Page 1 - Ureteroscopy
P. 1
Urological Health
Ureteroscopy
Ureteroscopy allows the visual examination of the kidney drainage system, which is often
necessary during the investigation and treatment of various problems affecting this system.
he investigation and treatment of many problems remain conscious). Simpler cases can be performed
Tof the kidneys and their drainage system may comfortably with sedation alone.
require visual examination. The ureters are the tubes
that drain urine from each kidney to the bladder. After the anaesthetic is administered, your legs are
Ureteroscopy is a procedure in which a narrow scope elevated, spread and supported. A long, narrow
is passed through the urethra (urinary tube) and telescope (ureteroscope) is passed through the
bladder, into the ureter toward the kidney. urethra into the bladder and up the ureter to the
area of concern. X-rays are often taken during the
Ureteroscopy is performed most often to remove procedure.
a stone from the kidney or ureter. Investigation
and treatment of unexplained urinary bleeding or A stone can often be removed by trapping it in a
blockage of a ureter may also require ureteroscopy. wire “basket” and carefully pulling it out. Various
instruments including laser, ultrasound, or mechanical
energy are available to fragment larger stones and
Front view of kidneys, ureters and bladder allow their passage or removal. These specialized
instruments may not be available at all hospitals.
Upon completion of the procedure, a thin plastic
kidneys tube (ureteric stent) may be placed temporarily in the
ureter to prevent blockage while any swelling resolves.
This tube must be removed, usually within a few days
or weeks. Most patients can be discharged from
hospital on the day of their ureteroscopy.
Possible risks
ureters
Urinary infection requiring antibiotic medication is
uncommon. Rarely, abnormal scar formation may
occur and require additional surgery to correct the
problem.
After the procedure
You must arrange to be driven home if you are
discharged on the day of your ureteroscopy. You
bladder should be able to resume all your usual activities
within a few days.
urethra
Burning during urination, passing blood in the urine
and passing small clots are common for a few days
The procedure after ureteroscopy. This is related to the passage of
instruments through the urethra. To help ease these
symptoms, drink plenty of fluids and empty your
Ureteroscopy is performed under anesthesia. Most bladder frequently. Small stone fragments may be
cases will require a general anaesthetic (you are seen in the urine if the procedure was performed for
“put to sleep”) or spinal anaesthetic (a needle in stone removal.
the back “freezes” you below the waist and you
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