Abstract
The incidence of upper urinary stone disease has risen steadily throughout this century and renal colic is now one of the commonest causes of surgical admission to hospital. Spontaneous passage, removal, or dissolution of the stone does not, however, cure the underlying abnormalities responsible for stone formation and merely represents an episode in what is a recurrent disease. The high incidence and recurrence rates dictate that special facilities need to be provided for the management of patients if the disease is to be treated and prevented effectively. The facilities, their organisation, and the management of patients form the basis of this article. We have drawn heavily on experience gained in running a stone clinic in Leeds over the last 15 years, although each stone clinic is unique by virtue of its local environment and expertise.
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