Nicole L. Miller, MD, FACS, presented “Treatment of the Ureteral Stone: What Do the AUA Guidelines Say?” during the 40th Annual Ralph E. Hopkins Urology Seminar on February 5th, 2020 in Jackson Hole, Wyoming.
How to cite: Miller, Nicole L. “Treatment of the Ureteral Stone: What Do the AUA Guidelines Say?” February 5th, 2020. Accessed Dec 2024. https://grandroundsinurology.com/treatment-of-the-ureteral-stone-what-do-the-aua-guidelines-say/
Treatment of the Ureteral Stone: What Do the AUA Guidelines Say? – Summary:
Nicole L. Miller, MD, FACS, Associate Professor of Urology at Vanderbilt University Medical Center, discusses AUA guidelines for the treatment of ureteral stones, and compares and contrasts them to the EAU guidelines, examining several cases to illustrate similarities and differences in treatment approaches. She observes that the EAU guidelines are updated more frequently than the AUA guidelines, which often puts them ahead in terms of pain management. Dr. Miller emphasizes that shock wave lithotripsy (SWL) treatment has the least morbidity and lowest complication rate, but ureteroscopy (URS) has a higher stone-free rate in all ureteral locations. She discusses which special cases would be best treated with URS, and why a ureteral stent is not necessary after uncomplicated URS. Finally, Dr. Miller looks at how multimodal therapy for stent pain can significantly reduce narcotic usage.
About The 40th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, emerging surgical techniques, and general urology. Dr. Miller presented this lecture during the 40th iteration of the meeting on February 5th, 2020 in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Nicole L. Miller, MD, FACS, is an Associate Professor of Urology at Vanderbilt University Medical Center, where she is also on faculty for Vanderbilt’s Fellowship in Endourology and Laparoscopic Surgery. A graduate of the University of Pittsburgh School of Medicine, she received her urology residency training at the University of Virginia Health Sciences Center before completing a two-year fellowship in Endourology and Minimally Invasive Surgery at Indiana University School of Medicine. Dr. Miller’s specialties include medical and surgical treatment of kidney stone disease and BPH. Her research interests include the changing composition of renal calculi, the pathophysiology and etiologies of nephrolithiasis, and antibiotic selection for kidney stone treatment. Dr. Miller’s work has been published in the Journal of Urology, Urolithiasis, and the Journal of Endourology, among others.
