Section 34
Chapter 33,565

Submucosal ureteral calculi: a new entity?

Young, M.J.; Rubenstein, M.A.; Norris, D.M.; Lee, R.D.; Moran, G.C.

Journal of Urology 143(4): 800-801


ISSN/ISBN: 0022-5347
PMID: 2313812
DOI: 10.1016/s0022-5347(17)40100-5
Accession: 033564758

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We describe 3 patients with ureteral calculi who failed multiple extracorporeal shock wave lithotripsy treatments and whose stones could not be visualized by ureteroscopy despite radiological confirmation. We contend that these ureteral stones migrated submucosally and are refractory to the aforementioned treatment modalities. Each patient had a common presenting complaint of intermittent flank pain 5 years in duration, leading us to believe that long-standing stone impaction is a prerequisite for this entity. Our experience is reviewed.

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