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Innovative Urology — Domenico Savatta, MDSchedule
Kidney Stones · Ureteroscopy

Ureteroscopy with laser lithotripsy treats many ureter and kidney stones without external incisions.

Ureteroscopy passes a small scope through the urinary tract to reach stones in the ureter or kidney. A laser can fragment the stone, and pieces may be removed or left to pass. A temporary ureteral stent may be placed to protect drainage during healing.

Who this may fit

  • Many ureteral stones and selected kidney stones that need active treatment.
  • Patients with stones that have not passed or are causing ongoing pain or obstruction.
  • Patients who need stone removal plus prevention planning afterward.

Evaluation before treatment

Preoperative planning reviews imaging, urine culture, infection risk, blood thinners, anatomy, stone size, and whether a staged procedure may be needed.

If infection is present with obstruction, urgent drainage usually comes before definitive laser treatment.

Recovery and follow-up

Temporary burning, urgency, blood in urine, flank discomfort, and stent symptoms can occur.

Stent removal timing and follow-up imaging should be clear before the procedure.

Common questions

Will I have a stent?

Many patients do, but not all. Stent use depends on ureter swelling, stone burden, infection risk, and surgeon judgment.

Does laser lithotripsy prevent future stones?

No. It treats the current stone. Prevention requires stone analysis and metabolic evaluation when appropriate.

Related patient guides

Sources

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