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Ureteric stone — UKMLA MCQ

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HardRenal medicine & UrologyUreteric stoneUKMLA

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?

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Correct answer: D — Alpha-blocker therapy to aid stone passage

For a distal ureteric stone of approximately 6 mm, alpha-blockers (such as tamsulosin) can help facilitate spontaneous passage if pain is controlled. ESWL or ureteroscopic retrieval may be needed if the stone does not pass or if complications arise. Potassium citrate is more for prevention of certain stone types. Surgery is reserved for larger or complicated stones.

Reference: NICE Renal and ureteric stones: assessment and management (NG118)