Kidney stones can become trapped anywhere in the urinary tract, including the kidney and the ureter. The ureter is a tube that carries urine from the kidneys to the bladder. If a stone gets stuck in the ureter it can cause a blockage and the back-up of urine into the kidney. They can also be quite painful.
Laser lithotripsy is used to break apart the kidney stone so that it can pass through the ureter. The pieces will either be removed by the surgeon using a special basket or left in place where they will move from the ureter to the bladder, then out of the body with the urine.
Laser lithotripsy may be chosen if other non-surgical treatments have failed or if kidney stones are:
Too large to pass
Irregular in shape
Causing bleeding or damage to surrounding tissue
Complications are rare, but all procedures have some potential risk. Your doctor will review potential problems, like:
Increasing or large amounts of blood in the urine
Injury to the urinary tract
A temporary stent (placed to keep the ureter open) may move out of position
Need for additional procedures to remove stone fragments that do not pass
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
A ureteroscope is an instrument with a long thin tube that is hollow like a straw. The doctor can use this scope to view the urinary tract, find kidney stones, and pass instruments to the stone.
The scope enters the urinary tract through the urethra, the tube that carries urine out of the body. The scope continues to pass through the urethra, bladder, and into the ureter or kidney (if necessary) to access the stone.
Once the doctor sees the stone, a fiber will be sent through the scope to the stone. The fiber can create a laser beam to break up the stone. Small pieces may be removed using a basket that is passed through the scope. Small sand-like pieces may remain and will be gradually passed through the urine.
A temporary stent may be placed in the ureter. The stent will keep the ureter open, improve urine flow, and help the stone pieces pass. The stent will be removed after a few days or weeks.
How Long Will It Take?
Up to 1 hour
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. The ureter and bladder can spasm, and cause pain after the surgery. There may also be some pain or discomfort in the back. Stents can also cause discomfort. Pain and discomfort after the procedure can be managed with medications.
At the Care Center
The medical team will monitor your recovery including your blood pressure, pulse, and breathing. Recovery may also include:
Antibiotics to decrease the risk of the infection
X-rays to look for remaining stone fragments or confirm the stent placement
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
Washing their hands
Wearing gloves or masks
There are also steps you can take to reduce your chances of infection such as:
Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Full recovery can take 1-2 weeks. Fatigue and discomfort is common but will fade during recovery. It may require minor changes to your daily routine.
Call Your Doctor
Call your doctor if any of these occur:
Inability to urinate
Pain that cannot be controlled with the medications you were given
Redness, warmth, excessive bleeding, or drainage
Signs of infection, including fever or chills
Persistent nausea or vomiting
Increasing or large amounts of blood in the urine
New or worsening symptoms
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 8, 2018.
Surgery for kidney stones. Washington University School of Medicine in St. Louis website. Available at: https://urology.wustl.edu/Patient-Care/Kidney-Stones/Surgery-for-Kidney-Stones. Accessed March 8, 2018.
Ureteroscopy. National Kidney Foundation website. Available at: https://www.kidney.org/atoz/content/kidneystones_ureteroscopy. Accessed March 8, 2018.
Ureteroscopy and laser lithotripsy. University of Florida Department of Urology website. Available at: http://urology.ufl.edu/patient-care/stone-disease/procedures/ureteroscopy-and-laser-lithotripsy. Accessed March 8, 2018.
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