OBJECTIVE: The authors present theirexperience in the management of a rare complicationobserved during long-term use of a ureteral catheter. Thecalcification along the entire surface of the catheterfollowed by incrustation can make its removal by means ofcystoscopy difficult, thus becoming a great challenge tothe urologist.METHODS: The authors describe their experience inthe management of this complication through the analysisof two illustrative cases.RESULTS: After failing to remove the catheter usingextracorporeal lithotripsy, ureterolithotripsy wasperformed and the calcified ureteral catheter wassuccessfully removed in both cases.CONCLUSION: Ureterolithotripsy proved to be aneffective and safe method in the management of calcifieddouble-J catheter.