Urinary issues can significantly impact your quality of life, especially when they involve stones, bleeding, or unexplained pain. Ureteroscopy is a modern, minimally invasive procedure that allows doctors to examine and treat problems in the urinary tract, particularly the ureters and kidneys.

But when is ureteroscopy necessary? What should you expect before and after the procedure? This blog answers all your questions in simple terms.

What Is Ureteroscopy?

Ureteroscopy is a diagnostic and therapeutic procedure performed by a urologist to examine the urinary tract, especially the ureters and kidneys. It involves inserting a thin, flexible instrument called a ureteroscope through the urethra and bladder, into the ureter—the tube that connects your kidney to your bladder.

The ureteroscope has a tiny camera and light, allowing the doctor to view and treat conditions like:

• Kidney or ureteral stones
• Tumors or abnormal growths
• Narrowing or scarring (strictures)
• Unexplained bleeding or infections

When Is Ureteroscopy Needed?

You might be recommended a ureteroscopy if you experience:

• Recurrent kidney stones
• Blood in the urine (hematuria)
• Persistent flank or abdominal pain
• Urinary tract obstruction
• Suspicious findings in imaging tests

Doctors often perform this procedure when other imaging techniques (like ultrasound or CT scan) do not provide enough detail.

How Is Ureteroscopy Performed?

Ureteroscopy is typically done under local or general anesthesia, depending on the complexity.

Here's a step-by-step idea of what happens:

1. A ureteroscope is gently inserted through your urethra and guided into the bladder and ureter.
2. The doctor examines the urinary tract and locates the problem.
3. If a stone is found, it may be removed or broken into pieces using laser energy (laser lithotripsy).
4. A temporary stent might be placed to ensure smooth urine flow post-procedure.

The whole process usually takes between 30 minutes to 1 hour.

Is Ureteroscopy Painful?

No, the procedure itself is not painful due to anesthesia. However, you might experience mild discomfort, a burning sensation while urinating, or a frequent urge to urinate for a couple of days afterward. Pain medication and plenty of fluids typically help ease these symptoms.

Recovery After Ureteroscopy

One of the main advantages of ureteroscopy is the quick recovery time. Most patients can go home the same day or the next morning. You may be advised to:

• Drink plenty of water
• Avoid heavy physical activity for a few days
• Take prescribed antibiotics or painkillers
• Return for stent removal if one was placed

Most people can return to work within 2–3 days, depending on how they feel.

Benefits of Ureteroscopy

• Minimally invasive: No external cuts or stitches
• High success rate: Especially for kidney and ureteral stones
• Short hospital stay: Often a day-care procedure
• Fast recovery: Resume normal life quickly
• Safe and effective: With a low risk of complications

Are There Any Risks?

As with any medical procedure, ureteroscopy carries some minor risks:

• Urinary tract infection (UTI)
• Temporary bleeding
• Ureteral injury (rare)
• Discomfort from a stent

These risks are minimal, especially when the procedure is performed by an experienced urologist.

When Should You See a Urologist?

If you’ve been struggling with unexplained urinary pain, recurring stones, or blood in your urine, don’t delay seeking expert help. Early diagnosis and treatment can prevent complications and improve your quality of life.

Frequently Asked Questions

1. Is ureteroscopy better than shockwave lithotripsy for stones?

It depends on the size and location of the stone. Ureteroscopy is often preferred for mid-to-lower ureter stones or when shockwave therapy fails.

2. Will I need a stent after ureteroscopy?

In many cases, a temporary stent is placed to keep the ureter open and ensure healing. It is usually removed within a week or two.

3. Can ureteroscopy remove all types of stones?

Yes, it’s effective for most stones, particularly those located in the ureter or near the kidney. Larger stones may require multiple sessions.

4. How soon can I resume normal activities?

Most patients can return to daily routines within 2–3 days, though you should avoid heavy lifting and strenuous exercise for about a week.

5. Is ureteroscopy safe during pregnancy?

Yes, ureteroscopy is considered one of the safest procedures for treating stones during pregnancy when needed.

Get Expert Urological Care from Dr. Rohit Purwar

Urological problems like stones, bleeding, or persistent pain should never be ignored. If you're looking for an experienced urologist who offers personalized care using the latest technology, Dr. Rohit Purwar is here to help. With a strong track record in minimally invasive procedures like ureteroscopy, Dr. Purwar provides safe, effective, and patient-centered treatment.

Whether you need a diagnosis or are ready for a procedure, you’re in good hands.

Book a consultation with Dr. Rohit Purwar today and take the first step toward a pain-free and healthier life.