Ureteroscopy is a procedure in which the stones in the kidney or ureter are removed. A long, thin tube called a ureteroscope is introduced into the ureter in this procedure. Two types of cystoscopy can be done depending on the size and location of the stone. In the case of a small stone, the scope that has a small basket at the end is introduced. However, if the stone is significant, a flexible fibre is introduced to break it down into small fragments before removing them through the scope.
Before undergoing ureteroscopy, a urine sample is collected to rule out urinary tract infections. The patient may be asked not to urinate before the procedure. During ureteroscopy, a mild sedative or general anaesthesia is given. Ureteroscope is gently introduced into the bladder and gently advanced into the ureter. Depending on the site and size of the stone, the best ureteroscopic method is decided.
After the procedure, the patient is advised to take an antibiotic to prevent infection. He is asked to take an adequate amount of water and apply a warm, damp cloth near the urethra to get some relief from the pain. The patient may notice a small amount of blood in urine after the procedure is done. Most of these effects are temporary and will disappear within one or two days.
Description | Cost |
---|---|
Avg Cost of ureteroscopy in India |
Rs 1,20,000 |
Avg Cost of ureteroscopy in Hyderabad |
Rs 1,20,000 |
Description | Cost |
---|---|
Number of days in the hospital |
Immediate discharge |
Type of surgery |
Minor |
Anaesthesia type |
General |
Recovery |
5-7 days |
Duration of the procedure |
1-3 hours |
Surgery |
Minimally invasive |
Some of the most common risks associated with ureteroscopy are chances of infection, bleeding, and injury to the ureter, leading to stricture formation. The patient may experience complications related to general anaesthesia like problems during respiration, bleeding, or adverse interaction with other medicines that he might be taking.
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Individuals who complain of blood in urine undergo ureteroscopy. It is also performed when there is an obstruction in the ureter or kidney due to stones or the growth of a tumour. Ureteroscopy is usually preferred for pregnant women and people who have stones in the ureter, very close to the bladder.
Ureteroscopy is an outpatient procedure and is a minor procedure. It takes 1-3 hours to complete the procedure.
Thedoctor will mention a few preventive measures that can be taken to reduce the chances of recurrence of stones. Some of the most common methods are taking adequate amounts of fluid, avoiding vitamin C-rich supplements, consuming more good items rich in calcium, and eating less protein-rich food.
It takes one to three hours for the procedure to complete, provided there are not any complications.
Laser lithotripsy can cause damage to the kidneys. Using a laser to break down the larger stones into smaller fragments can obstruct the normal flow of urine. Other complications that can occur are high blood pressure or kidney failure.
It usually takes one to two days to recover from laser lithotripsy completely. The patient is advised to take a sufficient amount of water to flush out the stones. No supplement diet or additional measures are taken to recover from laser lithotripsy.
Kidney stones that are larger than 0.5 cm in size require surgery. Stones of less than 2 cm in size can be removed through ureteroscopy or shock wave lithotripsy. Stones more than 4 cm in size can be removed by percutaneous nephrostomy. Stones that are 2-4 cm in size can be removed using percutaneous nephrostomy or staged ureteroscopy.