[Medical therapy for ureteral stones: high versus low fluid intake].

Rev Med Suisse

Service d'urologie, Département de chirurgie HUG, 1211 Genève 14.

Published: December 2010

The mainstays of renal colic medical treatment are first to provide efficient pain relief, and second to facilitate migration of the ureteral stone or dissolve it. In the ambulatory setting, non steroidal anti-inflammatory drugs are the treatment of choice of pain relief. To facilitate stone migration, the debate between hydric restriction and hyperhydration remains somewhat open. Besides that, alpha-blockers and anti-calcic agents appear to speed up stone explusion, whereas stone chemolysis acts on a longer time scale.

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