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Title: Urinary Stone Disease - Assessment and Management
Authors: Macneil, Finlay ;Bariol, Simon 
Issue Date: Oct-2011
Source: Volume 40, Issue 10, pp. 772-775
Journal title: Australian Family Physician
Abstract: Background Urinary stones affect one in 10 Australians. The majority of stones pass spontaneously, but some conditions, particularly ongoing pain, renal impairment and infection, mandate intervention. Objective This article explores the role of the general practitioner in the assessment and management of urinary stones. Discussion The assessment of acute stone disease should determine the location, number and size of the stone(s), which influence its likelihood of spontaneous passage. Conservative management, with the addition of alpha blockers to facilitate passage of lower ureteric stones, should be attempted in cases of uncomplicated renal colic. Septic patients require urgent drainage and antibiotics. Other indications for referral and intervention include ongoing pain, renal impairment and stone size unlikely to pass spontaneously. There are many ways to eliminate stones, but laser lithotripsy is being used with increasing frequency. Up to 50% of people with a first presentation of stone disease will have a recurrence within 5 years. General advice for stone prevention consists of increasing fluid intake, especially water (sufficient to maintain dilute urine output), avoiding added salt and maintaining a well balanced low oxalate diet. Some patients may require a more detailed metabolic assessment and specific dietary advice.
Description: Open Source:;dn=474372110686400;res=IELHEA
ISSN: 0300-8495
Publicaton type: Journal Article
Keywords: Urology
Appears in Collections:Health Service Research

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