Most often ureteroscopy is used for stones in the ureter, especially for stones closest to the bladder, in the lower half of the ureter. lt is the most common treatment of lower ureteral stones. for stones in the kidney, shock wave lithotripsy (swl) is the most common treatment.. For exceptionally large or complex kidney stones, or for a large number of small stones in one kidney, the recommended method of treatment is percutaneous nephrolithotomy. pcnl is an inpatient procedure, which typically requires an overnight hospital stay.. Dr. andrew portis, a urologic surgeon and medical director of the healtheast kidney stone institute performs ureteroscopic laser lithotripsy with active stone fragment removal..
Laser lithotripsy is a surgical procedure to remove stones from urinary tract, i.e., kidney, ureter, bladder, or urethra. Compared to swl, a kidney or ureteral stone can be seen under direct vision by the ureteroscope, allowing lithotripsy with lasers followed by basketting and removal. with shock wave lithotripsy, patients are asked to pass stone fragments themselves, causing potential additional pain or obstruction.. Ureteroscopy often a good option for small stones in the ureter or kidney. its success rate at clearing these types of stones is generally higher than that for shockwave lithotripsy . compared with shockwave lithotripsy however, it may associated with increased discomfort after surgery, especially when a stent is required..
