Year: 2026
Type: article
Abstract: ABSTRACT Upper urinary tract stone disease is a common urological condition with high recurrence rates and a significant healthcare burden. Many patients initially present in community or primary care settings, where early assessment and triage influence patient safety, referral timing and subsequent urological management. Early evaluation should prioritise identification of obstructed infection, renal impairment and uncontrolled symptoms requiring urgent urological assessment. Ultrasonography is an appropriate first‐line imaging modality in many patients, although its limitations should be recognised to avoid delayed escalation. Non‐steroidal anti‐inflammatory drugs remain the cornerstone of acute pain management. Definitive urological interventions, including ureteroscopy, shockwave lithotripsy and percutaneous nephrolithotomy, may be required when spontaneous passage is unlikely or complications develop. Long‐term management focuses on recurrence prevention through metabolic evaluation and targeted lifestyle or pharmacological interventions. A structured approach to early management and referral can improve patient safety and support timely urological care.
Source: Trends in Urology & Men s Health
DOI: 10.1002/tre.70032
Authors: Matthew Kwon, Avi Raman
Institutions: The University of Sydney, John Hunter Hospital
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $2,000
Funder: University of Sydney
OpenAlex ID: W7166654589