The formation of stone streets from urinary stones is a phenomenon in which many stones or pieces of debris formed after stone treatment accumulate in the urinary tract. It is common for stones to accumulate in the ureter and, in rare cases, in the male urethra. This condition is most often associated with extracorporeal shock wave lithotripsy for kidney stones or ureteral stones, and often occurs in the lower ureter. In a small number of patients with bladder stones, extracorporeal shock wave lithotripsy results in the formation of stone streets in the urethra. This was more common in the era when extracorporeal shock wave lithotripsy was most prevalent, especially when treating larger, harder stones. Patients who undergo minimally invasive surgical lithotripsy may occasionally form stone streets if the stones are very large and many stone fragments are formed. In a small number of patients with multiple stones, stone streets will form naturally during stone removal. Once a stone street is formed, it needs to be closely observed and treated. The formation of a stone street usually leads to hydronephrosis due to urinary tract blockage, and prolonged hydronephrosis can impair kidney function and lead to serious consequences. The management of stone streets varies from person to person. If the stones are small, they can usually be removed with hydration and medication, but this requires a process. If the stone mass is large, especially if the stone mass at the forefront is large, self drainage is less likely and secondary extracorporeal shock wave lithotripsy was mostly used in the past. Currently, due to the advancement of technology, minimally invasive surgery is used to treat the stone street more efficiently. At present, due to the advancement of lithotripsy technology, doctors usually recommend minimally invasive surgery for lithotripsy to obtain better results for larger and harder stones. If minimally invasive surgery is not available, extracorporeal shock wave lithotripsy is the only option, and placement of a ureteral stent tube before lithotripsy may be helpful.