Ureterolithotomy Clinical Presentation

Updated: Jul 19, 2015
  • Author: George M Ghareeb, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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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 their 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.

Physical Examination

Physical examination is often unremarkable except for some costovertebral angle tenderness.