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#endourology #stone #ureter #stoneCone #urologist #lithoclast #pakistan #HammadMithani / dr.hammadmithani Proximal ureteric stone fragmentation using pneumatic lithoclast with Stone Cone is a minimally invasive procedure used to treat ureteral stones, which are stones that form in the ureter, the tube that carries urine from the kidney to the bladder. This procedure is used to break up the stones into small pieces that can be easily passed out of the body. The procedure is performed using a pneumatic lithoclast, which is a device that generates high-frequency sound waves to break up the stones. The Stone Cone, a device made of plastic, is used to guide the lithoclast and keep the stone in place during the fragmentation. The procedure is done under general anesthesia or spinal anesthesia and done as an out-patient procedure. During the procedure, the patient is placed in a lithotomy position and a small scope is inserted through the urethra to visualize the stone. The pneumatic lithoclast is then used to break up the stone, and the Stone Cone is used to guide the lithoclast and keep the stone in place during the fragmentation. The procedure typically takes about 30 minutes to an hour to complete. The success rate of this procedure is high, with most patients passing the fragmented stones within a few days. However, in some cases, a second procedure may be needed to remove any remaining fragments. Recovery from this procedure is usually quick, with most patients experiencing minimal pain and discomfort. The patient will be advised to drink plenty of water to help flush the fragments out of the body. Patients should also avoid heavy lifting, prolonged sitting or standing, and strenuous exercise for a period of time. In conclusion, proximal ureteric stone fragmentation using pneumatic lithoclast with Stone Cone is a minimally invasive procedure used to treat ureteral stones. The procedure is performed using a pneumatic lithoclast and Stone Cone under general anesthesia or spinal anesthesia, and done as an out-patient procedure. The success rate of this procedure is high, with most patients passing the fragmented stones within a few days. Recovery is usually quick and minimal pain and discomfort is experienced.