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+We present a case with complex lithiasic pathology in which the stone sweeper was used as a bilateral internal urinary diversion.
+The patient was a 54-year-old male patient with 3 right renal lithiasis, the largest of which was 1.2 cm in the lower calyx, with moderate pyelocaliceal and ureteral dilatation up to the junction with the iliac vessels, where a ureteral lithiasis of 1.1 cm was located; a stone sweeper catheter was placed in this renal unit prior to ESWL treatment. On the left side, a 1 cm lithiasis was found in the lower pole, which had previously been treated with ESWL, achieving partial fragmentation; a stone sweeper catheter was also placed in this renal unit prior to a second ESWL session. The calibre of this catheter is 6.5 Fr and was maintained for a period of one month.
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+During the two stone sweeper catheters the patient reported no upper or lower urinary tract related symptoms indicating good tolerance.
+The removal of the catheters was easy, without anaesthesia and small lithiasis fragments were observed inside the baskets.
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