Ureteroscopy (2024)

FAQs

Can ureteroscopy remove all kidney stones? ›

Ureteroscopy is not a particularly good treatment for:

Patients with large stones: Ureteroscopy requires actively removing all stone fragments, the treatment of very large stones may yield so many fragments that complete removal becomes impractical or impossible.

What are the success rates of ureteroscopy? Depending on stone size, location, and number, success rates vary anywhere from 50% – 90%. Ask your surgeon to discuss success rates tailored to your particular stone disease.

A total of 119 patients were identified as having a failed ureteroscopy during our study period. First-time and recurrent stone formers accounted for 64 (53.8%) and 47 (39.5%) patients, respectively. Median stent duration to second procedure was 17 days (average 20, range 10–84).

The risks of ureteroscopy treatment include infection, bleeding and injury to the ureter.

Conclusion: Routine placement of a ureteral stent is not mandatory in patients without complications after ureteroscopic lithotripsy for impacted ureteral stones. Stent placement can be argued and agreed with the patients preoperatively in the light of the data presented above.

Extracorporeal shock wave lithotripsy is a technique for treating stones in the kidney and ureter that does not require surgery.

For ureteral stones under 7mm, ureteroscopy with basket extraction is typically a successful treatment. Stones in the ureter measuring 7mm or larger may require laser lithotripsy to first break up the stone so that it can successfully be removed in fragments.

The nature of the two procedures is very different. Shock wave lithotripsy is typically a completely noninvasive modality that may have success rates that are a little lower than ureteroscopy. Ureteroscopy is little more invasive, but for certain stones success rates may be higher than that of shock wave lithotripsy.

Mean overall cost was significantly lower for URS ($2801) compared to SWL ($3627) (p = 0.03). The included studies had high risk of bias overall. On sub-analysis, URS was significantly cost-effective for both stones < 10 and ≥ 10 mm and for proximal ureteric stones.

After the Procedure

These may include the following: You will need to rest for 24 hours. You should have someone stay with you during that time.

Can you pass blood clots in urine after ureteroscopy? ›

Call your doctor or nurse advice line now or seek immediate medical care if: You have pain that does not get better after you take pain medicine. You have new or more blood clots in your urine. (It is normal for the urine to be pink for a few days.)

Removal of calculi from the urinary tract by means of ureterorenoscopy (URS) is one of the most frequent surgical procedures in urology. A catheter is usually left in the urinary bladder after the procedure.

Results: Ureteral stent discomfort, ureteral wall injury and stone migration are the most frequently reported complications. The worst complications include urosepsis, multi-organ failure and death.

The risk of death after ureteroscopy is 0.03% if you don't go into sepsis, so a very safe procedure. However, the interesting thing is if you did go into sepsis, that rate goes up to 0.82%.

Although most kidney stones pass on their own, your doctor may decide that surgery is the best treatment if you have stones lodged in the ureters, the tubes that carry urine from the kidneys to the bladder; large or particularly painful kidney stones; stones causing an obstruction of urine flow; or stones resulting in ...

While having 420 kidney stones sounds uncomfortable, it's a long way off the world record. In 2009, a doctor in India removed 172,155 stones from a patient's left kidney during a three-hour surgery, according to Guiness World Records . Use #NewsfromElsewhere to stay up-to-date with our reports via Twitter .

The nature of the two procedures is very different. Shock wave lithotripsy is typically a completely noninvasive modality that may have success rates that are a little lower than ureteroscopy. Ureteroscopy is little more invasive, but for certain stones success rates may be higher than that of shock wave lithotripsy.