(Removal of Stones in Ureter)
|The Urinary Tract|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Are too large to pass
- Cause pain or bleeding
- Cause infection
- Block the flow of urine
- Place pressure on the kidney
- Adverse reaction to anesthesia, including light-headedness, low blood pressure, or wheezing
- Excess bleeding
- Heart attack or stroke
- Blood clots
- Excess scarring or narrowing in the ureter that can lead to kidney problems
- Failure to remove the kidney stone
Problems urinating such as:
- Urine leaking from the ureter
- Difficulty passing urine, especially in men
- May be blocked or paralyzed after surgery leading to bloating and vomiting
- Scar tissue around bowels that can cause later blockages
- Excess scarring of incision
What to Expect
Prior to Procedure
Your doctor may take the following:
- Images of your urinary system to locate the stone
- Blood and urine tests
- Ask about your medical history
- Talk to your doctor about any medicines you are taking. Do not start taking any new medicines, herbs, or supplements without talking to your doctor.
You may be asked to stop taking some medicines up to one week before the procedure. This may include medications such as:
- Anti-inflammatory medications
- Blood thinners
- Anti-platelet medications
- Arrange for a ride from the hospital. Arrange for help at home as you recover.
- The night before your surgery, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You may need oxygen for a brief time after your operation.
- You will have a tube near your incision. It will be removed once fluid stops draining from the wound. This generally happens within three to four days of surgery.
- You may have an IV until you are eating and drinking normally.
- You will have a catheter that will drain your urine until you are able to move around on your own.
- You will be given pain medicine as needed.
- You may be encouraged to exercise by walking the day after surgery.
- You may be given blood thinning medication to prevent clots.
- Get plenty of rest. Gradually resume activities.
- Drink plenty of fluids.
- Follow your doctor’s instructions on cleaning the incision site.
- Ask your doctor when you can drive and return to work.
- Ask your doctor when it is safe to have sex.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take medication as directed by your doctor.
Call Your Doctor
- Extreme urge or inability to urinate
- Excess bleeding
- Redness or swelling at the site of the incision
- Pus draining from the site of the incision
- Signs of infection, including fever and chills
- Nausea and/or vomiting that you cannot control with the medicines you were given after the procedure
- Pain that you cannot control with the medicines you have been given
- Cough, shortness of breath, or chest pain
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
National Kidney Foundation http://www.kidney.org
Urology Care Foundation http://www.urologyhealth.org
Canadian Urological Association http://www.cua.org
The Kidney Foundation of Canada http://www.kidney.ca
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.
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%5F21.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%5F288%20Ureterolithotomy.pdf . 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.