Les médicaments de l'uretère

Many improvements have been made recently in the field of the ureteral smooth muscle pharmacology. After a brief summary on physiological basis, we review what is known about effects on ureter of different drugs class. In a second part, we review clinical applications for renal colic analgesia, calculi expulsive medical therapy, ESWL adjuvant treatment and preoperative treatment before retrograde access. There are now sufficient data on NSAID and α-blockers. β-agonists, especially for β3 selective ones, and topical drugs before retrograde access are interesting and should be further evaluated.