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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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Prospective Randomized Trial Comparing Shock Wave Lithotripsy And Ureteroscopy Lithotripsy For Management Of Large Upper Third Ureteral Stones
Monday, 19 June 2006
BERKELEY, CA (UroToday.com) - In this group of patients the average stone size was 1.8 cm and the overall success rate (i.e. 3mm or less fragments on KUB, IVP, or ultrasound) with a single treatment without ancillary procedures was 61% and 63% for shock wave lithotripsy (Lithostar 2) and rigid ureteroscopy (lithoclast, electrohydraulic lithotripsy, or ultrasound).
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AUA 2006 - Stone Disease: Research and New Technology (I)
Wednesday, 24 May 2006
Medical management of renal stone disease may be simpler than you thought.
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AUA 2006 - Stone Disease: Research and New Technology (II)
Wednesday, 24 May 2006
The definitive management of patients with a stone bearing calyceal diverticulum should include both management of the diverticulum and a metabolic workup.
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AUA Podium Session on Stone Disease: Evaluation and Medical Management, May 23, 2006
Tuesday, 23 May 2006
Margaret Pearle and Dennis Venable moderated this very interesting session. (Abstract numbers follow the comments.)
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References
Wednesday, 17 May 2006
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Shock Wave, Ureteroscopic Lithotripsy Comparable In Treating Upper Ureteral Stones
Thursday, 27 April 2006
NEW YORK (Reuters Health) - For most patients with large upper third ureteral stones, shock wave lithotripsy (SWL) and ureteroscopic lithotripsy (URSL) yield comparable results, according to a report in the March issue of Urology.
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Bladder Management, Age Tied To Urinary Stones In Men With Spinal Injury
Wednesday, 26 April 2006
NEW YORK (Reuters Health) - A variety of factors, including age at injury and type of bladder drainage, appear to influence the risk of urinary stone formation in men with spinal cord injury, Korean researchers report in the April issue of the British Journal of Urology International.
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Two Lithotripsy Approaches Comparable For Upper Third Ureteral Stones
Monday, 24 April 2006
NEW YORK (Reuters Health) - In general, shock wave lithotripsy (SWL) and ureteroscopic lithotripsy (URSL) are equally effective in treating large upper third ureteral stones, new research suggests. However, if severe hydronephrosis is present, URSL can provide definitive treatment, whereas SWL cannot. However, pain scores, hospital stays and the cost-effectiveness index were all greater with URSL.
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Shock Wave Lithotripsy Linked To Development Of Hypertension And Diabetes
Wednesday, 12 April 2006
NEW YORK (Reuters Health) - Shock wave lithotripsy (SWL) of renal and proximal ureteral stones appears to increase the risk of hypertension and diabetes on long-term follow-up, according to a report in the Journal of Urology for May.
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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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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