Urol. praxi, 2011; 12(3): 173-179

Diagnosis and treatment of urolitiasis

MUDr.Aleš Petřík, Ph.D.

Urologické oddělení, Nemocnice České Budějovice

Ultrasonography is basic screening method in diagnostics of urinary stones. non-contrast CT is superior to IVU due to higher sensitivity

and specificity. Contrast study is optional in cases of planning of renal stones removal. Benefit of the CT study should be compared to

radiation hazard. Conservative treatment of ureteric stones is indicated as a primary method. Using of α1 blockers increase probability

of stone passage and accelerates the spontaneous passage of the stone. SWL and ureteroscopy are equal methods of stone removal

of all locations of ureteric stones. Ureteroscopy is more effective, but more invasive. SWL is indicated in renal stones less than 20 mm

in diameter. PNL is reserved for staghorn stones and in cases of stone location in worse anatomical locations. Laparoscopy end open

surgery is not indicated as a primary option.

Keywords: urinary stones, diagnosis, treatment, SWL, PNL, ureteroscopy

Published: June 1, 2011  Show citation