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Nephrolithiasis — Indications for Surgery — 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

 

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