Renal Kolik
Özet
Renal kolik, tipik olarak yan tarafta böbrek bölgesinde ortaya çıkan, karın ön duvarı ve kasığa ve testise doğru yayılan ani başlayan şiddetli ağrıdır. Böbrek kaliksi içinde yer alan taşlar, obstrüksüyana ve renal koliğe sebebiyet verebilir. Renal kolik, karakteristik olarak sırt, kostavertebral açı ve özellikle subkostal alanda oluşur. Aynı tarafta böğür ve kasığa yayılım gösterebilir. Renal kolik üreterlerin aniden tıkanmasına bağlı oluşan spazm, dilatasyon ve gerilme sonucu meydana gelir. Renal kolik ağrısı tedavi edilmesi gereken şiddetli belirtidir. Acil servis başvurularının % 1’inden fazlası akut renal kolik ağrısı çeken hastalar tarafından yapılmaktadır. Neyse ki renal koliğe yaklaşım anlamında çok sayıda veri bulunmaktadır.
Referanslar
Lewis, K.S., et al., Effect of analgesic treatment on the physiological consequences of acute pain. American Journal of Health-System Pharmacy, 1994. 51(12): p. 1539-1554.
Davis, J.E., J.P. Hagedoorn, and L.L. Bergmann, Anatomy and ultrastructure of the ureter. The ureter, 1981: p. 55-70.
Salcedo de Diego, A., R.-M.C. JL, and C. Vela, Mechanisms of ureteral contraction-relaxation in nephritic colic. Archivos Espanoles de Urologia, 2002. 55(4): p. 351-368.
EDITION, N., Smith & Tanagho’s General Urology. University of California.
Hall, J.E. and M.E. Hall, Guyton and Hall textbook of medical physiology e-Book. 2020: Elsevier Health Sciences.
Türk, C., et al., Guidelines on urolithiasis. European association of urology, 2011.
Phillips, E., et al., Emergency room management of ureteral calculi: current practices. Journal of endourology, 2009. 23(6): p. 1021-1024.
Hammad, F. and L. Lubbad, The effect of diclofenac sodium on renal function in reversible unilateral ureteric obstruction. Urological research, 2011. 39: p. 351-356.
Altay, B., et al., Double-Blind, Placebo-Controlled, Randomized Clinical Trial of Sublingual or Intramuscular Piroxicam in the Treatment of Renal Colic. Urologia Internationalis, 2007. 79(1): p. 73-75.
Cevik, E., et al., Comparing the efficacy of intravenous tenoxicam, lornoxicam, and dexketoprofen trometamol for the treatment of renal colic. The American journal of emergency medicine, 2012. 30(8): p. 1486-1490.
Holdgate, A. and T. Pollock, Nonsteroidal anti‐inflammatory drugs (NSAIDs) versus opioids for acute renal colic. Cochrane Database of Systematic Reviews, 2004(1).
Ebell, M.H., NSAIDs vs. opiates for pain in acute renal colic. American family physician, 2004. 70(9): p. 1682.
Firouzian, A., et al., Does lidocaine as an adjuvant to morphine improve pain relief in patients presenting to the ED with acute renal colic? A double-blind, randomized controlled trial. The American journal of emergency medicine, 2016. 34(3): p. 443-448.
Murtagh, F.E., et al., The use of opioid analgesia in end-stage renal disease patients managed without dialysis: recommendations for practice. Journal of pain & palliative care pharmacotherapy, 2007. 21(2): p. 5-16.
Lee, C.R., D. McTavish, and E.M. Sorkin, Tramadol: a preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in acute and chronic pain states. Drugs, 1993. 46: p. 313-340.
Zukowski, M. and K. Kotfis, Safety of metamizole and paracetamol for acute pain treatment. Anestezjologia intensywna terapia, 2009. 41(3): p. 170-175.
Grissa, M.H., et al., Paracetamol vs piroxicam to relieve pain in renal colic. Results of a randomized controlled trial. The American journal of emergency medicine, 2011. 29(2): p. 203-206.
Seitz, C., et al., Medical therapy to facilitate the passage of stones: what is the evidence? European urology, 2009. 56(3): p. 455-471.
Yilmaz, E., et al., The comparison and efficacy of 3 different α1-adrenergic blockers for distal ureteral stones. The Journal of urology, 2005. 173(6): p. 2010-2012.
Agrawal, M., et al., Prospective randomized trial comparing efficacy of alfuzosin and tamsulosin in management of lower ureteral stones. Urology, 2009. 73(4): p. 706-709.
