Medical management of urolithiasis: Great efforts and limited progress  

作　　者：Victoria Jahrreiss Christian Seitz Fahad Quhal 

机构地区：[1]Department of Urology,Comprehensive Cancer Center,Medical University of Vienna,Vienna,Austria [2]Department of Urology,King Fahad Specialist Hospital,Dammam,Saudi Arabia

出　　处：《Asian Journal of Urology》2024年第2期149-155,共7页亚洲泌尿外科杂志（英文）

摘　　要：Objective:To provide a comprehensive review on the existing literature on medical management of urolithiasis.Methods:A thorough literature review was performed using Medline,PubMed/PMC,Embase,and the Cochrane Database of Systematic Reviews up to December 2022 to identify publications on the medical management of urolithiasis.Studies that assessed dietary and pharmacologic management of urolithiasis were reviewed;studies on medical expulsive therapy were not included in this review.Results:Medical management of urolithiasis ranges from the prophylactic management of kidney stone disease to dissolution therapies.While most treatment concepts have been long established,large randomized controlled trials are scarce.Dietary modification and increased fluid intake remain cornerstones in the conservative management of urolithiasis.A major limitation for medical management of urolithiasis is poor patient compliance.Conclusion:Medical management of urolithiasis is more important in patients with recurrent urolithiasis and patients with metabolic abnormalities putting them at higher risk of developing stones.Although medical management can be effective in limiting stone recurrence,medical interventions often fail due to poor compliance.

关 键 词：Medicalmanagement Medical therapy UROLITHIASIS Kidneystonedisease 

分 类 号：R691.4[医药卫生—泌尿科学]