Dr Ian Smith - Urological Surgeon

BSc (Med) MBBS FRACS (Urol)


Ureteroscopy and Laser Lithotripsy

Reason for the procedure:

A Ureteroscopy is a safe and common procedure for treating Kidney stones. It allows the Urologist to access the kidney using the bodies existing channels, to treat and remove kidney stones. This means no incisions are required.


Preparation Prior to the Procedure:

You will have a urine sample 1-2 weeks prior to your procedure. Dr Smith will review these results and we will contact you if you need antibiotics prior to your procedure.


How the procedure is performed:

A Ureteroscope is passed up the urethra, through the bladder and into the kidney. The scope provides a video imagine as well as working channels for laser and other instruments. The stones are then fragmented using laser fibers, making them small enough to pass safety through your bladder and urethra without causing obstruction. This occurs within 1 - 2 weeks after the procedure. Larger fragments are removed using small baskets.

A stent is often placed at the end of the procedure. One end goes in the kidney and one end is in the bladder. This is a plastic tube that assists in draining the kidney. The stent will be removed between 1 - 6 weeks after your procedure.


Recovery:

This is a day procedure and patients return home the day of surgery. Patients usually return to normal duties the day after the procedure. It is common to experience some blood and pain when passing urine. This can be managed with paracetamol and Ural.


Risks:

Stent Irritation; some people experience irritation and pain from the stent. If you are concerned about this post procedure, please contact the rooms. Infection post procedure can occur; however, this is uncommon and is treated with antibiotics. Ureteric scaring is a very uncommon risk.