Abstract: Objective: To evaluate the clinical effects of ureteroscopic pneumatic lithotripsy for the treatment of ureteral steinstrasse.Methods: Eighteen patients with ureteral steinstrasse were treated with pneumatic lithotripsy and the calculi were removed under ureteroscope.Results: All the patients were treated successfully with the cure rate of 100%.The complication rate in the operation was 11.1%,including 2 patients with ureteral submucosal false passage.Conclusions: Treatment of ureteral steinstrasse with ureteroscope and pneumatic lithotripsy is minimally invasive and effective.