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Doctor insights on: Ureteroscopy

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Dr. James Krick
56 doctors shared insights

Ureteroscopy (Overview)

A ureteroscopy is performed in the operating room with general or spinal anesthesia to inspect the ureter for tumor or stones. A small, flexible, fiberoptic ureteroscope is introduced into the bladder, through the ureteral orifice, then up the ureter toward the kidney. A camera captures the image and displays it on a screen for the surgeon.


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How long does the ureteroscopy take?

How long does the ureteroscopy take?

A few mionutes: A ureteroscopy would be in addition to a cystoscopy - either usually only require a few minutes to accomplish. ...Read more

Dr. James Krick
56 doctors shared insights

Ureteroscopy (Overview)

A ureteroscopy is performed in the operating room with general or spinal anesthesia to inspect the ureter for tumor or stones. A small, flexible, fiberoptic ureteroscope is introduced into the bladder, through the ureteral orifice, then up the ureter toward the kidney. A camera captures the image and displays it on a screen for the surgeon.


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What is the process for a ureteroscopy?

What is the process for a ureteroscopy?

Several steps.: A ureteroscopy is performed in the or with general or spinal anesthesia to inspect the ureter for tumor or stones. For stones, general anesthesia is preferred so that your breath can be held during treatment. You are on your back, in lithotomy position, & a ureteroscope is introduced into the bladder, then up the ureter toward the kidney. Sometimes after the procedure, a ureteral stent is placed. ...Read more

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Where do I go to get an ureteroscopy done?

Where do I go to get an ureteroscopy done?

Urology: A urologist will do this. Often in an operating room suite. ...Read more

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What can I expect during and after a ureteroscopy?

Pain: You should be under anesthesia for ureteroscopy, so you shouldn't feel anything during the procedure. Afterwards, you will likely have a ureteral stent in place to prevent spasm or swelling from obstructing the flow of urine down the ureter. The stent can cause discomfort or pain. Your urologist will likely give you medication for pain and possibly for bladder spasms. ...Read more

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What is the definition or description of: ureteroscopy?

What is the definition or description of: ureteroscopy?

Visualizes ureter.: A ureteroscopy is performed in the operating room with general or spinal anesthesia to inspect the ureter for tumor or stones. A small, flexible, fiberoptic ureteroscope is introduced into the bladder, through the ureteral orifice, then up the ureter toward the kidney. A camera captures the image and displays it on a screen for the surgeon. ...Read more

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How much does it hurt after a ureteroscopy and for how long?

Variable: Most common symptoms after ureteroscopy are urgency (sensation to void), frequency (need to void often), burning, and pain/pressure over the bladder and sometimes the flank region (back) of the side operated on, especially with voiding. Many of the symptoms are from a stent that is temporarily placed to help drainage. Symptoms usually last until the stent is removed, maybe few days longer. ...Read more

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Is a ureteroscopy considered surgery?

Is a ureteroscopy considered surgery?

Yes: Although this doesn't require that anyone use a scalpel and cut something, many consider the process surgery. If you consider that it is often done in a surgical suite or procedures room, under local or general anesthesia, with all the drapes and sterile equipment, it fits the same general pattern. ...Read more

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Ureteroscopy done but no kidney found, what the recovery time?

Ureteroscopy done but no kidney found, what the recovery time?

Is question correct: Presume you mean that no kiney stone was found at ureteroscopy. Because kidneys are usually first identified by ultrasound or ct. Recovery time from ureteroscopy is usually no more than a day or two, unless ureter or kidey was puntured. ...Read more

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Why do some patients need to be hospitalized after getting a ureteroscopy?

Many reasons: Ureteroscopy can cause post procedure pain, ureteral spasms and some patients have an infection which requires IV antibiotics. ...Read more

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Where is an ureteroscopy usually done? At a hospital?

Hospital or Clinic: A ureteroscopy is usually performed by a urologist. A urologist can perform the procedure in the operating room of a hospital. A urology clinic/center may be equipped to perform ureteroscopies on site as well because it is usually an outpatient procedure. ...Read more

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Do I have to be out of work for Ureteroscopy treatment,?

