A 35-year-old male presents with sudden onset severe left flank pain radiating to the groin, accompanied by nausea and urinary urgency.
A 35-year-old male presents with sudden onset severe left flank pain radiating to the groin, accompanied by nausea and urinary urgency. He has a history of recurrent urinary tract infections. A CT scan reveals a 6 mm calculus in the left ureter. Urinalysis shows hematuria.
Which is the most appropriate initial management?
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