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Stone Disease

UroToday's Stone Disease section is a repository of the clinical publications, clinical trials and investigative science pertaining to the diagnosis and treatment of stone disease. Also available are conference coverage for all timely stone disease science, audio podcasts and downloadable slides from UroToday's slide library.

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Alfuzosin May Improve Double-J Stent Related Symptoms
Thursday, 09 March 2006
BERKELEY, CA (UroToday.com) - The first indwelling endoluminal ureteral stent was described over 30 years ago and has since become a routine and indispensable urologic tool.
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Clinical Implication Of Routine Stone Culture In Percutaneous Nephrolithotomy ? A Prospective Study
Tuesday, 07 March 2006
BERKELEY, CA (UroToday.com) - If you have a patient with a staghorn stone and the preoperative urine culture is sterile, does that mean that the stone is likewise sterile?
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Allopurinol Slows Progression Of Renal Disease With Hyperuricemia
Tuesday, 31 January 2006
NEW YORK (Reuters Health) - Allopurinol therapy significantly decreases serum uric acid levels in hyperuricemic patients with chronic kidney disease, which seems to help preserve kidney function, according to study findings reported in the January issue of the American Journal of Kidney Diseases.
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Ureteral Stent Diameter Proves Inconsequential in Pain And Discomfort Scores
Monday, 03 October 2005
BERKELEY, CA (UroToday Inc.) - Ureteral stenting has become part of routine clinical practice in the treatment of ureteral obstruction. Side effects such as discomfort and lower urinary tract symptoms are almost invariably present after placement but the degree of discomfort varies greatly among patients.
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Percutaneous Kidney Stone Removal Acceptable For Patients With Spinal Cord Injury
Tuesday, 06 September 2005
NEW YORK (Reuters Health) - Percutaneous nephrolithotomy (PCNL) using a single-stage dilator is a valid first-line treatment option for kidney stones in patients with spinal cord injury, Australian researchers report.
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Nephrolithiasis Linked With Hypertension In Overweight Women
Wednesday, 31 August 2005
NEW YORK (Reuters Health) - The presence of nephrolithiasis in overweight women raises the risk of hypertension, according to a report in the American Journal of Kidney Diseases for August.
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Tamsulosin Treatment Increases Clinical Success Rate of Single Extracorporeal Shock Wave Lithotripsy of Renal Stones
Monday, 22 August 2005
BERKELEY, CA (UroToday Inc.) - In this study of 130 patients with nonlower pole, renal calculi between 4-20 mm postSWL tamsulosin (i.e. Flomax) at 0.4 mg/day for up to 3 months resulted in statistically significant less renal colic and less use of pain medications.
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Hyoscine Butylbromide Does Not Relieve Renal Colic
Wednesday, 10 August 2005
NEW YORK (Reuters Health) - The antimuscarinic hyoscine butylbromide (Buscopan) does not have an opioid sparing effect and does not reduce the need for ongoing opioid analgesia in patients with renal colic, Australian investigators report.
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Pediatric Urolithiasis: 15 Years Of Local Experience With Minimally Invasive Endourological Management Of Pediatric Calculi
Tuesday, 09 August 2005
BERKELEY, CA (UroToday Inc.) - Stone disease in children has grown exponentially over the past several years and seems to be most likely due to dehydration and high sodium diets when genetic and or inherent metabloic factors are not playing a role.
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Ureteroscopy Is Safe and Effective in Prepubertal Children
Tuesday, 26 July 2005
BERKELEY, CA (UroToday Inc.) - The miniaturization of the flexible ureteroscope and the ancillary instruments has essentially rendered every adult upper urinary tract amenable to endoscopic examination and treatment.
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Randomized Controlled Study Of Mechanical Percussion, Diuresis, And Inversion Therapy To Assist Passage Of Lower Pole Renal Calculi After Shock Wave Lithotripsy
Monday, 25 July 2005
BERKELEY, CA (UroToday Inc.) - Shock wave lithotripsy (SWL) has revolutionized the management of symptomatic renal calculi.
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Older Generation Lithotripters Show Better Stone Disintegration than Newer Lithotripter Models
Wednesday, 29 June 2005
BERKELEY, CA (UroToday Inc.) - The introduction of the first lithotripter for extracorporeal stone management in 1980 revolutionized stone treatment.
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Steel Workers at Risk for Kidney Stones
Thursday, 23 June 2005
NEW YORK (Reuters Health) - Men who work in the steel industry and are exposed to high temperatures are prone to develop kidney or urinary stones, according to a report from researchers in Brazil.
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Home Treatment of Distal Ureteral Stones Possible with Drug Therapy
Wednesday, 22 June 2005
NEW YORK (Reuters Health) - Instead of immediately performing cystoscopy or lithotripsy, new research suggests that patients with distal ureteral stones should be given a trial of medical expulsive therapy (MET).
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Study Examines Role of Magnesium Supplementation in the Treatment of Calcium Oxalate Stones
Thursday, 12 May 2005
BERKELEY, CA (UroToday Inc.) - Calcium oxalate is one of the main constituents of urinary calculi. This fact explains the great interest in factors influencing the formation of this insoluble compound.
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Focus on Stone Disease

Focus on Stone Disease condenses a selection of compelling and relevant science - on topic and chosen by the UroToday.com editorial staff.

