Large Spontaneous Steinstrasse: An Unusual Occurrence

Steinstrasse, a German word for “Stone Street” is described as column of stone fragments in the ureter following extracorporeal shock wave lithotripsy (SWL). It is a well-recognized, transient, and usually asymptomatic complication of SWL that occurs in 4%–7% of cases. Majority of steinstrasse clears spontaneously, about 6% require intervention. Spontaneous steinstrasse without prior history of SWL is a rare occurrence and only few case reports have been reported. We herein present a rare case of massive spontaneous steinstrasse in a young male and discuss its aetiology and management.