In situ lithotripsy of ureteral calculi

Over 7,000 kidneys and ureters have been treated with lithotripsy at the authors institution. Included among this group were 541 ureters containing single calculi that were treated in situ after retrograde manipulations had failed. One hundred thirty-five (25%) of these calculi were located in the distal ureter, below the superior border of the SI joint. The remainder were located in the middle or upper ureter. All but one of these calculi were successfully treated with lithotripsy and combined radiologic and urologic interventions. The number and type of interventions have been examined. In situ lithotripsy of ureteral calculi after unsuccessful retrograde manipulation has been shown to be feasible