Ureteral calculi represent a common condition that urologists encounter in everyday practice. Several treatment options are available for calculi that do not pass spontaneously or are unlikely to do so.
In this nonsystematic review, we summarize the existing data on contemporary management of ureteral stones focusing on medical expulsive therapy (MET) and different treatment modalities.
A PubMed search was performed. We reviewed the recent literature on the management of ureteral calculi. Articles were considered between 1997 and 2011. Older studies were included selectively if historically relevant.
For stones that do not pass spontaneously or with MET, shock wave lithotripsy (SWL) and ureteroscopy (URS) are the most common and efficient treatment modalities. Both techniques have obvious advantages and disadvantages as well as different patterns of complications. For select cases or patients, other modalities may be useful.
Ureteral stones of up to 10
Keywords: Ureteral calculi, Medical expulsive therapy (MET), Lithotripsy, Ureterorenoscopy, Extracorporal shockwave lithotripsy (SWL), Antegrade percutaneous litholapaxie (PCNL), Laparoscopic stone treatment.
a Department of Urology, Ludwig-Maximilians-University, Klinikum Grosshadern, Munich, Germany
b Department of Urology, Kidney Stone Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
c C.D.U. Urologia Dipartimento di Scienze Cliniche e Biologiche, Facoltà di Medicina e Chirurgia San Luigi Gonzaga, Università degli Studi di Torino, Torino, Italy
d Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC, USA
e Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden
© 2012 European Association of Urology, Published by Elsevier B.V.