Beyond medical expulsive therapy: evolution to supported stone passage for ureteric stones.

Objective: To evaluate the impact of removing tamsulosin from standardized ureteric stone clinical protocols on rate of stone surgery.

Participants And Methods: We conducted a single-centre, comparison of all patients with unilateral, <1 cm ureteric stones presenting to a stone clinic after discharge from the emergency department during consecutive years. In the initial year, patients were initially offered medical expulsive therapy (MET) with tamsulosin.

Pain is Independent of Stone Burden and Predicts Surgical Intervention in Patients with Ureteral Stones.

Purpose: Patients with obstructing ureteral stones typically experience sudden onset, severe pain. We examined the use of the NIH (National Institutes of Health) PROMIS® (Patient-Reported Outcome Measurement Information System) pain instruments in patients with acute ureteral stones.

Materials And Methods: PROMIS pain measures were obtained from a complete cohort of patients who presented to a subspecialty kidney stone clinic after emergency department discharge.

Patient-Reported Outcomes Measurement System (PROMIS) for Patients with Urolithiasis: Initial Report.

Purpose: Health related quality of life is increasingly important in quality improvement efforts for medical conditions. However, it has proved challenging to measure health related quality of life for urolithiasis, given the distinct chronic and acute phases of this disease. We evaluated the use of PROMIS® (Patient-Reported Outcomes Measurement System) to assess the patient experience through acute stone episode stages.