Ureteroscopy is a non-invasive technique used for the treatment of ureteric stones. It is very vcommon specially for stones towards the lower ureteral half, close to the bladder.
Ureteroscopy is a good choice for patients with obesity/ pregnancy/ blood clotting disorders.
Advantages Of Ureteroscopy:
- High success rate.
- Only takes 1 hour to perform
- The least invasive.
- Low risk of infection.
- Problematic urination.
- A fluctuating pain in the lower back, groin, or abdomen area.
- Reduced volumes of urine.
- Urgency of urination.
- Frequent fevers.
- Penile/ testicular aches.
- Occasional chills.
- Occurrence of blood in the urine.
- Urine Analysis.
- Blood test.
- Imaging tests:
- Helical CT scans.
- Ultrasound test for pregnant women.
- General anaesthesia for sedation.
- Avoid eating/ drinking 6 hours prior to the lithotripsy.
- Avoid blood thinning agents like clopidogrel/ aspirin/ warfarin.
- Continue with other regular medicines, but with minimal water intake.
- A thin viewing instrument named the ureteroscope is inserted into the urethra.
- Through the urethra and the bladder the ureteroscope is further inserted into the ureter.
- The stone in the ureter, is located through this viewing deivce.
- With the help of forceps/ the basket instrument, the dmaller stones are removed.
- For larger stones, pulse dyed laser beams are used to break them up.
- And then removed by the forceps.
SWL Not Recommended For Patients Who Have:
- Abdominal surgery.
- Pelvic Surgery.
- Uretery injury.
- Enlarged prostrate
- The ureteroscopy risks include:
- Slight bleeding.
- UTI- Urinary tract infection.
- Uretery injury.
- Abdomeninal aches.
- Burning sensation during urination.
Prevention & Precaution is Better than Cure:
- It’s usually recommended that someone stays with you for the first 24 hours after surgery. This is in case you experience any symptoms.
- Timely intake of prescribed painkillers and antibiotics.
- Alpha-blockers/ Calcium antagonists.
- Avoid smoking/ alcohol.
- Healthy balanced meals.
- Switch to a low-fat/ balanced diet.
- High intake of water.
- Certain dietary changes:
- Foods to avoid: oxalate-rich foods like spinach, peanuts, rhubarb, wheat germ.
- Avoid tofu, tea, coffee, beans, berries, oranges, sweet potato.
- Avoid fatty foods.
- High intake of fibrous foods.
- Adapt a healthy lifestyle and a strict diet.
- Regular check-up and tests.
All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient. Only a well experienced urologist should perform the above treatment.