Abstract
Large and impacted lower ureteral calculi are a difficult proposition when ureteroscopy is considered, because of the longer operating periods and possible complications. 1 Tuğcu V. Taşc A.I. Özbek E. et al. Does stone dimension affect the effectiveness of ureteroscopic lithotripsy in distal ureteral stones?. Int Urol Nephrol. 2008; 40: 269-275 Crossref PubMed Scopus (16) Google Scholar , 2 Mandal S. Goel A. Singh M.K. et al. Clavien classification of semirigid ureteroscopy complications: a prospective study. Urology. 2012; 80: 995-1001 Abstract Full Text Full Text PDF PubMed Scopus (49) Google Scholar Laparoscopic and retroperitoneoscopic ureterolithotomy have featured as management options for experienced laparoscopists in these situations. 3 Hruza M. Schulze M. Teber D. et al. Laparoscopic techniques for removal of renal and ureteral calculi. J Endourol. 2009; 23: 1713-1718 Crossref PubMed Scopus (43) Google Scholar For impacted, large, lower ureteral stones, for which the depth of the pelvis poses a significant challenge, the benefits of robotic surgery have an important bearing on the clearance rates and operative time. It is true that by 2013 laparoscopic suturing had become a standard procedure among laparoscopic urologists; however, laparoscopic suturing is still a challenge for most urologists. Editorial CommentUrologyVol. 82Issue 1PreviewMost ureteral calculi can be managed by extracorporeal shock wave lithotripsy or semirigid ureteroscopy.1 The trend has been to prefer ureteroscopy, because most patients will present with acute colic requiring insertion of a double-J stent. Full-Text PDF
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