Yes, ...: Ask your urologist for right answer fitting your situation although it usually needs to be off work for one or two days because this procedure requires general anesthesia or IV sedation. Besides, the magnitude of procedures involved may widely vary. So, ask your urologist for specific details which fit you. ...Read more

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What is a ureteroscopy? Can this be used for removing stones from ureter?

Telescope in ureter: Instrument is a ureteroscope. Most are flexible & some are semi-rigid. This long thin instrument is passed thru the urethra, into bladder & then up the ureter toward the kidney. Small stones can be extracted via ureteroscope os some can be "pulverized" using a laser fiber thru the ureteroscope. ...Read more

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Having cystoscopy and ureteroscopy. Procedure? Have chronic pylonephris with reoccuring utis

Having cystoscopy and ureteroscopy. Procedure? Have chronic pylonephris with reoccuring utis

Sounds legit.: These are reasonable tests to have done when one has chronic pyelo. There may be an abnormality which can be seen on scope alone. ...Read more

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What to do if can't pee after ureteroscopy?

What to do if can't pee after ureteroscopy?

Urgent care/ER: Ureteroscopy also involves a cystoscopy in many cases to gain access into the bladder prior to visualizing into the ureter. During the procedure, the prostate may become inflamed, leading to temporary trouble with urinating. Can try a very hot bath to help relax and try voiding in tub but if not successful then need to go to urgent care/ER to get a catheter temporarily and follow-up with doctor. ...Read more

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What to do if I can't pee after ureteroscopy?

Urgent care/ER: Ureteroscopy also involves a cystoscopy in many cases to gain access into the bladder prior to visualizing into the ureter. During the procedure, the prostate may become inflamed, leading to temporary trouble with urinating. Can try a very hot bath to help relax and try voiding in tub but if not successful then need to go to urgent care/ER to get a catheter temporarily and follow-up with doctor. ...Read more

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What type of doctor can order an ureteroscopy?

Urologist: A urologist is the specialist usually deciding when and if a patient needs ureteroscopy. ...Read more

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I don't want general or spinal anesthesia for a ureteroscopy that is going to be upcoming what types of local anesthesia's are availible?

I don't want general or spinal anesthesia for a ureteroscopy that is going to be upcoming what types of local anesthesia's are availible?

It is possible: To try a very deep sedation, but it will be easier to put you to sleep for a light general or give you a spinal. Discuss your concerns with the anesthesiologist that day to come up with the best plan for you. ...Read more

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My wife was on hydrocodone for 3 weeks after a ureteroscopy and now has symptoms of withdrawal. Should we be concerned or will symptoms go away?

My wife was on hydrocodone for 3 weeks after a ureteroscopy and now has symptoms of withdrawal. Should we be concerned or will symptoms go away?

Yes, in about 2 days: An addiction to prescription pain killers can occur in 2 to 10 days. The body can readjust itself after the drugs are out of the system. Hydrocodone has a half life of about 4 hours, so only 6 % is left after about 16 hours. Usually, one more day later, the symptoms should abate. ...Read more

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My husband had an ureteroscopy 6 days ago and is scheduled to get his stent out in three days. He is still having a lot discomfort. Is this normal?

My husband had an ureteroscopy 6 days ago and is scheduled to get his stent out in three days. He is still having a lot discomfort. Is this normal?

Yes.: Stent induced irritation is very common, as is blood in the urine. He will be very happy when the stent is pulled (assuming all the stones are gone). ...Read more

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Can I get a ureteroscopy done while I'm on my period?

Here are some...: The presence of period should not interfere performing ureteroscopy to look into the ureter and up to the kidney. More? Ask urologist timely as long as there is no UTI as documented by UA and / or urinalysis from properly collected urine. ...Read more

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Do you have a ureteroscopy done to remove a kidney stone?

Do you have a ureteroscopy done to remove a kidney stone?

