Ureteroscopy (URS) / Laser Lithotripsy
Ureteroscopy (URS) with laser lithotripsy is a minimally invasive treatment for stones when they are unlikely to pass naturally. A thin ureteroscope is passed through the urinary tract into the ureter or kidney. Laser energy breaks the stone into smaller fragments, which can be removed or passed through urine.
When Is URS Recommended?
A urologist may recommend ureteroscopy for kidney stones or ureter stones when symptoms persist, the stone causes blockage, or natural passage is unlikely. Treatment depends on stone size, location, symptoms, imaging, and health.
Procedure and Recovery
Your doctor may recommend urine tests and imaging to assess the stone and check for infection. URS is generally performed under anaesthesia. A ureteral stent may be placed to support urine drainage.
Benefits include minimally invasive access to stones and precise laser stone fragmentation. Mild urinary discomfort, blood in the urine, or an increased urge to urinate may occur, especially with a stent. Recovery varies.
Risks and Follow-Up
Possible risks include infection, bleeding, pain, ureteral injury, or residual stone fragments. Follow-up may include imaging or stone analysis to assess clearance. Seek medical attention for fever, severe pain, inability to urinate, or persistent heavy bleeding.