URSL Surgery
Ureteroscopic Lithotripsy (URSL) is a minimally invasive procedure used to remove stones from the ureter (the tube connecting the kidney to the bladder). It involves the use of a ureteroscope—a thin, flexible or rigid tube equipped with a camera and instruments—to visualize and treat stones without making external incisions.
Indications for URSL
URSL is recommended for:
- Ureteral Stones: Stones that are too large to pass naturally or are causing significant pain or blockage.
- Failed ESWL (Extracorporeal Shock Wave Lithotripsy): When shock wave therapy is unsuccessful in breaking the stones.
- Obstructive Uropathy: Stones causing obstruction and leading to kidney swelling (hydronephrosis).
- Recurrent Infections: Stones associated with frequent urinary tract infections (UTIs).
Procedure Overview
Preoperative Preparation:
- Diagnostic imaging such as X-rays, CT scans, or ultrasounds is performed to assess the stone’s size, location, and density.
- General or spinal anesthesia is administered to ensure patient comfort.
- Prophylactic antibiotics may be given to reduce the risk of infection.
Accessing the Ureter:
- The ureteroscope is inserted through the urethra, passed through the bladder, and advanced into the ureter to locate the stone.
Stone Fragmentation and Removal:
- Laser energy (commonly Holmium:YAG laser) or pneumatic lithotripsy is used to break the stone into smaller pieces.
- The fragments are either removed using special forceps or baskets or allowed to pass naturally through the urine.
Post-Procedure Care:
- A ureteral stent may be placed temporarily to prevent obstruction and ensure smooth passage of urine while the ureter heals.
Benefits of URSL
- Minimally Invasive: No external incisions are needed.
- Effective for Ureteral Stones: Particularly useful for medium to large stones or stones in the lower ureter.
- Quick Recovery: Most patients can resume daily activities within a few days.
- Highly Precise: Allows direct visualization and targeted treatment.
Why Choose URSL?
- Safe and Proven: A standard treatment for ureteral stones with high success rates.
- Minimal Downtime: Quick recovery and return to normal activities.
- High Precision: Effective even for stones in challenging locations within the ureter.
If you need more information about URSL, including costs, the best hospitals, or surgeons for this procedure, feel free to ask!
Recovery and Aftercare
- Hospital Stay: URSL is usually done as a day-care procedure, with most patients discharged the same day.
- Pain Management: Mild pain or discomfort is managed with oral painkillers.
- Activity: Avoid strenuous activities for a few days.
- Hydration: Increased fluid intake is recommended to flush out residual fragments.
- Follow-Up: Imaging may be done to confirm the clearance of stones and removal of the stent if placed.
Who Performs URSL?
URSL is performed by a urologist trained in endoscopic and minimally invasive procedures. It requires specialized equipment, including a ureteroscope and laser devices.