Doctor insights on:
Ureteroscopy With Laser 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
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
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 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
Yes: Yes no problemGet a more detailed answer ›
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
Why would u pass large pieces of epitheleal cell 4 weeks postop laser lithotripsy, is my ureter shedding, I still have major hyrdonephrosis?
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
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?
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
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?
Pubic hair: Typically, the answer is no. Shaving isn't necessary. ...Read more
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
I had lithotripsy laser surgery about 2 weeks ago I still have stones in my kidney today I tried doing zumba &hurt is this bc of the surgery or stones?
Could 7mm kidney stone pass with meds and tons of water/lemonade w/o laser treatment/lithotripsy?
Large kidney stone in kidney. Deciding between a laser lithotrypsy or arthroscopic direct removal. Ureter stents very uncomfortable for me. Thoughts?
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
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
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
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
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
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
Yes: As long as the stone can be seen well enough to be targeted. This is the treatment of choice. ...Read more
Probably not: If it persists, ess your doctor.Get a more detailed answer ›
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
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