Ureteroscopy

What you should know

A ureteroscopy is a procedure to examine in the inside of your urinary tract, which includes your urethra, bladder, ureters, and kidneys. A ureteroscope is a small, thin tube with a light and camera on the end. Ureteroscopy can help your healthcare provider diagnose and treat problems in your urinary tract, such as 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. One of your ureters may be injured. You may have a blockage in one of your ureters. You may need another procedure or surgery.

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 an EKG. Ask your healthcare provider 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:

Your healthcare provider will place the ureteroscope into your urethra. He will pass it through your bladder and into your ureters and kidneys. Your healthcare provider may place tools through the scope that will help him remove tissue or stones. The tools may also help him place stents or sheaths to help keep your ureters open.

After your procedure:

You will be taken to a room to rest until you are fully awake. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider 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 Ureteroscopy (Precare)

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