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Doctor insights on: Ureteroscopy With Laser Lithotripsy

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Why do they knock you out for a lithotripsy?

Why do they knock you out for a lithotripsy?

Pain from procedure: Shock waves are typically applied through an interface brought into direct contact with the skin of the flank region on the side of interest. When shock waves are delivered, they can be quite uncomfortable. Anesthesia is needed to keep the patient comfortable, but also to help the patient stay still so that the shock waves can remain focused on the stone to maximize the chances of fragmenting it ...Read more

Dr. James Krick
56 Doctors shared insights

Ureteroscopy (Definition)

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 ...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?

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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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

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What's the difference between laser Lithotripsy and the ultrasound litho? Advantages?

What's the difference between laser Lithotripsy and the ultrasound litho? Advantages?

Here are some...: Anything is on its way of constant evolution and change; so is lithotripsy. The key factors affecting how laser or US-lithotripsy lie on the flexibility of involved equipment and the accessibility to kidneys or ureters, & of course, professional proficiency. Considering all possible contributing factors, laser litho has been holding its edge of advantages in treating stones in ureters/kidneys.... ...Read more

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Laser lithotripsy 10 days ago, stent (no string) will be removed in a week. Dr said no sexual activity. Is sex risky? Had wet dream is that a problem?

Laser lithotripsy 10 days ago, stent (no string) will be removed in a week. Dr said no sexual activity. Is sex risky? Had wet dream is that a problem?

Here are some...: It's surely okay to experience wet dream. As to not having sex, this advice is more for politically correctness stressing love-tender care than for professional necessity intending to ease irritation of bladder neck & prostate urethra from orgasm-related vigorous contraction. Oh! Stent removal can be done under local anesthesia if stone was properly zapped and extracted. More? Ask your urologist. ...Read more

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I recently had laser lithotripsy for a 8 mm stone removal. I still have a Stent in place as well. How long do I have to wait before having sex or mast?

I recently had laser lithotripsy for a 8 mm stone removal. I still have a Stent in place as well. How long do I have to wait before having sex or mast?

Anytime: You may resume "sex or mast" anytime you want to. There is no contra-indication to doing so while having a stent (although you may not feel up to it so to speak. ...Read more

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Had laser lithotripsy 9 days ago 4 stone removal. Ureteral stent for 8 more days told no sex or sexual activity til removed. Why & what do they mean?

Had laser lithotripsy 9 days ago 4 stone removal. Ureteral stent for 8 more days told no sex or sexual activity til removed. Why & what do they mean?

Here are some...: The recommendation provided after the reported procedures is commonly given in attempting and assuming to ease voiding symptoms from local irritation to usually already inflamed bladder neck and prostate urethra. Is that really necessary for professional reasons, which could be in doubt or for political correctness, which probably plays major role in such advice? So, Ask Doc for mutual agreement.. ...Read more

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SUFFERING OXALATE STONE BLOCKING TOP 1/3 OF ONE KIDNEY...LASER LITHOTRIPSY DID NOT GET IT ALL...NOW HAVE VENOUS STASIS AND HYPERTENSION...WAITING FOR?

SUFFERING OXALATE STONE BLOCKING TOP 1/3 OF ONE KIDNEY...LASER LITHOTRIPSY DID NOT GET IT ALL...NOW HAVE VENOUS STASIS AND HYPERTENSION...WAITING FOR?

Stone treatment: I wish you could explain a bit more in detail what is going on. There are many ways to treat stone. Are your stones in the kidney or ureter? . Is there hydronephrosis?
Venous stasis and hypertension not commonly related to stones. ...Read more

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2 ureteroscopys &2 lithotripsys done. The last 1showed great scarring in ureter. Have constant flank pain. No help/relief from many drs. Help! Please!

2 ureteroscopys &2 lithotripsys done. The last 1showed great scarring in ureter. Have constant flank pain. No help/relief from many drs. Help! Please!

Need more info: You have apparently had a workup by a urologist and I am surprised that you are still looking for a plan of more help. My advice is to get a second opinion and make an appointment with the head of urology at a large medical institution. That person will be able to secure a copy of all the tests that have been done and help you. It's the right thing to do, . ...Read more

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Could 7mm kidney stone pass with meds and tons of water/lemonade w/o laser treatment/lithotripsy?

