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• W4240615186 abstract "You have accessJournal of UrologyStone Disease: Epidemiology & Evaluation II (MP54)1 Sep 2021MP54-05 RESOLUTION OF HYDRONEPHROSIS AND PAIN TO PREDICT STONE PASSAGE FOR PATIENTS WITH ACUTE RENAL COLIC Maria Pere, Avinash Maganty, Allan Wolfson, Pamela Burrows, Cora MacPherson, Nataly Montano, Ziya Kirkali, Andrew Meltzer, and Stephen Jackman Maria PereMaria Pere More articles by this author , Avinash MagantyAvinash Maganty More articles by this author , Allan WolfsonAllan Wolfson More articles by this author , Pamela BurrowsPamela Burrows More articles by this author , Cora MacPhersonCora MacPherson More articles by this author , Nataly MontanoNataly Montano More articles by this author , Ziya KirkaliZiya Kirkali More articles by this author , Andrew MeltzerAndrew Meltzer More articles by this author , and Stephen JackmanStephen Jackman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002084.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To study patients presenting to the Emergency Department with acute renal colic to determine if resolution of hydronephrosis and pain accurately predicts stone passage on follow-up CT. METHODS: This is a secondary analysis of a multi-center prospective randomized clinical trial of patients diagnosed by computed tomography (CT) scan with a symptomatic ureteral stone <9 mm in diameter. Participants were followed to evaluate for analgesic use and to assess stone passage and hydronephrosis on a repeat CT scan obtained at 29-36 days. RESULTS: Four-hundred-three patients were randomized in the original study and patients were included in this analysis if they did not have surgery for stone removal and had a CT scan and information on pain medication at follow-up (N=220). Hydronephrosis was detected in 181 (82%) on initial CT. At follow-up CT, 43 (19.5%) participants had a persistent ureteral stone. Of these participants, 36 (84%) had no pain, 26 (60%) did not have hydronephrosis and 23 (53%) had neither pain nor hydronephrosis. Resolution of hydronephrosis was associated with stone passage (RR 4.6, 95% CI 1.9, 11.0), while resolution of pain was not (RR 1.1, 95% CI 0.9, 1.4). CONCLUSIONS: In patients with urinary stone disease, stone passage is associated with resolution of hydronephrosis but not resolution of pain. In patients with persistent ureteral stones, neither pain nor hydronephrosis are consistently present. These findings have important implications on follow-up imaging of patients with urinary stone disease. Source of Funding: This study is supported by cooperative agreement U01 DK096037 from the National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e950-e950 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Maria Pere More articles by this author Avinash Maganty More articles by this author Allan Wolfson More articles by this author Pamela Burrows More articles by this author Cora MacPherson More articles by this author Nataly Montano More articles by this author Ziya Kirkali More articles by this author Andrew Meltzer More articles by this author Stephen Jackman More articles by this author Expand All Advertisement Loading ..." @default.
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• W4240615186 title "MP54-05 RESOLUTION OF HYDRONEPHROSIS AND PAIN TO PREDICT STONE PASSAGE FOR PATIENTS WITH ACUTE RENAL COLIC" @default.
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