Ureteroscopy and Laser Lithotripsy

A small telescope/camera is inserted into the bladder and urinary tract to look at the stone. Your urologist then breaks and/or removes your stone with a laser. Some pieces may pass in the urine over time as well.

Advantages:

  • Minimally invasive (no incisions)
  • Highly successful (in most cases >90%)
  • Low risk of complications
  • Outpatient procedure (same-day, no overnight stay required)
  • No required activity restrictions in recovery

Disadvantages:

  • Usually requires a stent, resulting in more discomfort (this can be improved with non-narcotic pain medicine)
  • Slightly longer recovery (3-5 days)

Potential Complications

  • Infection
  • Blood in urine
  • Pain from stent
  • Scar tissue formation
  • Incomplete stone treatment
  • Injury to structures such as the urethra, bladder, ureter, or kidney (rare)

Ureteral Stents

These are often inserted at the time of ureteroscopy and typically are removed in the office 5-7 days after surgery. Click on ureteral stents to learn more.