[Juxta-vesical ureterolithotomy with intubation of the distal part of the ureter without opening the urinary bladder].

A new surgical method in the treatment of juxtavesical ureterolithiasis is described; its advantage in relation to the classical juxtavesical ureterolithotomy is in the intubation of distal part of the ureter without incision of the bladder. In this way a stenosis at the place of ureterolithotomy is prevented, and on the other side the existent stenosis is dilated. 23 patients have been operated upon, in 9 of whom there was a blockage of the kidney caused by a stone in juxtavesical part of the ureter, with uretero-hydronephrosis in 14 patients. In 14 patients the urine was infected, and in 9 ones sterile; the stone has been in the ureter about 2-3 months in 15 cases. In all patients an extraction of the stone by a Dormy catheter has been tried, but without success. The follow-up of the patients, 8-12 months after surgery showed that the kidney does secrete well, ureter was with a fair passage at the x-ray, and without stenosis of the ureter.