Curr Opin Urol 2006 Mar;16(2):71-6
Western General Hospital, The Scottish Lithotriptor Centre, Edinburgh, UK.
Purpose Of Review: The management of ureteric colic has changed significantly over the past three decades,. Factors such as stone size, location, composition as well as patient and surgeon preference influence the management decision.
Recent Findings: Recent work has looked at the expansion of the role of medical therapy beyond symptomatic control to attempt to target some of the reversible factors in stone retention and thereby improve the likelihood of spontaneous stone expulsion. Changes in shock wave lithotripsy and ureteroscopy offer patients highly effective, minimally invasive options for stone clearance that can often be performed on an outpatient basis.
Summary: This paper reviews the options available to the urologist in the treatment of ureteric colic as well as the advantages and disadvantages of each therapy.