in their letter to the editor commented that urolithiasis causes elevation of IL-6 through two distinct mechanisms: (a) a mechanical one as stones cause direct damage to the endothelium and (b) in response to smooth contraction during renal or ureteral colic
The authors included all randomized trials or controlled clinical trials of medical therafor adults with acute ureteral colic
Ultrasonography by emergency physicians in patients with suspected ureteral colic
Furthermore, all patients were instructed to drink a minimum of 2 L of water daily and were asked to keep a diary on ureteral colic, stone expulsion and the side effects of medical therapy.
The goal of treatment of ureteral colic is to relieve pain and release the ureteral obstruction.
In addition, adjunctive therapy with [alpha]1-blockers might significantly enhance stone expulsion rates and decrease stone elimination time and the number and intensity of ureteral colic episodes after ESWL.
Severe flank pain and microhematuria are usually reliable signs of ureteral colic.
Although embolization of a kidney usually presents with flank pain similar to ureteral colic, patients may describe a variety of chest and abdominal symptoms.
On the other hand watchfull waiting approach can be used with good spontaneous expulsion of stones, even this approach has complications like recurrent ureteral colic
, infection of urinary tract, hydronephrosis with its ill effects on renal function.
Although there is a growing interest in URS, there is little data available on the use of emergency URS to treat ureteral colic
caused by ureteral stones.