Lower ureteral stones are mostly caused by kidney stones discharged into the lower ureter, and stone formation is associated with metabolic abnormalities, urinary tract pathology, medications, and other factors. Lower ureter is the part of the ureter located in the bladder wall. Lower ureteral stones are mostly caused by kidney stones discharged into the lower part of the ureter, and the stones are usually smaller, mostly <6mm. The formation of kidney stones is related to metabolic disorders leading to increased uric acid, oxalic acid, and calcium levels in the urine, urinary tract pathologies such as urinary tract obstruction, urinary tract infections, and foreign bodies, as well as medication factors such as amphotericin, and is also related to age, gender, genetics, diet, and so on. Lower ureteral stones can be treated by drinking a lot of water, taking drugs such as sodium citrate, and ureteroscopic lithotripsy. Patients are advised to seek prompt medical attention and choose the appropriate treatment after consulting a specialist.