Jain, A., H. Pahwa, and A. Goel, Naftopidil as medical expulsive therapy for distal ureteral stone. Indian Journal of Urology, 2009. 25(4): p. 559.
GUpta, S., et al., Comparing the efficacy of tamsulosin and silodosin in the medical expulsion therapy for ureteral calculi. Journal of Clinical and Diagnostic Research: JCDR, 2013. 7(8): p. 1672.
Türk, C., et al., EAU guidelines on diagnosis and conservative management of urolithiasis. European urology, 2016. 69(3): p. 468-474.
Porpiglia, F., et al., Nifedipine versus tamsulosin for the management of lower ureteral stones. The Journal of urology, 2004. 172(2): p. 568-571.
Yakoot, M., et al., Clinical efficacy of Spasmofen® suppository in the emergency treatment of renal colic: a randomized, double-blind, double-dummy comparative trial. Drug design, development and therapy, 2014: p. 405-410.
Gurbuz, M.C., et al., Efficacy of three different alpha 1-adrenergic blockers and hyoscine N-butylbromide for distal ureteral stones. International braz j urol, 2011. 37: p. 195-202.
Gratzke, C., et al., PDE5 inhibitors: a new option in the treatment of ureteral colic? Der Urologe, 2007. 46: p. 1219-1223.
Pricop, C., et al., Sublingual desmopressin is efficient and safe in the therapy of lithiasic renal colic. International urology and nephrology, 2016. 48: p. 183-189.
Shirvani, M.K., et al., A comparison of the effects of morphine and sublingual desmopressin combination therapy with morphine alone in treatment of renal colic: a controlled clinical trial. Urology Journal, 2015. 12(1): p. 2001-2004.
Lee, J.W., M.Y. Lee, and I.Y. Seo, In-vitro study on ureteral smooth muscle contractility with tamsulosin, nifedipine, and terpene mixture (Rowatinex®). MINERVA UROLOGICA E NEFROLOGICA, 2015. 67(2): p. 91-96.
Goh, H.J., et al., The effect of terpene combination on ureter calculus expulsion after extracorporeal shock wave lithotripsy. Korean journal of urology, 2014. 55(1): p. 36-40.
Springhart, W.P., et al., Second Prize: Forced versus Minimal Intravenous Hydration in the Management of Acute Renal Colic: A Randomized Trial. Journal of endourology, 2006. 20(10): p. 713-716.
Worster, A.S. and W.B. Supapol, Fluids and diuretics for acute ureteric colic. Cochrane database of systematic reviews, 2012(2).
Hess, B., Medical management of acute renal colic-there is more than hydration and Buscopan®. Praxis, 2011. 100(5): p. 293-297.
Kaynar, M., et al., Comparison of the efficacy of diclofenac, acupuncture, and acetaminophen in the treatment of renal colic. The American journal of emergency medicine, 2015. 33(6): p. 749-753.
Referanslar
Lewis, K.S., et al., Effect of analgesic treatment on the physiological consequences of acute pain. American Journal of Health-System Pharmacy, 1994. 51(12): p. 1539-1554.
Davis, J.E., J.P. Hagedoorn, and L.L. Bergmann, Anatomy and ultrastructure of the ureter. The ureter, 1981: p. 55-70.
Salcedo de Diego, A., R.-M.C. JL, and C. Vela, Mechanisms of ureteral contraction-relaxation in nephritic colic. Archivos Espanoles de Urologia, 2002. 55(4): p. 351-368.
EDITION, N., Smith & Tanagho’s General Urology. University of California.
Hall, J.E. and M.E. Hall, Guyton and Hall textbook of medical physiology e-Book. 2020: Elsevier Health Sciences.
Türk, C., et al., Guidelines on urolithiasis. European association of urology, 2011.
Phillips, E., et al., Emergency room management of ureteral calculi: current practices. Journal of endourology, 2009. 23(6): p. 1021-1024.
Hammad, F. and L. Lubbad, The effect of diclofenac sodium on renal function in reversible unilateral ureteric obstruction. Urological research, 2011. 39: p. 351-356.
Altay, B., et al., Double-Blind, Placebo-Controlled, Randomized Clinical Trial of Sublingual or Intramuscular Piroxicam in the Treatment of Renal Colic. Urologia Internationalis, 2007. 79(1): p. 73-75.
Cevik, E., et al., Comparing the efficacy of intravenous tenoxicam, lornoxicam, and dexketoprofen trometamol for the treatment of renal colic. The American journal of emergency medicine, 2012. 30(8): p. 1486-1490.
Holdgate, A. and T. Pollock, Nonsteroidal anti‐inflammatory drugs (NSAIDs) versus opioids for acute renal colic. Cochrane Database of Systematic Reviews, 2004(1).
