LITHOTRIPSY
Flexible Ureteroscopy and Laser Lithotripsy
Flexible Ureteroscopy and Laser Lithotripsy offers a highly effective, incision-free solution. This advanced, minimally invasive procedure allows urologists to find and pulverize stones located deep within the kidney, restoring your comfort and health with minimal downtime.
Ureteroscopy is a procedure used to treat stones located in the ureter or the kidney. Unlike older surgical methods, this technique requires no external incisions.|
A urologist uses a thin, flexible instrument called a ureteroscope, which is equipped with a high-definition camera. This scope is passed through the natural urinary opening (the urethra), through the bladder, and up into the kidney. The “flexible” nature of the scope allows the surgeon to navigate the complex, winding channels of the kidney to locate stones that were previously difficult to reach.
How Laser Lithotripsy Works
Once the kidney stone is located, the “laser” portion of the treatment begins. The process is highlighted below:
1. Fragmentation: A tiny laser fiber (Holmium or Thulium) is passed through the scope.
2. Dusting and Breaking: The laser delivers precise pulses of energy to break the stone into smaller fragments. Depending on the stone’s size, it may be broken into small “gravel” or “dusted” into fine particles.
3. Removal: Larger fragments are removed using a tiny retrieval basket, while smaller “dust” particles pass naturally and painlessly through your urine over the following days.
Why Choose Flexible Ureteroscopy?
This procedure has become a preferred choice for both patients and surgeons due to its high success rate and safety profile.
No Scars: Since the procedure uses natural body openings, there are no surgical cuts or scars.
High Clearance Rate: It is exceptionally effective for stones that are too hard or too poorly positioned for Shockwave Lithotripsy (ESWL).
Day Surgery: Most patients go home the same day and can return to work within 48 to 72 hours.
Treats Multiple Stones: A surgeon can often treat several stones in different parts of the kidney during a single session.
The Recovery Process
Following the procedure, a small, soft tube called a ureteral stent is often temporarily placed in the ureter. The stent ensures that the ureter remains open despite any swelling, allowing stone fragments and urine to drain freely from the kidney to the bladder. It is typically removed in a quick follow-up appointment a few days later.
Post-Procedure Tips:
Hydration: Drink plenty of water to help flush out the remaining stone dust.
Activity: Most patients can resume light activity the next day, though strenuous exercise should be avoided until the stent is removed.
For more information, please refer to the BAUS leaflet