Question

A 48-year-old man presents with colicky right flank pain radiating to the groin, suggesting ureteric colic. CT KUB shows a 5 mm stone in the distal ureter. According to NICE, what is the recommended initial management?

Accepted Answer

Extracorporeal shock wave lithotripsy (ESWL)

Answer

Immediate ureteroscopic stone retrieval

Answer

Percutaneous nephrolithotomy

Answer

Open surgical removal

Answer

Observe with analgesia and hydration

Practice question

A 48-year-old man presents with colicky right flank pain radiating to the groin, suggesting ureteric colic. CT KUB shows a 5 mm stone in the distal ureter. According to NICE, what is the recommended initial management?