A 39-year-old man reports an eight-hour history of colicky pain in the right lower quadrant radiating to the tip of his penis. He had previously had a kidney stone, which passed spontaneously. Examination shows he has tenderness of the right costovertebral angle and right lower quadrant. Urinalysis shows microhematuria. Helical computed tomography shows a 6-mm calculus of the right distal ureter and mild hydroureteronephrosis. How should this patient be treated?
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Joel M.H. Teichman (2004) studied this question.
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