This National Institute for Health and Care Excellence (NICE) guideline covers the assessment and management of renal and ureteric stones. It aims to identify techniques for diagnosis, pain management and surgical interventions, and ways in which recurrence can be prevented.
Renal and ureteric stones usually present as an acute episode with severe pain, although some stones are picked up incidentally during imaging or may present as a history of infection. The initial diagnosis is made by taking a clinical history and examination and carrying out imaging; initial management is with painkillers and treatment of any infection.
Ongoing treatment of renal and ureteric stones depends on the site of the stone and size of the stone. Options for treatment range from observation with pain relief to surgical intervention. As well as the site and size of the stone, treatment also depends on local facilities and expertise.
Recommendations in the new NICE guideline cover the following areas:
You can read the guideline on NICE's website.