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Medical Expulsive Therapy No Longer Recommended for Ureterolithiasis

By Ryan Patrick Radecki, MD, MS | on August 29, 2018 | 0 Comment
CME CME Now Pearls From the Medical Literature
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Medical Expulsive Therapy No Longer Recommended for Ureterolithiasis

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ACEP Now: Vol 37 – No 08 – August 2018

The opinions expressed herein are solely those of Dr. Radecki and do not necessarily reflect those of his employer or academic affiliates.

References

  1. Preminger GM, Tiselius HG, Assimos DG, et al. 2007 guideline for the management of ureteral calculi. J Urol. 2007;178(6):2418-2434.
  2. Campschroer T, Zhu Y, Duijvesz D, et al. Alpha-blockers as medical expulsive therapy for ureteral stones. Cochrane Database Syst Rev. 2014;(4):CD008509.
  3. Pickard R, Starr K, MacLennan G, et al. Medical expulsive therapy in ad ults with ureteric colic: a multicentre, randomised, placebo-controlled trial. Lancet. 2015;386(9991):341-349.
  4. Furyk JS, Chu K, Banks C, et al. Distal ureteric stones and tamsulosin: a double-blind, placebo-controlled, randomized, multicenter trial. Ann Emerg Med. 2016;67(1):86-95.e2.
  5. Meltzer AC, Burrows PK, Wolfson AB, et al. Effect of tamsulosin on passage of symptomatic ureteral stones: a randomized clinical trial [published online ahead of print June 18, 2018]. JAMA Intern Med.
  6. Shah TT, Gao C, O’Keefe A, et al. The effects of medically expulsive therapy (MET) on spontaneous stone passage (SSP) in patients presenting with acute ureteric colic. J Urol. 2018;199(4S):e387-e388.
  7. Türk C, Knoll T, Seitz C, et al. Medical expulsive therapy for ureterolithiasis: the EAU recommendations in 2016. Eur Urol. 2017;71(4):504-507.
  8. Campschroer T, Zhu X, Vernooij RW, et al. Alpha-blockers as medical expulsive therapy for ureteral stones. Cochrane Database Syst Rev. 2018;4:CD008509.

Pages: 1 2 3 | Single Page

Topics: kidney stonesMedical Expulsive TherapyMETTamsulosinureterolithiasis

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About the Author

Ryan Patrick Radecki, MD, MS

Ryan Patrick Radecki, MD, MS, is an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor and can be found on Twitter @emlitofnote.

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