The acute pain resulting from kidney stones is typically manage initially with painkillers like metamizole or pethidine, along with muscle relaxants such as tamsulosin. If asymptomatic despite the detection of a kidney stone, patients may opt to forego immediate treatment. The course of treatment is contingent upon the size of the stone. Stones smaller than 5 mm may be allow to pass spontaneously with adequate hydration and movement.

Treatment approaches also vary base on the composition of the urinary stone. For stones primarily compose of uric acid, oral chemolitholysis may be employee. This method involves modifying the urine composition by alkalizing it, increasing urine production through ample fluid intake, and reducing uric acid concentration in the blood with medications like allopurinol.

Shock wave therapy presents an alternative for stone destruction. During this procedure, a device administers shock waves that fragment the kidney stones. Subsequently, the debris may be remove through small tubes inserter through the ureters or the abdominal wall.