Question

A 38-year-old man with a symptomatic distal ureteral stone measuring 7 mm has no infection or renal impairment. What is an appropriate initial management?

Accepted Answer

Alpha-blocker (tamsulosin) trial as medical expulsive therapy

Answer

Immediate percutaneous nephrostomy

Answer

Prophylactic antibiotics for 14 days

Answer

High-dose steroids for 7 days

Answer

Thiazide diuretic

Practice question

A 38-year-old man with a symptomatic distal ureteral stone measuring 7 mm has no infection or renal impairment. What is an appropriate initial management?