Spontaneous stone expulsion in patients with history of urolithiasis

Autor: Dor Golomb, Amit Shemesh, Hanan Goldberg, Ben Shalom, Eyal Hen, Eyal Barkai, Fahed Atamna, Haitham Abu Nijmeh, Amir Cooper, Orit Raz
Rok vydání: 2022
Předmět:
Zdroj: Urologia.
ISSN: 1724-6075
Popis: Objectives:To examine differences in the presentation, management, and outcomes of patients admitted to the emergency department (ED) with ureteral stones, with prior history of urolithiasis compared to patients with a first stone event.Patients and Methods:Retrospective analysis of patients who visited the ED that were found to have a ureteral stone on CT. Patients were stratified into two groups: without history of urolithiasis (Group 1) and with history of urolithiasis (Group 2).Results:Between 2018 and 2020, 778 patients were admitted with ureteral stones. Patients in group 1 presented with a higher mean serum creatinine ( p = 0.02), larger mean stone size ( p Conclusions:Our data suggests that patients who are first time stone formers present with larger and more proximal ureteral stones, with a lower likelihood of spontaneous stone expulsion and a subsequent need for surgical intervention. Previous stone surgery and not previous stone expulsion was found to be a predictor for spontaneous stone passage.
Databáze: OpenAIRE