A 37-year-old with symptomatic nephrolithiasis has a 6‑mm distal ureteral stone without infection or AKI. Best initial management?...

Question

A 37-year-old with symptomatic nephrolithiasis has a 6‑mm distal ureteral stone without infection or AKI. Best initial management?

Accepted Answer

Trial of passage with analgesia and medical expulsive therapy

Answer

Immediate percutaneous nephrolithotomy

Answer

Open surgery

Answer

Chronic antibiotics

Answer

No pain control to encourage passage

us-abem MCQ (SBA): Nephrolithiasis