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

Introduction: The steinstrasse or stone street is a rare complication after Shock wave lithotripsy (SWL). The true incidence is unknown but is mentioned between ۱-۴ % in stone size less than ۲ cm to ۱۳% in large stone.Case presentation: we present a ۳۷-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