en Urology Urology پژوهشي Research <div><strong>Introduction</strong>: During recent years, considerable efforts have been expended into the management of urinary stone. Here, we present our experience on ureteric stone removal without any lithotripsy interventions. Combination direct vision with basket en-trapping provided a new dimension to our ureteroscope experience.<br> <strong>Materials and methods: </strong>Here, we reviewed the medical data of our adult patients with &le;10 mm stone size, who received primary stone extraction under direct ureteroscopic vision without lithotripsy during a 2-year period. During the six months of follow-up every patient was seen frequently.<br> <strong>Results: </strong>The study included&nbsp;69&nbsp;patients&nbsp;from&nbsp;both&nbsp;sexes with ages&nbsp;ranging&nbsp;from 18 to 68 years. We obtained 92.7% success rate. The average&nbsp;length&nbsp;of&nbsp;operative&nbsp;procedures&nbsp;was 25.3 &plusmn; 10.4 min with a 14.4 % complication rate.<br> <strong>Conclusion: </strong>Ureteral stone extraction requires considerable caution and may be associated with some complications. Stone extraction under direct ureteroscope guidance facilitates this procedure, especially in the distal stones. It seems combination direct live imaging with basket en-trapping may be helpful in these precise cases.</div> Urinary stone, Direct vision, Ureteroscopy, Basket en-trapping, Adult 1 5 http://jbrms.medilam.ac.ir/browse.php?a_code=A-10-326-2&slc_lang=en&sid=1 Hassan Niroomand hassanniroomand@ajaums.ac.ir 10031947532846002995 10031947532846002995 Yes Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Sima Binaafar s.binaafar@yahoo.com 10031947532846002996 10031947532846002996 No Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Amir Ehsan Shayegan 10031947532846002999 10031947532846002999 No Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Mohsen Varyani Varyani.uorologist@gmail.com 10031947532846002997 10031947532846002997 No Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran Bijan Rezakhaniha Reza.bijan@yahoo.com 10031947532846002998 10031947532846002998 No Trauma Research Center, AJA University of Medical Sciences, Tehran, Iran