Ureteroscopy

Ureteroscopy for Kidney and Ureteric Stones in Jalandhar – Dr. Rajesh Aggarwal | Sarvodya Hospital
Ureteroscopy

Ureteroscopy is a safe and effective minimally invasive procedure used to diagnose and treat conditions of the ureter and kidneys, most commonly kidney stones and ureteric stones. At Sarvodya Hospital, under Dr. Rajesh Aggarwal, a highly experienced urologist, performs advanced flexible and rigid ureteroscopy (URS) using the latest endoscopic equipment.

If you are experiencing symptoms like severe flank pain, blood in urine, or difficulty passing urine, you may benefit from ureteroscopic stone removal.

What Is Ureteroscopy?

Ureteroscopy (URS) is a procedure where a thin, tube-like instrument called a ureteroscope is passed through the urethra and bladder into the ureter and kidney. This allows the urologist to:

  • Directly visualize stones, tumors, or strictures
  • Break stones using laser (laser lithotripsy)
  • Remove stone fragments without any incisions
  •  No cuts or stitches
  •  Same-day or short hospital stay
  • Quick recovery with minimal discomfort
Conditions Treated with Ureteroscopy

Dr. Rajesh Aggarwal uses ureteroscopy to diagnose and treat:

  • Kidney stones (renal calculi)
  • Ureteric stones
  • Obstruction or strictures in the ureter
  • Hematuria (blood in urine) of unknown cause
  • Small ureteric or kidney tumors
  • Congenital anomalies or scarring
Types of Ureteroscopy

Rigid Ureteroscopy

  • Typically used for lower ureteric stones
  • Performed under spinal or general anesthesia
  • Stones are either removed directly or broken using a laser

Flexible Ureteroscopy (RIRS – Retrograde Intrarenal Surgery)

  • Used for kidney stones and upper ureteric stones
  • Highly advanced technique using a flexible scope
  • Allows access to all parts of the kidney
  • Often combined with Holmium Laser Lithotripsy for stone fragmentation

 

Benefits of Ureteroscopy
  • Minimally invasive (no external incision)
  • Highly effective for ureteric and kidney stones
  • Short hospital stay (day-care or overnight)
  • Faster recovery and return to normal activities
  • Suitable for patients where shock wave (ESWL) or PCNL is not an option
Treatment:

Ureteroscopy Procedure – What to Expect

  1. Preoperative Evaluation
    • Blood tests, urine tests, ultrasound, CT KUB
    • Detailed consultation with Dr. Rajesh Aggarwal
  2. During the Procedure
    • Performed under general or spinal anesthesia
    • Ureteroscope is passed through urinary tract
    • Stones are fragmented using a laser and removed with a basket
    • A temporary DJ stent may be placed to ensure urine flow
  3. After the Procedure
    • Mild burning or urgency for 1–2 days
    • Stent removal is done after 1–2 weeks (if placed)
    • Return to normal activities within 2–3 days
 DJ Stent After Ureteroscopy – Is it Necessary?

In many cases, a Double J (DJ) stent is placed after ureteroscopy to:

  • Prevent ureteral blockage from swelling or stone fragments
  • Allow proper urine drainage
  • Promote faster healing

The stent is temporary and removed in a follow-up visit using a quick, outpatient procedure.

Why Choose Dr. Rajesh Aggarwal at Sarvodya Hospital?
  • Extensive experience in ureteroscopy and endourology
  •  Uses the latest Holmium Laser and flexible ureteroscopes
  • High success rate for stone clearance without open surgery
  • Compassionate care with personalized treatment plans
Frequently Asked Questions (FAQs)

The procedure is done under anesthesia, so there’s no pain during the surgery. Mild discomfort or burning may occur for a day or two afterward.

Ureteroscopy includes laser treatment for stones. It’s ideal for small to medium-sized stones, while PCNL is used for larger stones (>2 cm).

In many cases, a temporary DJ stent is placed to ensure proper healing and urine flow. It is removed after 1–2 weeks.

Most patients can return to normal activities within 48–72 hours.

Yes, if underlying metabolic causes are not addressed. Dr. Rajesh Aggarwal offers stone prevention advice and metabolic work-up for recurrent cases.