Question

A 25-year-old man presents with severe right flank pain radiating to the groin. CT KUB reveals a 6 mm ureteric stone in the distal ureter. His pain is controlled with NSAIDs. What is the recommended next step in management?

Accepted Answer

Alpha-blocker therapy to aid stone passage

Answer

Immediate surgical removal

Answer

Extracorporeal shock wave lithotripsy (ESWL)

Answer

Ureteroscopic stone retrieval

Answer

Oral potassium citrate

Practice question

A 25-year-old man presents with severe right flank pain radiating to the groin. CT KUB reveals a 6 mm ureteric stone in the distal ureter. His pain is controlled with NSAIDs. What is the recommended next step in management?