Patient resources
Ureteroscopy (With Stone Removal, Biopsy, Laser Lithotripsy, or Stent)
What is Ureteroscopy?
Ureteroscopy is a minimally invasive procedure used to examine the ureters and kidneys with a thin, flexible scope. It may be performed to:
- Remove kidney or ureteral stones
- Break up stones with laser lithotripsy
- Take a biopsy of abnormal tissue
- Place a ureteral stent to allow urine to drain
This procedure is typically done under general anesthesia and does not require any incisions.
What to Expect After a Ureteroscopy
- Blood in the urine (hematuria) for up to a week, especially if a stone was removed or broken.
- Mild to moderate flank pain due to irritation of the ureter.
- Increased urinary frequency and urgency, particularly if a stent was placed.
- Burning sensation when urinating, which usually improves within 48 hours.
- Small stone fragments may pass in the urine over a few days.
Post-Procedure Recovery Tips
- Drink at least 2–3 litres of water per day to flush the urinary tract and help pass any remaining stone fragments.
- Avoid caffeine, alcohol, and carbonated drinks, as they may irritate the bladder.
- Take prescribed pain relievers and antispasmodics if needed for ureteral discomfort.
- Rest for 24–48 hours before resuming normal activities.
- If a stent was placed, follow up with Dr. Singh for removal as scheduled (typically in 1–2 weeks).
What to Avoid
- Avoid heavy lifting and strenuous activities for one week.
- Do not delay urination; frequent emptying of the bladder helps healing.
- Avoid hot baths for the first 48 hours to reduce swelling and discomfort.
When to Contact the Doctor
- Severe, persistent flank or abdominal pain not relieved by medication.
- Fever, chills, or nausea, which may indicate infection.
- Difficulty urinating or complete urinary retention.
- Large blood clots or continuous heavy bleeding in urine.
Recovery Time
- Most patients recover in 3–5 days and resume normal activities within a week.
- Full recovery, particularly if a stent is involved, may take two weeks.
Emergency Instructions
If you are unable to reach Dr. Singh and require urgent medical attention, present to the Emergency Department at Life Westville Hospital or Busamed Gateway Hospital for immediate assessment. The hospital team will evaluate you and contact Dr. Singh if needed.
Hospital Locations
- Life Westville Hospital – 7 Spine Road, Westville, Durban
- Busamed Gateway Private Hospital – 36-38 Aurora Drive, Umhlanga, Durban
