URETERAL MEATOTOMY WITH LOCAL-PROTOTYPE URETHROTOME IN THE MANAGEMENTOF LOWER URETERAL STONES

Surgical removal of stones impacted in the submucosa of the distal ure ter is difficult. A local-prototype visual urethrotome was evaluated f or the management of submucosal vesicoureteral stones and as an aid in the removal of a Dormia basket with an entrapped stone impacted in th e submucosa of the vesical portion of the ureter. A total of 14 male a nd 11 female adult patients were included. Fifteen patients required u reteral meatotomy to release the stone. Transurethral ureteral meatoto my is a precise and safe procedure associated with minimal complicatio ns when carefully done. Our local-prototype instrument proved to be a simple, economical, and valuable tool.