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- Title
Important Military Role for Medical Expulsion Therapy of Urolithiasis.
- Authors
Stroup, Sean P.; Auge, Brian K.
- Abstract
Kidney stones are a major problem affecting military personnel and may lead to decreases in individual and unit readiness. Various medications, including steroids, calcium channel blockers, and α-adrenergic antagonists have been shown to aid in the spontaneous passage of ureteral calculi. Several recent randomized clinical trials have shown that selective α blockers improve stone passage rates. Although medical expulsion therapy has been the subject of a number of urologic investigations, to date there has been very little written about the acute medical management of urinary stones in the emergency medicine and primary care literature. Medical management of ureteral stones may offer forward-deployed threes a useful adjunct for the management of ureterolithiasis thereby greatly reducing the need for potentially hazardous evacuations out of theater.
- Subjects
KIDNEY stones; URINARY calculi; MILITARY personnel; CLINICAL trials; EMERGENCY medicine; THERAPEUTICS
- Publication
Military Medicine, 2008, Vol 173, Issue 4, p393
- ISSN
0026-4075
- Publication type
Article
- DOI
10.7205/MILMED.173.4.393