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Ureteroscopic Kidney Stone Removal


Ureteroscopic Kidney Stone Removal (Discharge Care) Care Guide

Ureteroscopy (u-re-ter-OS-kah-pee) is a procedure done to remove kidney stones. Kidney stones are also called renal calculi. Kidney stones are rock-like pieces that can form anywhere in the urinary system. This includes the kidneys, bladder, ureters and urethra (urine tubes). Your kidneys clean waste from the blood and make urine. The stone may be large or small. You may have more than one stone. Ureteroscopy is used when the stone is in the middle or lower part of the ureter. The ureters are the tubes that go from your kidney to your bladder where urine is stored, before it is passed out of your body. Ask caregivers for more information about kidney stones and ways to treat them.



  • Keep a current list of your medicines: Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Use vitamins, herbs, or food supplements only as directed.

  • Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not working as expected. Tell him about any medicine allergies, and if you want to quit taking or change your medicine.

  • If a medicine makes you drowsy: Some medicines may make you drowsy (tired) or less able to think clearly. Avoid driving, signing legal papers, operating heavy equipment or other activities that you must be alert to do. Never drink alcohol while you are taking medicines that make you feel drowsy or less alert.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. Do not stop taking your medicine unless directed by your primary healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • You may be given medicine to prevent more kidney stones from forming.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

How should I take care of myself at home?

  • Rest: You may feel like resting more after your surgery. Have family or friends help you with day-to-day activities. Slowly start to do more each day. Rest when you feel it is needed.

  • Ask caregivers how much liquid you should drink each day. It is very important to drink a lot of liquid after having a ureteroscopy. This helps clean out any remaining small pieces of stone. Fluids can also help prevent more kidney stones from forming. Drink liquids throughout the day. Drink liquids in the evening to make sure your body makes urine through the night. Unless caregivers tell you otherwise, drink as much water as possible. Limit the amount of caffeine you drink. Caffeine may be found in coffee, tea, soda, and sports drinks and foods.

  • Strain your urine every time you go to the bathroom: This will catch the stone pieces as they pass in your urine. Urinate through a special strainer or through a piece of thin cloth to catch the stone. You may find it easier to urinate into a glass jar. By doing this you will be able to see the stones at the bottom of the jar. Take the stones to your caregivers so they can see them. The stones will be sent to the lab for tests to learn what they are made of. This will help caregivers plan your treatment and help prevent more kidney stones.
    Look for Stones in the Filter

  • Eat a healthy diet: Eat healthy foods from all of the five food groups: fruits, vegetables, breads, dairy products, meat and fish. Eating healthy foods may help you feel better and have more energy. Caregivers may suggest different ways to eat depending on what type of stone you had. This may help to decrease the chance of getting more stones. It can take time getting used to a new diet. Special cook books may help the cook in the family find new recipes. Talk with your caregiver before changing your diet because there are different causes of kidney stones.


  • You cannot urinate.

  • You have an increasing amount of blood in your urine.

  • You are taking pain medicine, but still feel a lot of pain.

  • You start having more pain.

  • You have questions or concerns about kidney stones, procedures to remove them, or your medicines.


  • You have trouble breathing all of a sudden.

  • You have chest pain.

  • You have a fever.

  • You have trouble thinking clearly.

  • You have a lot of vomiting (throwing up).

  • You begin to urinate bright red blood or blood clots.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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