What is URS (Ureteroscopy) with Laser Stone Removal?

URS (Ureteroscopy) with Laser Stone Removal is a minimally invasive procedure used to treat stones in the ureter or kidney.
Using a thin, rigid or flexible ureteroscope, Dr. Swapnil Gholap visualizes the urinary tract through the natural passage without any cuts. A holmium laser is then used to break the stone into fine particles, which are removed or naturally passed in the urine.

This advanced treatment ensures quick recovery, minimal pain, and no external scars, making it an ideal option for patients with ureteric or small kidney stones.

When is URS Recommended?

URS with laser stone removal is usually advised in the following cases:

• Stones located in the ureter or kidney (less than 1.5–2 cm)

• Failed ESWL (Shock Wave Lithotripsy) or medical treatment

• Severe pain, infection, or blockage due to stones

• Single or multiple ureteral stones

• Recurrent stones causing urinary obstruction

• When a non-invasive approach is preferred

Causes of Ureteric or Kidney Stones

Kidney and ureteric stones form when certain minerals in urine crystallize and clump together. Common causes include:

• Inadequate water intake

• High salt, calcium, or oxalate diet

• Recurrent urinary tract infections

• Family history of kidney stones

• Obesity or sedentary lifestyle

• Certain medications or supplements

Symptoms of Ureteric or Kidney Stones

Patients who need URS often experience:

• Severe flank or lower abdominal pain

• Burning or pain during urination

• Blood in urine (hematuria)

• Frequent urge to urinate

• Nausea or vomiting

• Fever and chills, if infection develops

• Urinary blockage or poor urine flow

The URS with Laser Procedure

1. Anesthesia & Preparation
The procedure is done under spinal or general anesthesia to ensure comfort.

2. Scope Insertion
A ureteroscope (thin telescope-like instrument) is gently passed through the urethra and bladder into the ureter.

3. Laser Fragmentation
A holmium laser is used to break the stone into tiny fragments or dust for easy removal.

4. Stent Placement
A temporary ureteral stent may be inserted to allow smooth urine drainage and promote healing.

5. Completion
The procedure typically takes 45–60 minutes, depending on stone size and location.

Benefits of URS with Laser Stone Removal

• No cuts or external scars

• Quick recovery and minimal pain

• Safe for all age groups

• Short hospital stay (often same-day discharge)

• Effective even for hard or impacted stones

• High success rate with low recurrence

Recovery & Aftercare

• Mild burning or blood-tinged urine may occur for 1–2 days.

• Drink plenty of water to flush out fragments.

• Avoid heavy activity for a few days.

• Follow-up visit for stent removal after 7–14 days.

• Resume work and normal routine within 2–3 days.

FAQs About URS with Laser Stone Removal

1. Is URS painful?
No. It is performed under anesthesia. Mild discomfort or burning sensation afterward is temporary and easily managed.

2. Will I need hospitalization?
Most patients are discharged on the same day or the next morning after observation.

3. Does URS cause scarring or cuts?
No external cuts are made; the procedure is entirely through the natural urinary passage.

4. How long does it take to recover?
Most patients recover within 2–3 days, with minimal restrictions.

5. Can stones come back after URS?
Yes, stones can recur if preventive measures aren’t followed. Hydration and dietary changes help reduce recurrence risk.