Uretero Renoscopic Lithotripsy (URSL)

Uretero Renoscopic Lithotripsy (URSL) is a minimally invasive procedure used to treat kidney and ureteral stones. It involves the use of a ureteroscope, a thin, flexible instrument, to access the ureter and kidney to locate and break up stones. The procedure is typically performed under general or spinal anesthesia, with the patient positioned to allow easy access to the urinary tract.

During URSL, a small incision is made, and the ureteroscope is inserted through the urethra into the bladder and up into the ureter or kidney. Once the stone is located, various techniques, such as laser lithotripsy or ultrasonic energy, are used to break the stone into smaller fragments. These fragments can then be flushed out naturally through urine or removed using specialized instruments.

URSL is commonly indicated for patients with medium to large stones in the kidney or ureter that are causing pain, obstruction, or recurrent infections. It offers several advantages over traditional open surgery, including a shorter recovery time, minimal scarring, and reduced risk of complications. Most patients can go home the same day or after a short hospital stay. However, some may require a stent to ensure the ureter remains open during the healing process.