Transurethral vesicovaginal extraction of stone: nonoperative approach for intramural ureteral calculi in women.

Herein we describe a new technique for the removal of an impacted intramural ureteral calculus in a female patient. The stone was extracted by digital manipulation with the index finger of one hand in the bladder and the index and middle fingers of the other hand in the vagina. The relative ease of performing the procedure and the absence of any immediate and long-term postoperative morbidity and complications warrant further use of this technique.