Definition

Crystalline deposits, often formed in a kidney, that may move into the ureter.

Symptoms

Flank pain towards the groin, nausea or blood in urine; some stones cause no symptoms.

How it may be discovered

Found during renal colic, infection, imaging or investigation of recurrent stones.

When to seek care

Pain with fever, no urine or feeling very unwell requires emergency care. Uncontrolled pain also needs prompt assessment.

Investigations and tests

Urine tests, renal function and appropriate ultrasound or CT; stone analysis and metabolic tests when indicated.

Reaching a diagnosis

Location, size, obstruction and infection determine urgency and options.

Treatment options

Selected observation or medication, shockwave treatment, laser ureteroscopy or percutaneous surgery. Prevention is composition-based; not all stones dissolve.

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