Abstract
When an acute kidney stone event occurs, the decision to intervene is clear. However, when a stone has never yielded symptoms, no clear consensus on management exists. Some guidelines recommend the removal of larger stones, as they are less likely to pass spontaneously. However the question remains as to the risk of that asymptomatic stone ever becoming an issue.
This chapter highlights the differing nature of “asymptomatic stones” and considerations for therapeutic intervention. We also highlight special populations that may benefit from earlier intervention, in attempts to avoid the catastrophic sequelae of an acute episode.
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Glowacki LS, Beecroft ML, Cook RJ, Pahl D, Churchill DN. The natural history of asymptomatic urolithiasis. J Urol. 1992;147:319–21.
Burgher A, Beman M, Holtzman JL, Monga M. Progression of nephrolithiasis: long-term outcomes with observation of asymptomatic calculi. J Endourol. 2004;18:534–9.
Goyal NK, Goel A, Sankhwar S. Outcomes of long-term follow-up of patients with conservative management of asymptomatic renal calculi. BJU Int. 2012;110:E5–6.
Kang HW, Lee SK, Kim WT, Kim Y-JJ, Yun S-JJ, Lee S-CC, et al. Natural history of asymptomatic renal stones and prediction of stone related events. J Urol. 2013;189:1740–6.
Koh L-TT, Ng F-CC, Ng K-KK. Outcomes of long-term follow-up of patients with conservative management of asymptomatic renal calculi. BJU Int. 2012;109:622–5.
Inci K, Sahin A, Islamoglu E, Eren MT, Bakkaloglu M, Ozen H. Prospective long-term followup of patients with asymptomatic lower pole caliceal stones. J Urol. 2007;177:2189–92.
Keeley FX, Tilling K, Elves A, Menezes P, Wills M, Rao N, et al. Preliminary results of a randomized controlled trial of prophylactic shock wave lithotripsy for small asymptomatic renal calyceal stones. BJU Int. 2001;87:1–8.
Yuruk E, Binbay M, Sari E, Akman T, Altinyay E, Baykal M, et al. A prospective, randomized trial of management for asymptomatic lower pole calculi. J Urol. 2010;183:1424–8.
Kang DE, Maloney MM, Haleblian GE, Springhart WP, Honeycutt EF, Eisenstein EL, et al. Effect of medical management on recurrent stone formation following percutaneous nephrolithotomy. J Urol. 2007;177:1785–8. discussion 1788–9.
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© 2015 Springer International Publishing Switzerland
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De, S., Sivalingam, S. (2015). What to Do About Asymptomatic Calculi. In: Monga, M., Penniston, K., Goldfarb, D. (eds) Pocket Guide to Kidney Stone Prevention. Springer, Cham. https://doi.org/10.1007/978-3-319-11098-1_15
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DOI: https://doi.org/10.1007/978-3-319-11098-1_15
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