Minimally Invasive Ureteroscopy for Kidney Stone Removal

The kidneys function as vital filters, removing waste chemicals and excess fluids from the body through urine. While most substances are safely expelled, some chemicals can crystallize and form stones within the kidneys. These stones vary in size and may require different treatments based on their dimensions. Small stones can often be dissolved with medication, but larger ones may necessitate surgical intervention.

Ureteroscopy, a common endoscopic treatment for kidney stones, involves:

This procedure, called ureteroscopy, typically lasts about an hour and is performed with either general or spinal anesthesia. Surgeons guide a small telescope, known as a cystoscope, through the urethra to access the bladder, using X-ray imaging for guidance.

The cystoscope allows the doctor to examine the bladder for any issues. A thin guide wire is then inserted through the cystoscope, followed by the removal of the cystoscope and insertion of a ureteroscope directly toward the stone.

The ureteroscope can either extract the stone directly or use a tiny laser to fragment it, enabling it to dissolve and pass naturally through urine.

Post-procedure, a temporary urinary catheter is placed in the bladder to facilitate normal urination.

Recovery and aftercare

Patients are monitored in the recovery area for at least 24 hours until they can urinate comfortably on their own.

Driving immediately after the procedure is not recommended; arrange for transportation. Doctors prescribe pain relief medication as needed.

It’s normal to experience slight discomfort or stinging during urination initially. Drinking plenty of fluids helps flush out residual stone fragments.

Most individuals resume normal activities within 2 to 3 days. Watch for potential complications such as urethral injury or blockage.