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Saturday, 20 Oct 2018

Fiberoptic Flexible Ureteroscopy

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Certain patients who cannot be treated with ESWL (with radiolucent stones, pregnant women, patients who cannot get off blood thinners, or morbidly obese individuals) can usually be treated with Ureteroscopy.

A small digital fiberoptic telescope is passed through the urethra and bladder up to the point where the stone is located. If the stone is small, it may be extracted with a basket. If the stone is large, or if the diameter of the ureter is small, the stone will need to be fragmented with a Holmium laser. The fragments are then removed with a basket. Occasionally, a stent is left in place to ensure that the kidney drains urine properly.

Ureteroscopy is performed under anesthesia and usually as an outpatient. Dr. Loisides has performed over 500 ureteroscopic procedures.