Question

A 42-year-old man presents with a 4-mm distal ureteric stone and colicky flank pain. He is afebrile, haemodynamically stable and has normal renal function. What is the most appropriate management?

Accepted Answer

Conservative management with analgesia, hydration and follow-up to ensure passage

Answer

Immediate urological intervention for all ureteric stones

Answer

Start long-term antibiotics

Answer

Advise complete bed rest until stone passes

Answer

Schedule elective nephrectomy

Practice question

A 42-year-old man presents with a 4-mm distal ureteric stone and colicky flank pain. He is afebrile, haemodynamically stable and has normal renal function. What is the most appropriate management?