Ureteroscopy and Laser Stone Surgery
Ureteroscopy uses a very fine telescope passed through the urethra and bladder into the ureter and kidney. Stones are broken into small fragments with a laser (laser lithotripsy) and removed or allowed to pass, with no external cuts.
Who Is It For?
Ureteroscopy is used for stones in the ureter that are unlikely to pass on their own, and for small to medium-sized kidney stones. It may be recommended urgently if a stone causes severe pain, infection or blockage of the kidney.
The Procedure
Performed under general anaesthetic, usually as a day procedure
A laser fragments the stone, and pieces are retrieved with a small basket and sent for analysis
A temporary ureteric stent is often placed to allow swelling to settle; this is usually removed within one to two weeks. See Having a Stent for more information.
Recovery
Most people return to normal activities within a few days
Stent discomfort, urgency and blood in the urine are common while a stent is in place
Drinking plenty of fluids is recommended
Risks
Risks include infection, bleeding, residual stone fragments needing further treatment and, rarely, injury to the ureter.
Preventing Further Stones
Stone analysis and, in some cases, blood and 24-hour urine tests help identify why stones form, so that dietary and medical measures can reduce the chance of recurrence. See our Prevention of Stones page for more information.
Dr Samuel Davies, Consultant Urologist and Robotic Surgeon, treats kidney and ureteric stones with ureteroscopy and laser lithotripsy in Brisbane. To arrange an appointment, please contact our rooms on 07 3255 0311. A referral from your GP or specialist is needed to claim a Medicare rebate.
This page provides general information only and is not a substitute for an individual consultation. All surgical and medical procedures carry risks. Before proceeding, you should seek advice from an appropriately qualified health practitioner and, if you wish, a second opinion.