What is it?
Ureteroscopy with laser lithotripsy is a minimally invasive procedure to treat kidney and ureteric stones. A thin telescope (ureteroscope) is passed through the urethra and bladder into the ureter and kidney. Once the stone is located, a laser is used to break it into small fragments that can be removed or pass naturally.
Why is it done?
This procedure is recommended when:
- Stones are too large or stuck to pass on their own
- Stones are causing pain, infection, or blockage of urine flow
- Other treatments (such as shockwave lithotripsy) are unsuitable or unsuccessful
The Procedure:
- Performed under general anaesthesia (you are asleep)
- A small camera (ureteroscope) is guided into the urinary tract
- The stone is visualised and broken up using a laser fibre
- Fragments may be removed with tiny baskets or left to pass naturally
- A temporary stent (small plastic tube inside the ureter) may be placed to help urine flow and healing
Benefits:
- No external incisions or scars
- Effective for stones in both the ureter and kidney
- High stone-free rates in a single procedure
- Short hospital stay (often day surgery or overnight)
Risks & Considerations:
- Temporary pain or blood in the urine
- Urinary tract infection
- Stent-related discomfort (urgency, frequency, or flank pain) until it is removed
- Rare risks: ureter injury, need for repeat procedures, or residual stone fragments
Recovery:
- Most people go home the same day or next morning
- Return to normal activities within a few days
- Drink plenty of fluids to flush stone fragments
- Stent (if placed) is usually removed after 1–2 weeks
Why seek advice?
Ureteroscopy with laser lithotripsy is a safe, effective, and minimally invasive way to treat troublesome kidney and ureteric stones. If you are experiencing recurrent stone pain or urinary obstruction, your urologist can help determine if this is the right treatment for you.