Lithotripsy of intravesical bladder stones is still effective, however, if lithotripsy is unsuccessful, early ureteroscopic surgery is needed to remove the stones. The intravesical segment of the bladder wall is the extreme end of the ureter and the last of the three physiologic narrowings of the ureter, which are usually between 3 and 5 mm in diameter. After the ureteral stone falls here, it is easy to be embedded in the local area and cannot be discharged, so it is necessary to carry out the treatment of stone removal as early as possible to avoid the occurrence of ureteral hydrops and hydronephrosis. The stone at the end of the ureter is localized by ultrasound, and then extracorporeal shock wave lithotripsy is adopted. High-energy shock waves are utilized to pulverize large stones into small ones, which facilitates the discharge of the stones. In most cases, lithotripsy treatment is more effective, and patients can successfully discharge the stones. After the treatment, patients need to drink more water and do more jumping movements to promote the discharge of stones. After one week of treatment, the patient should be rechecked. If the stone is not discharged, another lithotripsy treatment can be considered. If the stone still cannot be discharged, early ureteral surgery is recommended. Under direct vision, the stones will be crushed and discharged through pneumatic ballistic and holmium laser lithotripsy.