Endoscopic surgery of the urinary tract

The success of treatment depends on the appropriate qualification for treatment: conservative or interventional, and appropriate patient management. The acute treatment of urolithiasis consists in administering painkillers and controlling the infection. In the absence of progress in pharmacological treatment, surgical treatment of urolithiasis is used:

• URS-L – a procedure consisting in inserting an endoscope into the ureter, locating and crushing the stone
• PCNL – removal of stones through the skin with the endoscopic method under visual control
• RIRS – treatment of nephrolithiasis and ureteral stones with a flexible endoscope using a holma laser

The specific surgical technique is selected depending on the type of urolithiasis, the size of the stones and their location. Imaging tests, including ultrasound and non-contrast computed tomography of the urinary tract, are currently used to initially determine the nature of urolithiasis and its location. After performing and analyzing the test results, you can qualify for a specific type of surgery during consultation with a urologist

After the PCNL procedure, the patient spends about 1-3 days in the hospital, and after about 7-14 days, the patient can usually return to work. In the case of people who perform manual work, the break from the profession may be approximately 30 days.

After RIRS and URSL surgery, a special drain is left in the ureter, which is most often removed within 7-14 days after the surgery. The patient is discharged from the hospital the day after the procedure and can return to work within a few days, regardless of its nature.

After the PCNL treatment, it is recommended to lead a sparing lifestyle. Despite the low invasiveness, patients after endoscopic urinary tract surgery require constant monitoring by a urologist. In case of complications, consult the attending physician.