Ureterolithotomy refers to the open or laparoscopic surgical removal of a stone from the ureter. Today in the United States, ureterolithotomy is seldom performed given the advent and rise of minimally invasive procedures for fragmentation and removal. Minimally invasive options are now preferable and include extracorporeal shock wave lithotripsy (ESWL) and endoscopic techniques such as ureteroscopy (URS) with laser lithotripsy and stone basketing, and percutaneous nephrolithotomy (PCNL).
Despite this trend, there have been recent advances in ureterolithotomy involving laparoscopic and laparoendoscopic single-site surgery (LESS). Even robotic-assisted laparoscopic ureterolithotomy has been reported in the literature.