Sometimes: Number of kidney stones are amenable to trans ureteroscopic removal by laser lithotripsy or stone basket extraction if small enough. Alternatives are shockwave lithotripsty (eswl) or percutaneous nephro-lithotripsy (pcnl). Latter involves placing a tube through abdominal wall followed by a kidney-scope for stone breakup and extraction. ...Read more

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Is ureteroscopy safe for 3mm kidney stone in lower pole for me? How much chances are there of complications? How soon will i be able to sail?

Is ureteroscopy safe for 3mm kidney stone in lower pole for me? How much chances are there of complications? How soon will i be able to sail?

Renal stone: I am unsure why you would need a ureteroscopy for a non-obstructing lower pole stone? A 3 mm stone in the lower pole of the kidney, would need an eswl treatment at best. I would consider another opinion. ...Read more

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Is ureteroscopy a painful thing to go through. I have a 2mm kidney stone. Its in my left kidney. Its moved a lot its lower down my back.

Is ureteroscopy a painful thing to go through. I have  a 2mm kidney stone. Its in my left kidney. Its moved a lot its lower down my back.

Ureteroscopy : This treatment for many stones involves using a small scope to look into the ureter (kidney tube). The stone can be either removed or broken up with a laser.
After surgery there may or may not be a stent. This is a thin, soft plastic tube to keep the ureter from closing. Either way, you can expect some burning with peeing, urgency/frequency to peeing, mild pain in the side or blood in the urine. ...Read more

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Hi, I have an 8mm kidney stone in my left kidney that has recently started giving me discomfort. Which procedure is best? SWL or Ureteroscopy?

Hi, I have an 8mm kidney stone in my left kidney that has recently started giving me discomfort.  Which procedure is best? SWL or Ureteroscopy?

Here are some...: Nowadays, transureteroscopic laser stone-breaking with/without post-procedural stent is what I prefer, but the practice in managing symptomatic renal stone has evolved & changed and professional proficiency may sway how kidney stone could be handled. So, ask your urologist although through ureteroscopy is what I prefer. More? Contact me and I can help you. ...Read more

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Fri. Got a ureteroscopy on 4mm stone but doctor said he didn't find it and i mustve passed it.I didn't feel it at all if i passed it.Did i pass it?

Fri. Got a ureteroscopy on 4mm stone but doctor said he didn't find it and i mustve passed it.I didn't feel it at all if i passed it.Did i pass it?

Yes, it's possible. : It is certainly possible that you passed it without symptoms. These cases are more rare than the stereotypical patient who is in agony, but a stone with a favorable size and orientation can pass from the kidney, through the ureter, & out of the bladder without obstruction or pain. A ureteroscopy should have found the stone if present. Followup imaging may confirm this, but it is not recommended. ...Read more

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I have a lot of white small tissue pieces in my urine after 22 days ureteroscopy with laser lithotripsy and also was suspicious TCC, what I will do?

I have a lot of  white small tissue pieces in my urine after 22 days ureteroscopy with laser lithotripsy and also was suspicious TCC, what I will do?

Quite normal: Passing fragments and trash for 4-8 weeks after lithotripsy is normal. Your Urologist can run cytology and/or FISH TEST later to help determine if TCC is suspicious or present. He will answer your ??? as you progress. ...Read more

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It had ureteroscopy yesterday.Now, tonight, my urine flow is drastically reduced.Should I be worried?Urine color is normal;no blood since this morning

It had ureteroscopy yesterday.Now, tonight, my urine flow is drastically reduced.Should I be worried?Urine color is normal;no blood since this morning

Doubt a problem: I doubt this is the problem but why did you have the procedure? This is something you can discuss with your physician if you're not having any symptoms there's probably little to worry about. If you had symptoms I would wonder about a blood clot and obstruction or a kidney stone then moved and obstruction. ...Read more

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I had ureteroscopy laser lithotripsy 4 weeks ago and 4 the last 5 days have been passing large pieces of tissue, over 70. Is this normal after surgery?

I had ureteroscopy laser lithotripsy 4 weeks ago and 4 the last 5 days have been passing large pieces of tissue, over 70. Is this normal after surgery?

Clots: It is highly unlikely that you're actually passing pieces of tissue. It is somewhat common however to pass gelatinous clots of blood following ureteroscopic procedures. ...Read more