Ureteroscopy

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:

  • Non-surgical.
  • Out-patient.
  • High success rate.
  • Only takes 1 hour to perform
  • Safe.
  • The least invasive.
  • Low risk of infection.
  • Symptoms:
  • Problematic urination.
  • A fluctuating pain in the lower back, groin, or abdomen area.
  • Reduced volumes of urine.
  • Urgency of urination.
  • Frequent fevers.
  • Vomiting.
  • Penile/ testicular aches.
  • Occasional chills.
  • Nausea.
  • Occurrence of blood in the urine.

Diagnosis Tests:

  • X-ray.
  • Urine Analysis.
  • Blood test.
  • Imaging tests:
  • Helical CT scans.
  • Ultrasound test for pregnant women.

Preparation:

  • 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.

Ureteroscopy Procedure:

  • 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

Ureteroscopy Complications:

  • 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.