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Objective\udThis study presents the effects of the use of semi-rigid ureteroscopy\udsimultaneously during laparoscopic ureterolithotomy on the stone-free\udrate and, the techniques used to perform laparoscopic ureterolithotomy\udless invasively.\udMaterials and Methods\udBetween November 2011 and July 2013, laparoscopic ureterolithotomy\udwas performed in 19 patients with proximal ureteral stones. A history of\udfailed shock wave lithotripsy (SWL) or semi-rigid ureteroscopy (sr-URS),\udpresence of ureter stones ≥15 mm and/or impacted stones, or a socioeconomic\udstatus not allowing the patient to reach an advanced center for\udflexible ureteroscopy (f-URS) were identified as the surgical indications.\udResults\udFourteen male (74%) and five female (26%) patients were enrolled in the\udstudy and the mean age was 36.4±15.11 (15-70) years. The stones were\udlocated on right side in five patients (26%) and left side in 14 patients\ud(74%). The mean stone size was 16.2±3.55 mm (8-22). The mean operation\udtime was 138.9±29.56 minutes (90-200). The mean urethral catheter and\uddrain removal time was 31.2±24.28 (16-120) and 50.8±33.61 hours (18-\ud168), respectively. There was no postoperative complication in long-term\udperiod and stone-free rate was 100%.\udConclusion\udLaparoscopic ureterolithotomy is a feasible alternative in a patient who had previously failed minimally invasive methods and/or with\udlarge impacted proximal ureteral stone. Furthermore, to use semi-rigid\udureteroscopy during the laparoscopic procedure increases the stonefree\udrate and prevents the need for an additional procedure in case of\udconcurrent presence of small kidney stones

journal of urological surgery

Effects of Laparoscopic Ureterolithotomy and Simultaneous Trans-Trocar Semi-Rigid Ureteroscopy on Stone-Free Rate in the Treatment of Proximal Ureteral Stones