Open Ureterolithotomy

Open ureterolithotomy is a surgical procedure used to remove stones from the ureter when less invasive techniques are not feasible or have failed. It involves making an incision to directly access and remove the stone. Here’s a detailed overview of the procedure:

• Large or impacted stones in the ureter that cannot be managed with less invasive techniques such as ureteroscopy, extracorporeal shock wave lithotripsy (ESWL), or percutaneous nephrolithotomy (PCNL).
• Stones causing significant obstruction and/or recurrent infections.
• Anatomical abnormalities or strictures complicating other surgical approaches.
• Multiple failed attempts at stone removal using less invasive methods.
• Stones associated with severe pain or complications.

• Bleeding: Significant bleeding that may require blood transfusion.
• Infection: Risk of post-operative infection at the surgical site or within the ureter.
• Injury to Adjacent Organs: Potential damage to surrounding organs or structures such as the intestines, blood vessels, or nerves.
• Prolonged Recovery: Longer recovery period compared to less invasive procedures.
• Incisional Hernia: Risk of hernia at the incision site.
• Pain and Discomfort: Pain and discomfort at the incision site during recovery.

• Effective for Large Stones: Highly effective for removing large or impacted stones that cannot be treated with less invasive methods.
• Direct Visualization: Direct access to the stone allows for thorough inspection and removal.
• Simultaneous Repair: Ability to address any anatomical abnormalities or obstructions at the same time.

• Highly Invasive: More invasive than other techniques, leading to a longer recovery period and increased risk of complications.
• Hospital Stay: Typically requires a longer hospital stay.
• Post-operative Care: More intensive post-operative care and monitoring are required.