Ureteric Stone Procedure in Aligarh

URSL (Ureteroscopic Stone Removal): Ureteric Stone Treatment

URSL is a minimally invasive endoscopic procedure used to treat stones lodged in the ureter. It is performed through the natural urinary passage using a thin telescope, without any skin incision, to break and remove the stone.

What is URSL?

URSL (Ureteroscopic Stone Removal), also called ureteroscopic lithotripsy, is a minimally invasive procedure used to treat stones in the ureter—the tube that carries urine from the kidney to the bladder. A thin telescope called a ureteroscope is passed through the urethra and bladder into the ureter to locate the stone. The stone is then fragmented, usually with a laser, and the pieces are removed or allowed to pass naturally.

When URSL may be recommended

Pre-URSL evaluationPre-URSL evaluation

How URSL is performed

Benefits of URSL

✓ No skin incision
✓ High stone clearance for ureteric stones in selected cases
✓ Short hospital stay, often day care or overnight stay
✓ Quick recovery and early return to routine activity
✓ Useful when medicines are unlikely to help the stone pass

DJ stent after URSL

A DJ stent is a temporary soft tube placed from the kidney to the bladder to keep urine flowing, reduce swelling, and support healing. Not every patient needs a stent, but it may beadvised depending on stone size, ureteric swelling, residual fragments, or procedural findings.

Recovery after URSL

✓ Most patients go home the same day or within 24 hours in uncomplicated cases
✓ Burning, urgency, mild blood in urine, or temporary discomfort can occur for a few days
✓ Adequate hydration is recommended unless specifically restricted
✓ Light activities can usually be resumed within a few days
✓ Follow-up may include review of symptoms, stent removal if applicable, and imaging to
confirm clearance

Risks, complications, and warning signs

✓ Bleeding in urine, usually temporary
✓ Urinary infection or fever
✓ Persistent pain, difficulty passing urine, or severe urgency
✓ Rare ureteric injury or stricture
✓ Need for additional treatment if fragments remain or stones recur

Patients should seek urgent medical attention if they develop high fever, increasing pain, heavy bleeding, inability to pass urine, or worsening vomiting.

URSL vs RIRS

URSL is mainly used for ureteric stones, while RIRS is used for stones inside the kidney. The choice depends on stone location, size, anatomy, and overall clinical context.

Stone analysis and prevention after URSL

✓ Stone analysis to understand composition
✓ Adequate hydration advice
✓ Dietary guidance based on stone type and metabolic profile
✓ Regular follow-up where needed to monitor recurrence

Online / outstation / international consultation support

✓ Video consultation for initial review or follow-up when appropriate
✓ Share reports online before visiting
✓ Guidance for outstation patients regarding evaluation and scheduling
✓ Support for international patients within the website consultation framework

Frequently Asked Questions

What is URSL and why is it done?

PCNL is a procedure that reaches the kidney through a small tract created through the skin so that a nephroscope can break and remove kidney stones directly.

Is URSL painful?

PCNL is commonly considered for larger renal stones, especially stones above about 2 cm, staghorn stones and selected complex stone burdens. The decision also depends on anatomy, infection, kidney function, bleeding risk and other patient factors.

How long is the hospital stay after URSL?

No. PCNL is a percutaneous endourological procedure rather than traditional open kidney surgery, but it is still an invasive operation requiring anaesthesia and a controlled access tract into the kidney.

Will I need a stent after URSL?

Neither procedure is automatically better for every patient. PCNL is generally preferred for larger stone burdens, while RIRS may be suitable for smaller/moderate stones or selected larger stones. Imaging and patient factors determine the choice.

When can I return to normal activities?

Not always. A nephrostomy tube, DJ stent, both or neither may be used depending on bleeding, residual stones, urine leakage, infection risk, anatomy and whether another procedure is planned.

What are the chances of stone recurrence?