Question

A 40-year-old man presents with acute flank pain and hematuria. Imaging shows a 5 mm calculus in the ureter. According to NICE guidelines what is the recommended initial management for a stone of this size?

Accepted Answer

Medical expulsive therapy with an alpha-blocker

Answer

Immediate extracorporeal shock wave lithotripsy

Answer

Urgent surgical intervention

Answer

Percutaneous nephrolithotomy

Answer

Observe with no intervention

Practice question

A 40-year-old man presents with acute flank pain and hematuria. Imaging shows a 5 mm calculus in the ureter. According to NICE guidelines what is the recommended initial management for a stone of this size?