A few small incisions will be made in your abdomen. Specialized tools will be inserted through the incisions. The tools will be used to make an incision in the side of the ureter. The stone will be removed through this incision. A stent may be placed in the ureter. This will support the ureter while it heals. The incision in the ureter will be closed with stitches. A drain may be put in place. It will help fluids drain from the area while you heal. When the tools are removed, the incisions in the abdomen will be closed with stitches. Bandages may be placed over the incisions.
The stone may be sent to a laboratory for testing after surgery.
Immediately After Procedure
After the operation, you will be taken to the recovery room for observation.
How Long Will It Take?
About 60 minutes
How Much Will It Hurt?
Anesthesia prevents pain during surgery. As you recover, you may have some pain. Your doctor will give you pain medication.
Average Hospital Stay
The usual length of your hospital stay is 2 to 4 days. If you have any problems, you may need to stay longer.
At the Hospital
You may need oxygen for a brief time after your operation.
You will have a tube near your incision. It will drain blood and fluid from the area. The tube may be removed within 3 to 4 days of surgery.
You may have an IV until you are eating and drinking normally.
You will have a catheter that will drain your urine.
You will be given pain medication as needed.
You may be encouraged to exercise by walking soon after surgery.
You may be given blood thinning medication to prevent clots.
Certain physical activities will be limited in the first few weeks such as heavy lifting or sexual activity.
Call Your Doctor
Call your doctor if any of these occur:
Extreme urge or inability to urinate
Redness or swelling at the site of the incision
Pus draining from the site of the incision
Signs of infection, including fever and chills
Pain that cannot be controlled with the medications you were given
Persistent nausea or vomiting
Cough, shortness of breath, or chest pain
If you think you have an emergency, call for emergency medical services right away.
Kidney stones. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-stones. Accessed March 7, 2018.
Patient information: Open removal of stone from ureter. Addenbrooke’s Hospital NHS website. Available at: http://www.camurology.org.uk/wp-content/uploads/ureterolithotomy-44.pdf. Updated April 2014. Accessed March 7, 2018.
Ureterolithotomy (open) consent form. Queensland Government website. Available at: https://www.health.qld.gov.au/__data/assets/pdf_file/0024/145824/urology_21.pdf. Accessed March 7, 2018.
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