{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:22:58Z","timestamp":1791890578754,"version":"4.3.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> To examine gender-related differences in the presentation, management, and outcomes of patients admitted to the emergency department ED with ureteral stones. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Retrospective analysis of all patients admitted to the ED at our institution, found to have a ureteral stone on CT. Clinical, laboratory, imaging parameters, and outcomes were collected. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> 778 patients were admitted with ureteral stones between January 2018 and December 2020. 78% ( n\u2009=\u2009609) were males and 22% ( n\u2009=\u2009169) were females. The mean ages were 49.4 (SD 14.4) and 51.6 (SD 15.7) in males and females, respectively ( p\u2009=\u20090.08). Female patients presented with a higher body temperature ( p\u2009=\u20090.01), pulse rate ( p\u2009&lt;\u20090.0001), nausea and vomiting ( p\u2009&lt;\u20090.0001), elevated serum C-reactive protein (CRP) ( p\u2009=\u20090.002) compared to males. The prevalence of elevated serum creatinine was higher in males ( p\u2009&lt;\u20090.0001). Alpha-blockers were recommended on discharge in 54.8% (334) of males, compared to only 29.6% (50) of females ( p\u2009&lt;\u20090.0001). Spontaneous stone expulsion was significantly higher in males compared to females ( p\u2009=\u20090.01). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Our results demonstrate that gender does effect presentation and outcome of patients presenting with renal colic. Females were found to have elevated infectious parameters, more nausea and vomiting and a higher incidence of positive urine cultures. Males admitted to the ED were found to have significantly higher serum creatinine levels. Medical expulsive therapy (MET) with alpha-blockers was prescribed significantly less in female patients, which may have resulted in a lower spontaneous stone expulsion rate. <\/jats:p><\/jats:sec>","DOI":"10.1177\/03915603221150039","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T04:53:08Z","timestamp":1673585588000},"page":"653-658","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Effect of gender on presentation and outcome of renal colic"],"prefix":"10.1177","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9957-0390","authenticated-orcid":false,"given":"Dor","family":"Golomb","sequence":"first","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Shemesh","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Urology, State University of New York, Upstate Medical University, Syracuse, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Hen","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahed","family":"Atmana","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Barkai","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Shalom","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orit","family":"Raz","sequence":"additional","affiliation":[{"name":"Department of Urology, Samson Assuta Ashdod University Hospital, Ashdod, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,12]]},"reference":[{"key":"bibr1-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(89)91136-7"},{"key":"bibr2-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10495.x"},{"key":"bibr3-03915603221150039","volume":"12","author":"Romero V","year":"2010","journal-title":"Rev Urol"},{"key":"bibr4-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2012.419"},{"key":"bibr5-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2004.08.016"},{"key":"bibr6-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5000150"},{"issue":"4","key":"bibr7-03915603221150039","first-page":"112","volume":"16","author":"Golomb D","year":"2022","journal-title":"Can Urol Assoc J"},{"key":"bibr8-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.10.069"},{"key":"bibr9-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-017-4852-6"},{"key":"bibr10-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199909010-00014"},{"key":"bibr11-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1979.173"},{"key":"bibr12-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.09.035"},{"key":"bibr13-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15363"},{"key":"bibr14-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0386"},{"key":"bibr15-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1177\/204946370800200203"},{"key":"bibr16-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/S1082-3174(11)80022-X"},{"key":"bibr17-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(95)00214-6"},{"key":"bibr18-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000291"},{"key":"bibr19-03915603221150039","first-page":"126","volume":"23","author":"G\u00fczel C","year":"2019","journal-title":"Hippokratia"},{"key":"bibr20-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2013.05.004"},{"key":"bibr21-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1053\/jarr.2003.50001"},{"key":"bibr22-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/0272-6386(95)90168-X"},{"key":"bibr23-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2017.01.002"},{"key":"bibr24-03915603221150039","unstructured":"EAU Guidelines. Edn. Presented at the EAU Annual Congress Amsterdam, 2022. ISBN 978-94-92671-16-5."},{"key":"bibr25-03915603221150039","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.05.031"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603221150039","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603221150039","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603221150039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T15:17:04Z","timestamp":1740928624000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603221150039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,12]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/03915603221150039"],"URL":"https:\/\/doi.org\/10.1177\/03915603221150039","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,12]]}}}