The impact of delaying acute kidney stone surgery on outcomes

Anis Assad, David-Dan Nguyen, Iman Sadri, Naeem Bhojani
2021 Canadian Urological Association Journal  
Introduction Kidney stone disease is very common and its incidence is increasing. 1 The main management option for kidney stones is surgery. However, with the outbreak of the coronavirus disease (COVID-19), elective surgical procedures, such as those for kidney stones, have been put on hold due to resource allocation and competing risk considerations. The initial management of acute renal colic depends on the severity of the clinical presentation. A conservative approach is recommended in
more » ... ecommended in selected patients knowing that up to 95% of ureteric stones <5 mm can pass spontaneously. 2 By contrast, urgent decompressive intervention is required for patients with sepsis and obstructing stones. 2 However, there is no clear recommendation about the optimal time to treat non-urgent obstructing stones. 2 Thus, urologists must decide which cases can be safely delayed. To support such prioritization of cases, most experts recommend that non-complicated kidney stones be postponed. 3 In order to support decision-making when delaying care for kidney stones and to better understand the impact of delaying kidney stone surgery, we aimed to perform a systematic review of the outcomes of early elective versus delayed elective intervention for acute episodes of renal colic with obstructing stones.
doi:10.5489/cuaj.6877 pmid:33410739 fatcat:audq3u2ukrd75freefj7tu4uz4