):1. DOI: 10.1186/s12245-017-0160-9
4. Mefford JM, Tungate RM, Amini L, et al. A comparison of urolithiasis in the presence and absence of microscopic haematuria in the emergency department. The Western Journal of Emergency Medicine. 2017;18(4):775-779. DOI: 10.5811/westjem.2017.4.33018
5. Jindai G, Ramachandani P. Acute flank pain secondary to urolithasis: Radiologic evaluation and alternate diagnoses. Radiologic Clinics of North America. 2007;45(3):395-410, vii. DOI: 10.1016/j.rcl.2007.04.001