Abstract: A method is provided of removing urinary concretions from the ureter of patients whose anatomical peculiarties do not permit application of disintegrating instruments. The method involves an ultrasonic vibratory action upon the ureteral wall below the region where the concretion is lodged to stimulate peristaltic contractions of the urinary tract and free passage of the concretion. The local vibratory action upon the ureter involves no unfavorable effects upon the internal organs, cardiovascular or nervous systems of the patient.

Abstract: A method and apparatus are provided for disintegrating urniary concretions by subjecting the urinary concretions to ultrasonic forces and electro-hydraulic impacts. For this purpose the apparatus comprises a milling cutter and a discharge arrester alternately inserted into the ureter through a catheter and provided with stops adapted to restrict the axial movement of the milling cutter and the discharge arrester inside the catheter. The method for disintegration of urinary concretions by means of said apparatus includes ultrasonic and electro-hydraulic actions carried out alternatively without withdrawing the catheter from the ureter to completely disintegrate the concretion during one session of treatment.