Treatment of non-obstructing kidney stones in patients for flank pain: A prospective multicenter trial: A CoRE initiative

Editorial Comment

“…Bhojani et al conducted a multicenter, observational trial to evaluate whether treatment of less than 10 mm nonobstructing renal stones in adults with pain would improve their pain and kidney stone–specific health-related quality of life. 1 In this patient population with a mean stone size under 5 mm and moderate to severe pain at baseline, 86% and 69% of patients had at least a 20% and 50% reduction in their mean pain scores, respectively. An increase in stone-related quality of life was also seen at 12 weeks.…”

Editors’ Choice

“…Bhojani et al in this multicenter observational trial challenge this paradigm. 6 With 43 recruited patients, the study reveals that surgical removal of nonobstructing kidney stones results in a significant reduction in pain and improvement in the Wisconsin Stone Quality of Life score. The authors conclude that the surgical removal of these symptomatic kidney stones offers significant benefits, supporting its recommendation as a viable treatment option for patients seeking relief from these stones despite the lack of objective obstruction.…”

Letter: Prospective Multicenter Evaluation of Pain Before and After Removal of Nonobstructing Renal Calculi: A CoRE Initiative

“…To the Editor: We read this article 1 with great interest and would like to congratulate the authors for their work on patients with nonobstructing renal calculi, which is generally overlooked. However, we have the following queries.…”