Samar Zaki.
Evaluation and management of urolithiasis.
Med Today Jan ;5(2):54-60.

Urolithiasis affect up to 5% of population with a lifetime risk of passing a kidney stone of about 8 – 10%. Once a kidney stone forms, the probability of recurrence within five to seven years is approximately 50%. In recent years, technological advancements have greatly facilitated the diagnosis of stone disease. Management is based on the following key concepts: 1. Recognition of indications for emergency consultation. 2. Provision of effective pain control. 3. Understanding of the impact of stone location and size on natural history and definitive urological management, and 4. Prevention of recurrent urolithiasis. Family physicians should be familiarized with recent advances in diagnosis and initial management and prevention of recurrent urolithiasis.

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