Urolithiasis is a disease that affect 12% of the population worldwide. Conservative management of symptomatic small ureteric stones has always been appropriate first treatment. Interval to stone passage is highly variable and dependent on stone size, location and side. The medical expulsive therapy (MET) increases the stone passage rate and decreases
lost work days, emergency room visits and surgical interventions in patients with ureteric stone. Technical advancement and development of endourological instruments evolved the management of urinary stone from open surgery to minimal invasive techniques. Currently, the majority of stones in urinary tract can be treated either with extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PNL), ureteroscopy or combination of these modalities. Laparoscopic ureterolithotomy is a minimal invasive treatment and may be considered as the useful first-line management for large impacted upper ureteric stones. Laparoscopic anatrophic nephrolithotomy can be a alternative for patients who are candidates for open surgery.
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