Laparoscopic Management of Large Upper Ureter Steinstrasse After the Failed Endourologic Measures

Abstract

Introduction: The steinstrasse or stone street is a rare complication after Shock wave lithotripsy (SWL). The true incidence is unknown but is mentioned between 1-4 % in stone size less than 2 cm to 13% in large stone. Case presentation: we present a 37-year-old man with a proximal ureter steinstrasse. He was managed with laparoscopic ureterolithotomy as the SWL failed, and also, ureteroscopic access to the upper ureter failed due to the ureteral stenosis. Conclusion: The laparoscopic removal of ureteral stone is a viable option in steinstrasse that the conservative and endourologic management is failed and could be chosen as an alternative to open surgery.

Keywords

• shock wave lithotripsy
• ureteral stone
• steinstrasse
• laparoscopic ureterolithotomy