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The goal of this clinical trial is to evaluate the proportion of ureteral stones ≤4 mm that pass spontaneously within 4 and 8 weeks and assess if pain, blood test (S-creatinine), stone size, stone location and hydronephrosis can predict stone passage. The participants will be asked to fill in a questionare regarding symptoms, give a blood test and undergo a follow-up computed tomography.
All patients with a diagnosis of ureteral stone ≤4 mm at the Emergency Department in Helsingborg will be asked to participate. If they give consent data regarding age, gender, stone size, stone location, hydronephrosis, S-creatinine, treatments and results from the follow up CT is extraced from the medical records.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Follow-up with S-creatine, questionnaire and CT |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of ureteral stones ≤ 4mm that pass spontaneously | From enrolement to passage of the stone or maximum 8 weeks. | |
| Number of participants with residual pain | Residual pain is measured with VAS (visual analogue scale), values 0-10. VAS 0 = no pain and VAS 10 = worst possible pain. | From enrolement to passage of the stone or maximum 8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| QoL form including sick leave and return to full ADL | Questionnaire specifically designed for this study, including questions about pain (regarding pain: how often, how severe/ VAS, need for pain medication) and the ability/ inability to work as usual. VAS: visual analougus scale 0-10, 0 = no pain and 10 = worst possible pain. | From enrolement to passage of the stone or maximum 8 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with acute renal colic where a CT within 24 hours shows a ureteral stone ≤ 4mm.
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| Name | Affiliation | Role |
|---|---|---|
| Magnus Wagenius, PhD | University of Lund | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Urology | Helsingborg | Sweden | ||||
| Department of Urology, KI Huddinge |
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| ID | Term |
|---|---|
| D007669 | Kidney Calculi |
| ID | Term |
|---|---|
| D053040 | Nephrolithiasis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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S-creatinine, blood test.
| Proportion of ureteral stone that have passed according to anatomical localisation, S-creatinine and presence of hydronephrosis. | From enrolement to passage of the stone or maximum 8 weeks. |
| Stockholm |
| Sweden |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052878 | Urolithiasis |
| D014545 | Urinary Calculi |
| D052801 | Male Urogenital Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |