Treatment of ureteroscopic stones

  Treatment of ureteral stones includes: conservative treatment (most stones <0.4 cm can be expelled by themselves with water and moderate exercise), drug lithotripsy and lithotripsy (drug treatment is preferred for stones <0.6 cm), percutaneous nephrolithotomy, ureteroscopy, extracorporeal shock wave lithotripsy, laparoscopy and open surgery. Ureteral stone site and size are important reference factors in determining treatment options. The aforementioned article classifies ureteral stones based on different sites: upper ureteral stones, middle ureteral stones, and lower ureteral stones.  Indications for ureteroscopic holmium laser lithotripsy: lower and middle ureteral stones, upper ureteral stones that have failed extracorporeal impact lithotripsy and stone streets after lithotripsy, and ureteral stones that have been lodged for a long time (more than two weeks). For upper ureteral stones, the perfusion water pressure should be minimized or the stones should be blocked with an adjunctive device that blocks the upward movement of the stones before Holmium laser lithotripsy.  Laparoscopic and open surgery. Ureteral stone site and size are important references in determining treatment options. The aforementioned article classifies ureteral stones based on different sites: upper ureteral stones, middle ureteral stones, and lower ureteral stones. Indications for ureteroscopic holmium laser lithotripsy: lower and middle ureteral stones, upper ureteral stones that have failed extracorporeal impact lithotripsy and stone streets after lithotripsy, and ureteral stones that have been lodged for a long time (more than two weeks). For upper ureteral stones, the irrigation water pressure should be minimized or the stone should be blocked with an adjunctive device that blocks the upward movement of the stone before Holmium laser lithotripsy is performed.