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Reply by the Authors

机译：作者的答复

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TO THE EDITOR: We appreciate the comments in the letter to the editor and would like to address some of the concerns. First, we agree that a greater use of abdominal plain film radiography (KUB) and ultrasonography might reduce the incidence of negative ureteroscopy. We are in favor of using any strategies to decrease the rate of negative ureteroscopy, but this must be balanced by the risk of radiation exposure from the additional imaging. We have made every effort at our institution to educate referring physicians, particularly those in the emergency department, about the importance of obtaining a KUB at patient presentation. If a ureteral stone is not visualized on KUB at the initial presentation, we do not believe that serial KUB examinations are useful. As such, it is not ourroutine to follow-up all patients in this manner. However, obtaining serial computed tomography scans is not feasible because of the significant radiation exposure. It is not surprising that, at this time, there are no established guidelines for monitoring patients with ureteral stones.
机译：致编辑：我们感谢给编辑的信中的评论，并希望解决一些问题。首先，我们同意更多地使用腹部平片X线和超声检查可以减少输尿管镜阴性的发生率。我们赞成使用任何策略来降低输尿管镜检查的阴性率，但这必须与额外影像所致放射线暴露的风险相平衡。我们已在我们的机构中​​竭尽全力教育转诊医师，特别是急诊科医师，了解在患者就诊时获得KUB的重要性。如果最初显示时未在KUB上看到输尿管结石，则我们不认为连续KUB检查是有用的。因此，以这种方式随访所有患者并不是我们的常规。然而，由于大量的辐射暴露，获得连续的计算机断层摄影扫描是不可行的。毫不奇怪，目前，尚无用于监测输尿管结石患者的既定指南。

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