Adjuvant therapy after surgical stone management.
Adv Chronic Kidney Dis
; 16(1): 52-9, 2009 Jan.
Article
en En
| MEDLINE
| ID: mdl-19095206
ABSTRACT
The aim of this article was to review the most widely researched adjuvant medical therapies for the surgical management of urolithiasis. Articles were identified and reviewed from PubMed and Medline databases with MeSH headings focusing on the various surgical treatments of urolithiasis and adjuvant therapy. Additional articles were retrieved from references and conference proceedings. Surgical treatments reviewed included shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy. Adjuvant therapy was considered medical or complementary therapy as an adjunct to these surgical interventions. Adjuvant therapy for the surgical management of urolithiasis has been documented to increase stone-free rates, reduce stone remission rates, prevent renal damage, and decrease postoperative morbidity. A variety of agents have been studied, ranging from antioxidants to alpha-blockers and to alkalinizing agents. Additionally, there is increasing interest in complementary adjuvant therapy (ie, acupuncture). Adjuvant therapy is a fertile area for research in the surgical management of urolithiasis. The optimal agents have yet to be determined and therefore further investigation is warranted and necessary.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Nefrostomía Percutánea
/
Litotricia
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Antagonistas Adrenérgicos alfa
/
Nefrolitiasis
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Antioxidantes
Idioma:
En
Revista:
Adv Chronic Kidney Dis
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos