- The management of the acute episode of renal colic;
- The use of pharmacological or surgical treatment.
In the event that the stone does not obstruct the urinary tract, drug therapy is based on the use of diuretics and disinfectants of the urinary tract to ward off any infections. The kidney stones of uric acid have the favorable characteristic of dissolving completely alkalizing the urine with a medical therapy, without having to resort to surgery Conversely, those of cystine, very rare, often cause complex, voluminous, very hard and difficult to treat formations.
Pharmacological therapy can be used to control pain caused by renal colic. Therefore, analgesics or antispasmodics are administered intravenously, waiting for the spontaneous expulsion of the stone that must move from the ureter into the bladder. The drugs reduce the contractility of the smooth muscle, thus facilitating the progression of the stone outwards.
If spontaneous expulsion is not possible, surgery is carried out to remove or crush the kidney stones.