The management of ureteral stones has undergone revolutionary changes
in the past 15 years. The parallel advances in extracorporeal shock wa
ve lithotripsy, percutaneous and retrograde endoscopic access to the c
ollecting system, and intracorporeal lithotripsy devices almost comple
tely have supplanted the need for a traditional ureterolithotomy. The
merits of the various technologies that are available are discussed as
they apply to treating calculi in different ureteral segments.