Ureteroscopy is where a long thin rigid telescope is introduced into the upper urinary tract via the bladder . The diameter of the instrument is less than 2mm and allows visualization of the lower half of the ureter. A small instrument port allows introduction of micro-baskets and laser fibers (0.3mm in diameter) to manipulate and fragment stones. It is used only to treat stones in the ureter, and cannot treat stones within the kidney. The urologist can also use the ureteroscope to reach a kidney stone that is stuck in the ureter just after it leaves the kidney. He or she may then try to push the stone back up into the kidney. After the stone is back in the kidney, the stone may be broken up using lithotripsy. Most people are able to go home the same day of the Ureteroscopy Treatment. But you may need to stay in the hospital. If you do, the stay is usually no more than 24 to 48 hours. For several hours after the procedure you may have a burning feeling when you urinate. This feeling should go away within a day. Drinking a lot of water can help reduce the burning. Your doctor also may recommend you take medicine to numb the burning. Therapeutic ureteroscopy is used in varied applications, including in the treatment of stones, urothelial tumors, and stricture disease. Ureteroscopy is also a powerful tool in the diagnosis, treatment, and surveillance of transitional cell tumors of the upper tracts.
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