What is Ureteroscopy?
Ureteroscopy is a procedure where a small telescope is passed up the urethra (pee channel) into the bladder and up into the ureter (the tube that drains the kidney). A stone that is obstructing the ureter is identified and broken into small pieces by a laser on the end of the telescope. The pieces are then removed.
If The Operation Is Done After Hours
You will arrive at the hospital emergency department 3 hours prior to the operation time with the paper work given to you by the office. The ER will admit you and your blood work will be taken. You will then be taken to the Pre-Operative holding area.
PLEASE EXPECT long wait times for emergency cases. Often your operation will be later than expected due to other more emergent surgery. For the operation you will be given a ‘general anesthetic’, which means you will be asleep.
Possible Outcomes Of The Operation:
- We try our best to remove the stone but we are cautious to not do damage therefore often only a stent is placed to relive the obstruction and you are brought back another day for the completion of the stone treatment.
- Only part of the stone could be removed and a second procedure is needed to complete the removal. This is only for very large stones.
- We are able to break the stone into many small fragments but to ensure the stones pass easily afterwards a small stent is left in place to allow dilation of the ureter and ease of passage of stones.
- Stents are important in preventing further obstruction of the ureter after the stone treatment since the ureter can become very inflamed and can close off.
- It is usually left in for 5-7 days depending on the degree of inflammation.
- It is usually left with the string attached that will be taped to the penis or to the lower abdomen.
- PLEASE BE CAREFUL NOT TO PULL IT OUT ACCIDENTALLY.
- Either you or I can pull out the stent on the directed day.
- The stent will cause some discomfort such as:
- A feeling of needing to go pee due to the stent activating the sensors on the inside of the bladder.
- A feeling of pressure in the kidney when you go pee due to urine traveling backwards up the stent during bladder contraction.
- Blood in your urine is normal with a stent in place.
Reasons to See You Doctor:
- Your pain is not controlled by the medication provided
- It is normal to have some discomfort after the procedure.
- It is normal to have pain in the bladder and kidney while the stent is in place
- Inability to urinate
- Fevers or Chills