RESUMO
OBJECTIVES: Ureteroscopy with endoscopical stone fragmentation is effective in the treatment of ureteral lithiasis. We report our experience, as well as our methods. METHODS: 1803 cases of ureteral stones were treated as outpatient. 44% were located in the lumbar ureter, 11% in the iliac ureter, and 45% in the pelvic ureter. Average size was 0.87 (0.4-2.2) cm. A 7 Fr Wolf rigid ureteroscope and a lithoclast type pneumatic lithotripter were employed. Lithotripsy was performed to an extent that small fragments might be spontaneously passed. RESULTS: 98% of the stones were solved. 16% required additional ESWL. 16% of the patients required the insertion of a double J stent. 12% of the patients required more than one session. Complications appeared in 8% of the patients. CONCLUSIONS: Good results: 98% success rate. It can be performed as outpatient. The support of an ESWL unit is basic.