Ebell, M.H., NSAIDs vs. opiates for pain in acute renal colic. American family physician, 2004. 70(9): p. 1682.
Firouzian, A., et al., Does lidocaine as an adjuvant to morphine improve pain relief in patients presenting to the ED with acute renal colic? A double-blind, randomized controlled trial. The American journal of emergency medicine, 2016. 34(3): p. 443-448.
Murtagh, F.E., et al., The use of opioid analgesia in end-stage renal disease patients managed without dialysis: recommendations for practice. Journal of pain & palliative care pharmacotherapy, 2007. 21(2): p. 5-16.
Lee, C.R., D. McTavish, and E.M. Sorkin, Tramadol: a preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in acute and chronic pain states. Drugs, 1993. 46: p. 313-340.
Zukowski, M. and K. Kotfis, Safety of metamizole and paracetamol for acute pain treatment. Anestezjologia intensywna terapia, 2009. 41(3): p. 170-175.
Grissa, M.H., et al., Paracetamol vs piroxicam to relieve pain in renal colic. Results of a randomized controlled trial. The American journal of emergency medicine, 2011. 29(2): p. 203-206.
Seitz, C., et al., Medical therapy to facilitate the passage of stones: what is the evidence? European urology, 2009. 56(3): p. 455-471.
Yilmaz, E., et al., The comparison and efficacy of 3 different α1-adrenergic blockers for distal ureteral stones. The Journal of urology, 2005. 173(6): p. 2010-2012.
Agrawal, M., et al., Prospective randomized trial comparing efficacy of alfuzosin and tamsulosin in management of lower ureteral stones. Urology, 2009. 73(4): p. 706-709.
Jain, A., H. Pahwa, and A. Goel, Naftopidil as medical expulsive therapy for distal ureteral stone. Indian Journal of Urology, 2009. 25(4): p. 559.
GUpta, S., et al., Comparing the efficacy of tamsulosin and silodosin in the medical expulsion therapy for ureteral calculi. Journal of Clinical and Diagnostic Research: JCDR, 2013. 7(8): p. 1672.
Türk, C., et al., EAU guidelines on diagnosis and conservative management of urolithiasis. European urology, 2016. 69(3): p. 468-474.
Porpiglia, F., et al., Nifedipine versus tamsulosin for the management of lower ureteral stones. The Journal of urology, 2004. 172(2): p. 568-571.
Yakoot, M., et al., Clinical efficacy of Spasmofen® suppository in the emergency treatment of renal colic: a randomized, double-blind, double-dummy comparative trial. Drug design, development and therapy, 2014: p. 405-410.
Gurbuz, M.C., et al., Efficacy of three different alpha 1-adrenergic blockers and hyoscine N-butylbromide for distal ureteral stones. International braz j urol, 2011. 37: p. 195-202.
Gratzke, C., et al., PDE5 inhibitors: a new option in the treatment of ureteral colic? Der Urologe, 2007. 46: p. 1219-1223.
Pricop, C., et al., Sublingual desmopressin is efficient and safe in the therapy of lithiasic renal colic. International urology and nephrology, 2016. 48: p. 183-189.
Shirvani, M.K., et al., A comparison of the effects of morphine and sublingual desmopressin combination therapy with morphine alone in treatment of renal colic: a controlled clinical trial. Urology Journal, 2015. 12(1): p. 2001-2004.
Lee, J.W., M.Y. Lee, and I.Y. Seo, In-vitro study on ureteral smooth muscle contractility with tamsulosin, nifedipine, and terpene mixture (Rowatinex®). MINERVA UROLOGICA E NEFROLOGICA, 2015. 67(2): p. 91-96.
Goh, H.J., et al., The effect of terpene combination on ureter calculus expulsion after extracorporeal shock wave lithotripsy. Korean journal of urology, 2014. 55(1): p. 36-40.
Springhart, W.P., et al., Second Prize: Forced versus Minimal Intravenous Hydration in the Management of Acute Renal Colic: A Randomized Trial. Journal of endourology, 2006. 20(10): p. 713-716.
Worster, A.S. and W.B. Supapol, Fluids and diuretics for acute ureteric colic. Cochrane database of systematic reviews, 2012(2).
Hess, B., Medical management of acute renal colic-there is more than hydration and Buscopan®. Praxis, 2011. 100(5): p. 293-297.
Kaynar, M., et al., Comparison of the efficacy of diclofenac, acupuncture, and acetaminophen in the treatment of renal colic. The American journal of emergency medicine, 2015. 33(6): p. 749-753.
