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Ureteroscopy

Overview

Ureteroscopy (URS) is a minimally invasive procedure used primarily to diagnose and treat conditions affecting the ureters, such as kidney stones, strictures, tumors, and other abnormalities. Here’s a comprehensive overview of the procedure:
  • Definition: Ureteroscopy is a procedure where a thin, flexible tube (ureteroscope) is inserted through the urethra, bladder, and into the ureter to visualize and treat various conditions.
  • Indications: Commonly used for removing kidney stones, treating ureteral strictures, performing biopsies, and managing tumors.
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Dr. Kumar Saurav
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Raj Kumar Choudhuri
Dr. Raj Kumar Choudhuri
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How is Ureteroscopy done?

Pre-Procedure Assessment:
  • Medical History: Review of the patient’s medical history, including any allergies, medications, and previous surgeries.
  • Physical Examination: A thorough physical exam may be conducted.
  • Imaging Studies: X-rays, CT scans, or ultrasounds may be performed to identify stones or other abnormalities.
Patient Instructions:
  • Fasting: Patients are usually instructed to fast for several hours before the procedure.
  • Medications: Some medications may need to be adjusted or temporarily stopped, particularly anticoagulants.
  • Pre-Procedure Testing: Blood tests or urine tests may be ordered to ensure safety during the procedure.
Anesthesia:
  • The procedure is typically performed under general anesthesia or sedation, depending on the complexity and duration.

Access:
  • The ureteroscope is carefully inserted through the urethra into the bladder and then advanced into the ureter.
Visualization:
  • The ureteroscope is equipped with a camera and light source, allowing the physician to visualize the interior of the ureter.
Intervention:
  • Stone Removal: Using specialized tools, stones can be grasped and removed or fragmented with lasers.
  • Stricture Treatment: Dilatation or stenting may be performed to alleviate strictures.
  • Biopsy or Tumor Removal: Any suspicious lesions can be biopsied or resected.
Post-Procedure:
  • A ureteral stent may be placed to facilitate urine flow and minimize complications, which may need to be removed after a few days.

Common Complications:
  • Infection: Urinary tract infections can occur post-procedure.
  • Bleeding: Minor bleeding is common, but severe bleeding is rare.
  • Perforation: Rarely, the ureter or kidney may be perforated, requiring surgical intervention.
  • Stent-related Discomfort: Patients may experience discomfort from the ureteral stent.
Long-Term Complications:
  • Recurrence of stones or strictures may necessitate further procedures.
What are the benefits Ureteroscopy?
  • Minimally Invasive: Reduced recovery time and less pain compared to open surgery.
  • Effective Treatment: High success rate for stone removal and treatment of ureteral conditions.
  • Quick Recovery: Most patients can go home the same day and return to normal activities within a few days.

Infrastructure & Facilities

Required Facilities:
  • Surgical Suite: A sterile operating room equipped with necessary surgical instruments and monitoring devices.
  • Imaging Equipment: Access to imaging tools like fluoroscopy for guidance during the procedure.
  • Recovery Area: A post-anesthesia care unit for monitoring patients after the procedure.
  • Staffing:Trained urologists, anesthesiologists, and nursing staff are essential for safe and effective care.

Conclusion

Urethral Stricture Surgery can significantly improve urinary function and quality of life for patients suffering from this condition. A thorough understanding of the procedure, potential complications, and postoperative care can aid in preparing patients for a successful outcome. Always consult with a healthcare professional for personalized advice and treatment options.

FAQs

The procedure typically takes 30 minutes to an hour, depending on the complexity.

Some discomfort is expected, but pain is usually well-managed with medications.

Most patients can resume normal activities within a few days, though strenuous activities may be limited for a week or two.

A ureteral stent is often placed to facilitate healing, and it may need to be removed after a few days.

While ureteroscopy effectively removes stones, recurrence can occur, particularly if underlying conditions (e.g., metabolic disorders) are not addressed.

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Copyright 2025 TRSCH - All Rights Reserve

Website Design and Development by Sterco Digitex

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