Flexible Ureteroscopy for Middle and Upper Ureteric Stones with Laser Fragmentation

What is Flexible Ureteroscopy with Laser Fragmentation?

This procedure is performed using a flexible ureteroscope, a thin and bendable instrument that allows access to the middle and upper ureter. The laser is then used to fragment stones into smaller pieces, making them easier to pass naturally or be removed. It is recommended for patients experiencing:

• Ureteric stones causing severe pain or obstruction.
• Recurrent urinary tract infections (UTIs) due to stone presence.
• Failure of previous treatments like medication or extracorporeal shock wave lithotripsy (ESWL).

How is the Procedure Performed?

• A flexible ureteroscope is inserted through the urethra to reach the stone.
• Laser energy is applied to break the stone into smaller fragments.
• The stone fragments are either removed using a special basket or left to pass naturally.
• The procedure is performed under general anesthesia, and most patients can go home the same day after observation.