Ureteroscopy (URS)

It is an endoscopic surgical method used in the treatment of ureter (thin canal connecting between kidney and bladder) stones, performed by entering through the urinary canal.

How is it done?

It is performed under general or spinal anaesthesia. Rigid or flexible endoscopes can be used during the operation and the procedure is named according to the device used. The patient is placed on his/her back and placed in the lithotomy (birth) position. The stone is broken into very small pieces by the stone crushing laser device sent through the endoscope. If necessary, stone fragments can be removed with the help of the tools called basket catheters. If the stone is too large, has caused severe oedema in the canal wall, or an injury, a stent may be placed between the kidney and the bladder to allow urine flow. This stent is removed approximately 1-2 weeks later.

What are the advantages?

The patient can be discharged from the hospital on the same day as no incision or perforation is performed; he/she can return to his normal daily life the next day. It is an effective and safe method of surgery with a very high chance of success and a low rate of complications (undesirable side effects). It can be applied safely to all patients except those with active urinary tract infections.

Are There Risks?

Although it is a endoscopic procedure, it contains some risks. If the urinary canal is too narrow for the endoscope to pass, the procedure can be postponed to a second session after placing a stent. The most feared complication of the procedure is injury or rupture of the canal. While most of these injuries heal with a stent, surgical repair is required in ruptures or very serious injuries. Post-operative infection, fever and bleeding that require antibiotic treatment are other rare complications that can be observed. Careful preoperative preparation, use of fine instruments and surgical experience are essential in order to avoid such undesirable side effects.

My experiences in ureteroscopy

For the last 15 years, I have performed more than 1000 ureteroscopy surgeries and as a result of my experience, I have been applying this surgical procedure with a success rate of over 99%. I have more than 80 scientific articles published in international journals on endoscopic stone surgeries. In more than 100 national and international meetings, I have shared my experience in stone surgeries as an invited speaker and I continue to share. You can request an appointment from the contact numbers to plan your treatment for kidney stone disease, which is my special interest.

NOTE: The content of the page is for informational purposes only, consult your doctor for diagnosis and treatment.