Ureteroscopic Kidney Stone Removal

What you should know

Ureteroscopy is a procedure done to remove kidney stones.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

You may bleed more than expected or get an infection. You may have trouble breathing or get blood clots. You may need surgery or another procedure if the stone was not small enough to pass in your urine. Your ureter could be torn or damaged during this procedure. Your ureter may grow scar tissue after the procedure and block the flow of urine. Kidney stones can cause a kidney infection and stop urine from moving out of your kidney. Without treatment, your kidneys could stop working. This could become life threatening.

Getting Ready

The week before your procedure:

  • Write down the correct date, time, and location of your procedure.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • You may need blood or urine tests before your procedure. You may also need to have an EKG. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.

The night before your procedure:

Ask caregivers about directions for eating and drinking.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

Treatment

What will happen:

Caregivers put your feet and legs into stirrups or leg holders. A ureteroscope is put through your urethra and bladder into your ureter. The ureteroscope is a long thin tube with a light and magnifying glass on the end. Your doctor will put instruments such as tiny forceps through the ureteroscope to grab and remove small stones. Larger stones are shattered with a tool such as a drill, ultrasound, or laser. These tiny pieces of stone will be passed in your urine in the next few days.

After your procedure:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your procedure.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your procedure.

Seek Care Immediately if

  • Your symptoms get worse.

© 2014 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.

Learn more about Ureteroscopic Kidney Stone Removal (Precare)

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