Most patients with lower ureteral stones can be treated with Extracorporeal Shock Wave Lithotripsy (ESWL), but caution is needed if there are contraindications. Extracorporeal Shock Wave Lithotripsy is a common treatment for urological diseases, which can generate powerful energy to crush the stones in the lower ureter into tiny particles and gradually expel them from the body. However, it should be noted that pregnant women, diabetic patients who have not yet controlled their condition, obese people, and people with renal insufficiency should not undergo extracorporeal lithotripsy. Therefore, in order to avoid accidents, it is recommended that a full body checkup, such as blood clotting time, electrocardiogram, liver and kidney function tests, etc., be performed prior to the implementation of extracorporeal shock wave lithotripsy. Secondly, if the diameter of the stone is less than 6mm and the discomfort is reduced, atropine sulfate and progesterone can also be used to relieve the spasm of the ureteral smooth muscle and promote the discharge of the stone as prescribed by the doctor. Lower ureteral stones may bring strong pain to the patient, accompanied by nausea and vomiting, urinary urgency and pain, hematuria and other symptoms, it is recommended to seek medical treatment as soon as possible to avoid serious consequences.