Ureteroscopy is a highly effective, minimally invasive procedure used to diagnose and treat conditions affecting the ureter and kidneys. Whether it's for removing kidney stones, addressing tumours, or investigating abnormalities, ureteroscopy provides a less invasive alternative to traditional surgery. This procedure uses a ureteroscope—a thin, flexible tube equipped with a light and camera—to examine the ureter and kidney, providing a clear, real-time view of the area.

When is Ureteroscopy Needed?

Ureteroscopy is commonly used to address several urinary tract issues, including:

• Kidney Stones: Small stones in the ureter or kidney can be removed using various tools.
• Ureteral Tumors: Abnormal growths or lesions may be biopsied or treated.
• Blockages: Ureteral blockages caused by stones, swelling, or other issues can be treated or temporarily relieved with stents.
• Chronic Infections: Ureteroscopy can help identify the underlying cause of recurrent urinary tract infections (UTIs).

The Ureteroscopy Procedure: What to Expect

The ureteroscopy procedure is typically performed under general anaesthesia, ensuring you remain relaxed and comfortable throughout. Here's a breakdown of the steps involved:

Preparation for Ureteroscopy

Before the procedure, your urologist will review your medical history and perform any necessary tests to ensure ureteroscopy is the right approach for your condition. You may be advised to fast for a few hours prior to the procedure.

Insertion of the Ureteroscope

Once the anaesthesia takes effect, the ureteroscope is inserted through the urethra and into the bladder. It is then guided up the ureter and into the kidney if necessary. The ureteroscope is equipped with a camera that displays the inside of the ureter and kidney on a monitor, allowing your urologist to carefully inspect the area.

Diagnosis and Treatment

During the procedure, the urologist can address various issues, including:

• Stone Removal: If kidney stones or ureteral stones are present, they can be removed using small baskets, laser lithotripsy (which breaks the stone into smaller fragments using a laser), or other tools.
• Tumour Biopsy or Treatment: If a tumour or abnormal growth is found, a biopsy may be performed for further analysis, or the tissue may be treated with specialized instruments.
• Stent Placement: In some cases, a stent is placed to relieve blockages or provide temporary drainage, which can help with healing and prevent further complications.

Completion of Procedure

Once the necessary diagnostic or therapeutic actions are completed, the ureteroscope is carefully removed. Most patients are then transferred to the recovery area for observation.

Recovery After Ureteroscopy

After the ureteroscopy procedure, you may experience mild discomfort, but most patients recover quickly. Here’s what you can expect:

• Temporary Symptoms: It’s common to experience some blood in the urine (hematuria), increased frequency, or discomfort while urinating for a few days after the procedure.
• Drinking Fluids: To help flush out any remaining particles or debris, it’s essential to drink plenty of water in the days following the procedure.
• Post-Procedure Care: Your urologist may prescribe pain medication, antibiotics to prevent infection, or anti-inflammatory drugs to help manage any discomfort.

You’ll likely be able to resume normal activities within a few days but avoid strenuous physical activity for a few weeks, depending on your specific condition and treatment.

Why Choose Ureteroscopy?

Ureteroscopy offers numerous advantages over traditional surgery, including:

• Minimally invasive: The procedure requires no large incisions, reducing the risk of infection and scarring.
• Faster recovery: Most patients can return to normal activities within a few days.
• Precision: The ureteroscope’s camera allows the urologist to pinpoint the problem accurately and treat it effectively.
• Less pain and discomfort: The procedure typically involves minimal pain and discomfort compared to open surgery.

Ureteroscopy is a highly effective, minimally invasive procedure that provides a precise diagnosis and treatment for conditions affecting the ureter and kidneys. Whether you need to remove kidney stones, treat a tumour, or resolve blockages, ureteroscopy can help you achieve better health with minimal disruption to your daily life.

If you’re experiencing symptoms related to kidney or ureteral issues, consult with Dr. Aditya Sharma, the top urologist in Lucknow. He can help you explore the best treatment options for your specific condition and ensure a smooth, speedy recovery.