Ureteroscopy
Ureteroscopy – Patient Information and Discharge Instructions
Ureteroscopic image of a stone which could be treated with laser treatment.
The ureters are two narrow tubes which drain urine from the kidneys into the bladder. Ureteroscopy involves passage of a very thin telescope through the urinary passage, into the bladder and then through the ureteric openings into ureters and sometimes in the kidney.
A ureteroscopy may be performed to:
- help diagnose a problem;
- remove certain type of kidney stones;
- obtain tissue for biopsy;
- remove scar tissue that is blocking the ureter.
A laser can be inserted through the telescope to break up stones (laser lithotripsy) or cut the scar tissue. A ureteroscopy may involve injection of dye (iodine), also called as retrograde pyelogram to determine the degree of blockage if an obstruction is seen.
On most occasions, a ureteric JJ stent is left in the ureter after the ureteroscopy. It is quite natural for the body tissue to form temporary reactionary swelling (oedema) which could block up the kidney. To avoid this, a JJ stent is left in.
After Ureteroscopy
You would be discharged either on the same day evening or the next day. It is quite natural to expect some urinary bleeding and burning for a few days. You are encouraged to drink at least 8-10 glasses of water a day. You can also take Ural (fizzy drink) 2-3 times a day so as to reduce urinary burning. Ural is available over the counter at the pharmacy.
It is not unusual to experience pain in the back region, especially while urinating. The intensity of this pain usually subsides over a period of time. In normal circumstances, it would be manageable with simple pain relief medications.
You may not drive a car or operate other machinery for 24 hours after the procedure, because you have had a general anaesthetic. Most patients can return to work or normal activity 24-48 hours after the procedure. You may climb stairs. Avoid strenuous exercise or lifting more than 20 pounds for 1 week or as advised by your surgeon.
You may feel tired for a few days after the procedure. This may be due to the anaesthetic. Short rest periods will help. Taking regular walks is also important. Sexual activity can be resumed unless your surgeon advises you otherwise.
You will be given a prescription for pain pills. Pain pills can cause constipation. Drinking extra fluids and eating a diet high in fibre, fruits, vegetables and grains will help to prevent constipation. If you are taking pain pills regularly, a stool softener tablet may help (available at any chemist – ask the pharmacist). Take a mild laxative like Colxyl if needed.
Drink lots of fluids (at least 6 extra glasses per day, excluding tea/coffee) to flush your urinary tract.
If your symptoms are quite severe, please contact your local doctor or the treating physician.
