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Laparoscopic Ureterolithotomy

Laparoscopic ureterolithotomy is a minimally invasive procedure to remove ureteral stones larger than 1.5 cm. The procedure is indicated for the treatment of ureteral stones that cannot be fragmented or removed ureteroscopically (narrow tube passed through the natural urinary opening).

Laparoscopic ureterolithotomy is performed under general anesthesia. Your surgeon makes 3 to 4 incisions on your abdomen. Carbon dioxide is filled in the abdominal cavity to make it easy for your surgeon to visualize the operative site. A laparoscope (tube with a light and a camera) is inserted through one of the incisions, to identify the ureter and locate the ureteral stone. An incision is made on the ureter and the stone is extracted by forceps and a stent (thin tube) is placed to prevent obstructions and help the ureter heal. The ureteral incisions are closed with sutures. A catheter may be inserted to drain the urine from the bladder.

Like all surgical procedures, laparoscopic ureterolithotomy may be associated with certain complications, which include:

  • Ureteral stricture (narrowing of the ureter)
  • Hematoma (collection of blood outside the blood vessel)
  • Bowel obstruction
  • Need of open ureterolithotomy
  • Persistent urinary leak

The advantages of laparoscopic ureterolithotomy when compared to open ureterolithotomy include:

  • Reduced hospital stay
  • Smaller incisions and less scarring
  • Less post-operative pain
  • Faster recovery

NMC UroCare provides specialized and experienced urologists and the best quality treatments available. For further information onLaparoscopic Ureterolithotomy, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/.