Munson Health
 
Laparoscopic Ureterolithotomy

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(Removal of Stones in Ureter)

 

What to Expect

Prior to Procedure

  • Your doctor may do 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 home 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.

Anesthesia

General anesthesia will be used. You will be asleep. It is given through a vein in the arm or hand.

Description of the Procedure

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.

Immediately After Procedure

After the operation, you will be taken to the recovery room for observation.

How Long Will It Take?

About 60 minutes

How Much Will It Hurt?

Anesthesia prevents pain during surgery. As you recover, you may have some pain. Your doctor will give you pain medicine.

Average Hospital Stay

The usual length of your hospital stay is two to four days. If you have any problems, you may need to stay longer.

Post-procedure Care

At the Hospital
  • You may need oxygen for a brief time after your operation.
  • You will have a tube near your incision. It will drain blood and fluid from the area. The tube may be removed 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.
  • You will be given pain medicine as needed.
  • You may be encouraged to exercise by walking soon after surgery.
  • You may be given blood thinning medication to prevent clots.
At Home
When you return home, take these steps:
  • 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.
  • Be sure to follow your doctor’s instructions.
 

RESOURCES

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 RESOURCES

Canadian Urological Association
http://www.cua.org

The Kidney Foundation of Canada
http://www.kidney.ca

 

References


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%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. Updated February 2009. Accessed January 15, 2013.

 

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