Nephrolithiasis Clinical Pathway — Outpatient Specialty Care
Nephrolithiasis Clinical Pathway — Outpatient Specialty Care
Indications for Surgery
- Obstructive stone in an immuno-compromised patient
- Intractable pain despite adequate oral analgesia
- Inability to tolerate adequate oral intake
- Fever and suspected pyelonephritis
- Stone in solitary kidney
- Ureteral stone with dilation of ureter and/or pelvicaliceal system:
> 4 weeks OR
persistent nausea, vomiting and/or pain - Ureteral stones ≥ 5 mm
- Repeated ED visits due to stone related symptoms despite adequate PO pain control
- Parental/patient desire after counseling for non-obstructive stones