Kidney stones can be challenging.

Upper ureter stone targeted for destruction.  Treatment of kidney stones can be challenging.  I never approach them in a cavalier fashion as complications can happen even in what seems to be a simple setting.  This patient has 10mm upper ureteral stone with obstruction of the kidney and a tortuous ureter from prior spine surgery that complicated treatment of her stone.  I had to place a nephrostomy tube smd then proceed to definitive stone treatment.