Ureteroscopy (URS)

Overview -

Ureteroscopy (URS) is a type of minimally invasive surgery that removes a stone by passing a small telescope into the urethra and into the ureter. Often, a laser is used to break the stone, allowing the smaller fragments to be removed with a gripping device. Only approximately 10-15% of urethral stones need to be surgically removed. URS is 95% effective in eliminating stones from the lower ureter and 85-90 percent effective in treating and removing stones from the upper ureter and kidney.

Treating kidney stones using ureteroscopy usually has a good outcome

Why it's done -

When your ureter is clogged with kidney stones, you'll need a ureteroscopy. Kidney stones look like pebbles and are composed up of minerals and salts present in urine. They originate in the kidney, although they can go down the ureter. A ureteroscopy may also be recommended by a urologist (a doctor who specializes in urinary system illnesses) if they detect a polyp, tumor, or abnormal tissue in the area of your urinary tract The doctor can also remove a stone, polyp, or a piece of tissue using the specific scope for lab tests.

If you have a urinary tract infection, tell your doctor or about your another condition too, you may be subjected to further testing. Among them are the following:

• To rule out any infections, a urine test is performed.

• A CT scan is used to diagnose kidney stones, as well as to determine their size and location.

• Magnetic resonance imaging (MRI) to obtain detailed images of your kidneys, bladder, and other internal organs

Surgery Procedure -

the procedure of Ureteroscope come’s under the Urology department at our hospital {Medipulse Hospital}

A ureteroscope is a long, thin tube having an eyepiece on one end and a small lens and a light on the other, is used for reteroscopy. The procedure for ureteroscopy for stones can be done in two ways. in general:

• If the stone is small, your healthcare professional will remove it with a scope inserted into the ureter. A little basket attached at the end of a wire via an extra channel in the ureteroscope will be used in this technique. The stone is collected in the basket.

• If the stone is larger, your healthcare practitioner will insert a flexible fibre into the scope and extend it up to the stone. The healthcare expert will shatter the stone into small enough bits to pass out of the body with urine using a laser beam shining through the scope.

Your healthcare professional at Medipulse hospital will select the best ureteroscopy treatment option for you based on the location, size, and kind of stone.

Risks and Complications -

Risks for surgery and anesthesia in general are:

• Problems breathing

• Reaction to medicines

• Bleeding, blood clots, infection

Risks for this procedure include:

• Injury of the ureter or kidney

• Urinary tract infection

• Narrowing or scarring of the ureter

Do’s and Don’ts after Ureteroscopy :

Do’s-

• For the next four weeks, don't lift anything heavier than ten pounds.

• For the next two weeks, don't drive a car and keep long automobile excursions to a minimum.

• For the next four weeks, no intense exercise is allowed, and stair climbing should be kept to a bare minimum.

• NO squeezing or straining during bowel motions; if necessary, take a laxative.

Don’ts

• Drink plenty of water to keep your pee flowing freely. (This will wash out tiny clots that are still forming as a result of the healing process.)

• Keep a urinal handy. (You may not have much notice that you need to empty your bladder.) For the first few weeks of healing, some dribbling and poor control is to be expected.)

• You may get pain in your kidneys or become quickly exhausted. You may need to conduct less rigorous activities while you heal if this happens.

Insurance Covered – Following insurances are covered for Ureteroscopy :

 The average length of stay - entails 1 days in hospital & 5-7 days to fully recover. 

Doctors who perform URS Surgery procedure :