Question

A 40-year-old man presents with painful hematuria and flank pain. CT confirms a 6 mm stone in the ureter. According to NICE, which is the recommended initial management?

Accepted Answer

Analgesia and alpha-blocker to facilitate passage

Answer

Immediate lithotripsy

Answer

Open surgical removal

Answer

Nephrostomy tube placement

Answer

Extracorporeal shock wave lithotripsy (ESWL) is contraindicated

Practice question

A 40-year-old man presents with painful hematuria and flank pain. CT confirms a 6 mm stone in the ureter. According to NICE, which is the recommended initial management?