laparoscopic management of large upper ureter steinstrasse after the failed endourologic measures

Introduction: the steinstrasse or stone street is a rare complication after shock wave lithotripsy (swl). the true incidence is unknown but is mentioned between 1-4 % in stone sizes less than 2 cm to 13% in large stones.case presentation: we present a 37-year-old man with a proximal ureter steinstrasse. he was managed with laparoscopic ureterolithotomy as the swl failed, and also, ureteroscopic access to the upper ureter failed due to the ureteral stenosis.conclusion: the laparoscopic removal of ureteral stone is a viable option in steinstrasse that the conservative and endourologic management is failed and could be chosen as an alternative to open surgery.