Could 7mm kidney stone pass with meds and tons of water/lemonade w/o laser treatment/lithotripsy?

Probably not.: Most stones 5mm or smaller will pass. A 7mm stone could pass, but may well not pass on its own. If you have flank pain, you may have an obstructed ureter and need to have the stone removed so you don't develop kidney damage or urinary tract infection. ...Read more

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Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?

Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?

Lithotripsy limited: To breaking up the stone and it must still pass. The stone can grow and get worse if that is all that is done. Removal has less overall risk, despite stents... ...Read more

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What can I expect during and after a ureteroscopy?

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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Anyone had lithotripsy done? What should I do?

Anyone had lithotripsy done? What should I do?

ESWL: Eswl treatment is performed under sedation on an outpatient basis. There will be some mild post-procedure discomfort and some blood in the urine. Passage of fragments may cause pain requiring narcotic analgesia. ...Read more

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Why is it that they put you under for a lithotripsy?

Minimize distress: Lithotripsy requires intubations through delicate and sensitive areas. These can be painful and there is enhanced pain from the inflammation of the kidney/ureteral stone. Also the instrument has to be carefully aimed to just fragment the stone and minimize damage to the normal tissue and this is more easily achieved while the patient is under anesthesia. ...Read more

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Can a lithotripsy cause an svt?

Can a lithotripsy cause an svt?

Possible, but rare.: Shock wave lithotripsy (swl) is a technology that uses focused sound waves to fragment kidney stones. These impulses have been shown to cause some disturbances of heart rhythm, usually provoking premature beats. These machines are now "gated", meaning that a simultaneous ekg delivers pulses at the safest moment of the cardiac cycle. Svt with eswl has been described in the literature, but is rare. ...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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Can lithotripsy treatment have any complications?

Can lithotripsy treatment have any complications?

Yes, like any other.: Lithotripsy is a generally safe and well tolerated procedure. Tens of thousands of these procedures are performed in the U.S. Annually. If the patient has health problems, or the stone is large and dense, complication rates may increase. Bleeding, infection, failure to pass stone fragments, blockage of the kidney requiring additional procedures, and pain are some of the possible complications. ...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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After lithotripsy, how long does it take stone to pass?

Depend...: Do you mean eswl - extracorporeal shock wave lithotripsy? If so, the duration to pass sands and fragments disintegrated stones vary greatly from days to months depending upon the load and size of fragments. In some cases, procedures through urethra and ureter are required to remove the stuck/impacted fragments inside ureter. So, ask doc timely for individual variation and expectation. ...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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What should a patient expect during a lithotripsy treatment?

What should a patient expect during a lithotripsy treatment?

Several things: You will usually be put to sleep and the treatment will happen. After treatment you will have some pain on the treated side. ...Read more

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How much is extracorporeal shock wave lithotripsy for gall stones?

How much is extracorporeal shock wave lithotripsy for gall stones?

Who Cares?: Lithotripsy, though useful for large kidney stones, is pretty much useless for gallstones. The only effective way to treat gallstone disease and prevent recurrence of their symptoms is to have the gallbladder surgically removed as it is the source of gallstone formation. ...Read more

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Is lithotripsy effective to pulverize small stone of 3 mm in kidney?

Yes: As long as the stone can be seen well enough to be targeted. This is the treatment of choice. ...Read more

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My lithotripsy didn't break up my 7mm stone. It is now 6mm and stuck. What now?

See answer: Some kidneys stones (e.g. calcium oxalate monohydrate) are quite dense and don't fragment well with lithotripsy (ESWL). If stone "stuck" in the ureter, ureteroscopy with laser lithotripsy +/- stent placement would usually be the next step with a high success rate. If the stone still in the kidney flexible ureteroscopy/laser lithotripsy still a reasonable option. Repeat ESWL less likely to succeed. ...Read more

Dr. Theodore Davantzis
142 Doctors shared insights

Lithotripsy (Definition)

It is a medical procedure which uses shock waves to break up stones in kidney or ureter, sa these can pass ...Read more


Dr. Sandra Lora Cremers
9 Doctors shared insights

Laser (Definition)

Laser is an abbreviation for light amplification ...Read more