Treatment of Kidney Stone Disease with Ureteral (Ureteric) Stone
A stone is located in the ureter (ureteral or ureteric stone). Patients in this scenario typically present with loin pain and vomiting, and sometimes pyrexia — though some remain asymptomatic.
In rare cases where first-choice interventional options are not feasible or have not been successful, a surgical approach — including laparoscopic techniques — may be the appropriate next step. The full decision criteria, clinical thresholds, and procedural algorithm are detailed in the complete protocol.
References
Patients with ureteral stones usually present with loin pain, vomiting and sometimes pyrexia, but may also be asymptomatic.
Offer laparoscopic or open surgical stone removal in rare cases in which shock wave lithotripsy, retrograde or antegrade ureteroscopy and percutaneous nephrolithotomy fail or are unlikely to be successful.
When expertise is available, laparoscopic ureterolithotomy can be performed for large proximal ureteral stones as an alternative to URS or SWL.
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