Ureteroscopy and laser of ureter stone

 

 



The primary application of ureteroscopy is for the treatment of stones that have failed to pass through the kidney-to-bladder tube and are now trapped there. 
An ultra-narrow, flexible or rigid scope called a ureteroscope enables urologists to travel up the ureter to the stone and view it on a video monitor using fiberoptics. 
Here, ureteroscopy employs the energy pulse of a laser beam, given directly to the stone, to chip it away into tiny bits rather than using sound waves to gradually shatter the stone. 


Because ureteroscopy is more direct than ESWL, it is more successful and leaves less stone pieces behind.

ESWL and ureteroscopy are frequently offered to patients as options. 
Although ureteroscopy and ESWL are more frequently used to treat kidney stones and ureteral stones, respectively, neither of them is a set rule. 
Patients frequently like ESWL since it is less invasive because no scopes are normally sent into the patient's bladder and no stent is put in. 
The patient frequently opts for ureteroscopy, nevertheless, given the discrepancy in stone-free rates and the certainty it frequently offers. 
Certain stones may occasionally need more than one surgery or a mix of procedures.

Stents are transient plastic tubes placed in the ureter, which connects the bladder to the kidney. 
They are meant to maintain the ureter's opening after a stone has been removed so that urine may flow and the edoema and inflammation that developed as a result of the stone and its removal can go away. 
A stent is inserted following the completion of the treatment while the patient is still unconscious, and it will often be removed in the office the following week during a brief office procedure. 
Since it is entirely inside, the stent is invisible.

Most frequently, stents are quite well tolerated. 
Only about 80% of individuals will almost always detect blood in their pee and may only experience very minor bladder discomfort and flank pain while urinating. 
All of these symptoms and signals are quite normal and will go away once the stent is taken out. 
Another 15% of patients will experience additional symptoms linked to the stent, such as mild abdominal pain, possible constipation, and increased symptoms of an irritable bladder. 
Only 5% of patients, however, may experience these symptoms as being more severe, making it impossible for them to resume their daily activities or return to work. 
As a responsible compromise in these situations, we will withdraw the stent sooner for them in the office.

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