REVIEW
Ureteric colic: new trends in diagnosis and treatment
Department of Urology, Imperial College London, Chelsea & Westminster Teaching Hospital, London, UK
Correspondence to:
Correspondence to:
Dr M Masarani
18 St Peter’s Way, London W5 2QR, UK; mmasaarane{at}yahoo.co.uk
The diagnostic approach to ureteric colic has changed due to the introduction of new radiological imaging such as non-contrast CT. The role of intravenous urography, which is regarded as the gold standard for the diagnosis of ureteric colic, is being challenged by CT, which has become the first-line investigation in a number of centres. The management of ureteric colic has also changed. The role of medical treatment has expanded beyond symptomatic control to attempt to target some of the factors in stone retention and thereby improve the likelihood of spontaneous stone expulsion.
Abbreviations: CT, computed tomography; IVU, intravenous urography; KUB, plain radiograph of the kidney, ureter and bladder; MET, medical expulsive therapy; NSAIDs, non-steroidal anti-inflammatory drugs; PUJ, pelviureteric junction; VUJ, vesicoureteric junction
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