URSL (Ureteroscopic Lithotripsy)

Ureteroscopic lithotripsy, also known as ureteroscopy with laser lithotripsy, is a minimally invasive procedure used to treat stones in the ureter and kidney. It involves the use of a ureteroscope, a small, flexible or rigid instrument, to locate and break up stones within the urinary tract. Here’s a detailed overview of the procedure:

• Stones located in the ureter or kidney.
• Stones that are too large to pass naturally or have not responded to other treatments like extracorporeal shock wave lithotripsy (ESWL).
• Stones causing pain, obstruction, or infection.
• Patients who are not suitable candidates for percutaneous nephrolithotomy (PCNL) or ESWL.

• Urinary tract infection.
• Ureteral injury or stricture.
• Bleeding.
• Incomplete stone removal requiring further treatment.
• Discomfort or pain due to the stent.

• Minimally invasive with no incisions.
• Effective for stones located in the ureter and kidney.
• Shorter recovery time compared to more invasive procedures.
• Can be performed on an outpatient basis.
• High success rate for small to medium-sized stones.

• Less effective for very large stones or complex stone burdens.
• Requires specialized equipment and expertise.
• Potential need for multiple procedures if stones are not fully cleared in one session.