In summary, patients without indications for temporary drainage procedures can be definitively treated at presentation. In the majority of cases, this urgent management is comparable to management of symptomatic stone patients with partial obstructing stones who are not candidates for conservative treatment protocols. In this setting, all endourologic treatments have been used to treat stone disease. With improvements in ur-eteroscope design and instrumentation, however, we have increased utilization of ureteroscopy for these stones. Favorable results can be expected with urete-roscopy. In addition, direct stone manipulation provides an opportunity to alter treatment in the setting of an unrecognized infection. Despite favorable early results with the use of ureteroscopic treatment of stones in pregnancy, we have continued to favor retrograde stenting in symptomatic patients failing conservative treatment.
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