Ureteroscopy(URSL)
Ureteroscopy with lithotripsy (URSL) is a minimally invasive procedure used to treat stones located in the ureter or kidney.
overview
This technique involves the use of a ureteroscope—a thin, tube-like instrument with a light and camera on the end—that is inserted through the urethra and bladder and then into the ureter. This allows the urologist to locate and treat stones without the need for open surgery.
URSL is most commonly used for stones that are too large to pass naturally or are causing symptoms such as pain, bleeding, or infection. Once the stone is located, various tools may be used to either remove it directly or break it into smaller pieces using a laser (often Holmium laser). The smaller fragments can then be extracted or allowed to pass naturally through the urine.
Symptoms & Diagnosis
The entire procedure is typically done under general anesthesia and usually takes between 30 minutes to an hour, depending on the number and size of stones. Most patients can return home the same day, although some may need to stay overnight for observation. Recovery is generally quick, and normal activities can often be resumed within a few days.
How is it Performed?
- Performed under general anesthesia.
- A ureteroscope is passed through the urethra and bladder into the ureter.
- A Holmium laser is commonly used to break stones.
- Fragments are removed or left to pass naturally.
- A stent may be temporarily placed to help urine flow and reduce swelling.