Ureterolithotomy Clinical Presentation

Updated: Jan 11, 2021
  • Author: George M Ghareeb, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Presentation

History

Signs and symptoms of urolithiasis

Ureteral stones often present as renal colic. The pain is typically intermittent, but may be constant, with radiation of pain into the ipsilateral groin or testicle. The pain varies from severe, sharp/stabbing pain to a dull ache.

Frequently, the patient constantly shifts his or her body, as it can be difficult to find a comfortable position.

Urinalysis and urine microscopy is usually positive for occult blood. Some patients present with gross hematuria.

Non-obstructing stones can be asymptomatic.

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Physical Examination

Physical examination findings are often unremarkable except for some costovertebral angle tenderness.

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