Laparoscopic ureterolithotomy is a procedure to remove stones from the ureter. The ureter is a tube between the kidney and the bladder. Urine passes down to the bladder through this tube.
Laparoscopic procedures use small incisions and specialized tools. This helps to avoid large incisions that are used during open surgery.
The Urinary Tract
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Ureterolithotomy is used to remove stones in a ureter that:
Problems from this surgery are rare, but all surgeries have some risk. Your doctor will review potential problems. Complications associated with any surgery include:
Complications associated with ureterolithotomy include:
Smoking may increase your risk of complications.
Talk to your doctor about these risks before the procedure.
General anesthesia will be used. You will be asleep. It is given through a vein in the arm or hand.
A few small incisions will be made in your abdomen. Specialized tools will be inserted through the incisions. The tools will be used to make an incision in the side of the ureter. The stone will be removed through this incision. A stent may be placed in the ureter. This will support the ureter while it heals. The incision in the ureter will be closed with stitches. A drain may be put in place. It will help fluids drain from the area while you heal. Once the tools are removed the incisions in the abdomen will be closed with stitches. Bandages may be placed over the incisions.
The stone may be sent to a laboratory for testing after surgery.
After the operation, you will be taken to the recovery room for observation.
About 60 minutes
Anesthesia prevents pain during surgery. As you recover, you may have some pain. Your doctor will give you pain medicine.
The usual length of your hospital stay is two to four days. If you have any problems, you may need to stay longer.
When you return home, take these steps:
Call your doctor if any of these occur:
If you have an emergency, call for medical help right away.
National Kidney and Urologic Diseases Information Clearinghouse
National Kidney Foundation
Urology Care Foundation
Canadian Urological Association
The Kidney Foundation of Canada
Kidney stones in adults. National Kidney and Urologic Diseases Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/KUDiseases/pubs/stonesadults/index.aspx#treatment. Updated June 29, 2012. Accessed January 15, 2013.
Patient Information: Open removal of stone from ureter. Addenbrooke’s Hospital NHS website. Available at: http://www.camurology.org.uk/wp-content/uploads/ureterolithotomy-44.pdf. Accessed January 23, 2013.
Skrepetis K, Doumas K, et al. Laparoscopic versus open ureterolithotomy. A comparative study. Eur Urol. 2001;40(1):32-6.
Ureterolithotomy—dormia basket. Netdoctor website. Available at: http://www.netdoctor.co.uk/surgical-procedures/ureterolithotomy-dormia-basket.htm. Updated June 7, 2009. Accessed January 15, 2013.
Ureterolithotomy (open) consent form. Queensland Government website. Available at: http://www.health.qld.gov.au/consent/documents/urology_21.pdf. Published March 2011. Accessed January 15, 2013.
Ureterolithotomy (removal of ureteric stone). The Pennine Acute Hospitals website. Available at: http://www.pat.nhs.uk/CubeCore/.uploads/Media%20Library/Abdomen/Urology/20120711_288%20Ureterolithotomy.pdf. Updated February 2009. Accessed January 15, 2013.
Last reviewed March 2014 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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