Multimedia Presentations:

- Stones Management Course

Extracorporeal Shock Wave Lithotripsy (ESWL) Versus Percutaneous Nephrolithotomy (PCNL) in the Eradication of Persistent Bacteriuria Associated with Infected Stones

- UroToday International Journal

Open Surgery in the Management of Multiple and Staghorn Kidney Stones: Its Role in the Era of Minimally Invasive Techniques

- UroToday International Journal

'Crushing the Stone’: A Brief History of Lithotripsy, the First Minimally Invasive Surgery

- BJUI Mini Reviews

A Randomized Clinical Trial of Lidocaine Jelly for Prevention of Inadvertent Retrograde Stone Migration During Pneumatic Lithotripsy of Ureteral Stone

- Beyond the Abstract

‘Cutting for the Stone’: The Ancient Art of Lithotomy - BJUI Mini Reviews

- BJUI Mini Reviews

Tamsulosin Facilitates Earlier Clearance of Stone Fragments and Reduces Pain After Shockwave Lithotripsy for Renal Calculi: Results from an Open-Label Randomized Study

- Editorial by Ralph V. Clayman, MD

Pediatric Ureteroscopic Management of Intrarenal Calculi

- Editorial by Elspeth M. McDougall, MD

Pediatric Ureteroscopic Management of Intrarenal Calculi

- Read Another Viewpoint of the Article by Pasquale Casale, MD

Stone Attenuation and Skin-to-Stone Distance on Computed Tomography Predicts for Stone Fragmentation by Shock Wave Lithotripsy

- Editorial by Ralph V. Clayman, MD

A Randomized Clinical Trial of Lidocaine Jelly for Prevention of Inadvertent Retrograde Stone Migration During Pneumatic Lithotripsy of Ureteral Stone
- Editorial by Elspeth M. McDougall, MD

A Randomized Controlled Trial of Nephrostomy Placement Versus Tubeless Percutaneous Nephrolithotomy
- Editorial by Ralph V. Clayman, MD - Editor's Pick

Long-Term Outcomes of Percutaneous Nephrolithotomy Compared to Shock Wave Lithotripsy and Conservative Management
- Editorial by Ralph V. Clayman, MD

Long-Term Outcomes of Percutaneous Nephrolithotomy Compared to Shock Wave Lithotripsy and Conservative Management
- Read a "Beyond the Abstract" Contribution Written by the Authors of the Article

Management of 10-15 mm Proximal Ureteral Stones: Ureteroscopy or Extracorporeal Shockwave Lithotripsy?
- Editorial by Ralph V. Clayman, MD

The Effect of Shock Wave Rate on the Outcome of Shock Wave Lithotripsy: A Meta-Analysis
- Editorial by Ralph V. Clayman, MD

Percutaneous Nephrolithotomy Made Easier: a Practical Guide, Tips and Tricks
- BJUI Mini Reviews

Stone Disease in Conferences

Urolithiasis: Metabolic Evaluation and Medical Treatment - Session Highlight
- Reported by Christopher P. Evans, MD from the 84th Annual Meeting of the AUA - Western Section

Renal Stone Disease: Treatment for the 21st Century
- Slide Presentation by Culley C. Carson, MD, at the Masters in Urology Meeting - July 31, 2008 - August 2, 2008

Renal Stone Disease: Treatment for the 21st Century
- Read the Presentation Abstract by Culley C. Carson, MD

Post-Percutaneous Nephrolithotomy Bleeding Management. Lessons Learned in 20 Years - Session Highlight
- Reported by Aldrin Joseph R. Gamboa, MD from the AUA 2008 Annual Meeting

Alfuzosin Stone Expulsion Therapy for Distal Ureteral Calculi: A Double-Blind Placebo-Controlled Study - Session Highlight
- Reported by Michael K. Louie, MD from the AUA 2008 Annual Meeting

Natural History of Residual Fragments Following Percutaneous Nephrostolithotomy
- Reported by Elspeth M. McDougall, MD, from the AUA 2008 Annual Meeting