Ureteroscopy and Laser Stone Surgery

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Who is suitable for ureteroscopy and laser stone surgery?

What are the advantages of ureteroscopy and laser stone surgery?

How is ureteroscopy and laser stone surgery performed?

What to expect after ureteroscopy and laser stone surgery?

Procedure outcomes

INTRODUCTION

Ureteroscopy is a minimally-invasive procedure that allows for the detection and correction of problems in the upper urinary tract. It is commonly performed in patients that have kidney stones or stones in the ureter. Ureteroscopy is often performed to enable laser stone surgery, in order to break up the kidney stones and allow them to pass safely.

Doctors Shekib Shahbaz and Tony De Sousa of Melbourne Urology Centre are experts in performing laser stone surgery. They use a start-of-the-art high powered holmium laser and the new ‘Moses’ technology, which allows them to perform very safe, fast and effective stone fragmentation.

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Who is suitable for ureteroscopy and laser stone surgery?

  • Those experiencing symptoms related to kidney stones including
  • Back or flank pain
  • Sweating and nausea
  • Blood in the urine
  • Those who have tried other non-surgical treatments that have not worked
  • Those who have kidney stones that are too large to pass without intervention.
  • Stones less than 1.5cm in size

What are the advantages of ureteroscopy and laser stone surgery?

  • No skin incisions are required
  • Ureteroscopy gives the surgeon a very clear view of the urinary tract
  • Moses technology allows for virtually any stone type to be broken
  • Shorter hospital stay and faster recovery, compared to traditional kidney stone surgery (PCNL). PCNL is generally reserved for patients with a larger stone burden

How is ureteroscopy and laser stone surgery performed?

  • The procedure is performed under general anaesthetic and may take up to an hour to complete
  • A small telescopic instrument (ureteroscope) is passed into the urethra and bladder, then into the ureter and kidney
  • The stone is located and the holmium laser combined with Moses technology are used to break it up
  • Larger stone fragments may need to be removed by the surgeon whilst smaller, sand-like fragments remain to be gradually passed through the urine
  • In some cases, a temporary stent is placed in the ureter in order to keep it open and help any remaining stone fragments to pass

What to expect after ureteroscopy and laser stone surgery?

  • The recovery is done at home, with normal light activities able to resume as soon as the next day
  • If you have a stent in place, you will need to return to have it removed after a week or so
  • During this time it is not uncommon to see some blood in the urine in the days following the procedure. You may also feel the urge to urinate frequently
  • It is important to drink plenty of water to help with flushing the stone fragments out through the urine

Procedure outcomes

  • Most patients will still have some discomfort in the flank area or bladder for a few days following the procedure
  • Moses technology and high-powered holmium laser allows the large majority of patients to be treated with one procedure
Request an Appointment

We are here to assist you before, during and after your visit to the Melbourne Urology Centre. To request an appointment, simply complete the form below and we will contact you within 48 hours to confirm your appointment with us. For urgent enquiries or consulations please contact us on 1300 702 811