An incision will be made in your side or abdomen. The incision location will depend on exactly where the stone is. Both muscle and skin will need to be cut to expose the ureter. The stone will be located in the ureter. An incision will be made in the ureter just above the stone. The stone will then be removed. A stent may be placed in the ureter. This is a device to help keep the ureter open. The ureter will then be sewn shut with stitches. The muscles and skin will then be sewn shut with stitches or staples. A tube may be placed in the wound. It will help drain out any extra fluids while the wound heals.
The stone may be sent to a laboratory for testing.
Immediately After Procedure
After the operation, you will be taken to the recovery room for observation. X-rays may be taken to make sure the stone was completely removed.
How Long Will It Take?
About 60-90 minutes
How Much Will It Hurt?
Anesthesia prevents pain during surgery. You will be given medication to help manage pain during recovery.
Average Hospital Stay
You may need to stay in the hospital for about 3 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 be removed once fluid stops draining from the wound. This generally happens 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 until you are able to move around on your own.
You will be given pain medication as needed.
You may be encouraged to exercise by walking the day after surgery.
You may be given blood thinning medication to prevent clots.
It can take 4 to 6 weeks to fully recover from this procedure. Follow your doctor's instructions about activity restrictions. Ask our doctor when you can resume 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
Persistant nausea or vomiting
Pain that you cannot control with the medications you were given
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. Updated February 2013. Accessed March 7, 2018.
Skrepetis K, Doumas K, Siafakas I, Lykourinas M. Laparoscopic versus open ureterolithotomy. A comparative study. Eur Urol. 2001;40(1):32-36.
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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