(Removal of Stones in Ureter)
|The Urinary Tract|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Are too large to pass
- Cause pain or bleeding
- Cause infection
- Block the flow of urine
- Place pressure on the kidney
- Adverse reaction to anesthesia
- Excess bleeding
- Heart attack or stroke
- Blood clots
- Excess scarring or narrowing in the ureter that can lead to kidney problems
- Failure to remove the kidney stone
- Problems urinating
- Bowel blockages
- Excess scarring of incision
What to Expect
Prior to Procedure
Your doctor may take the following:
- Images of your urinary system to locate the stone
- Blood and urine tests
- Ask about your medical history
- Talk to your doctor about any medications you are taking. Do not start taking any new medications, herbs, or supplements without talking to your doctor.
- You may be asked to stop taking some medicines up to 1 week before the procedure.
- Arrange for a ride from the hospital. Arrange for help at home as you recover.
- The night before your surgery, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You may need oxygen for a brief time after your operation.
- You will have a tube near your incision. It will be removed once fluid stops draining from the wound. This generally happens within 3 to 4 days of surgery.
- You may have an IV until you are eating and drinking normally.
- You will have a catheter that will drain your urine until you are able to move around on your own.
- You will be given pain medication as needed.
- You may be encouraged to exercise by walking the day after surgery.
- You may be given blood thinning medication to prevent clots.
- Ask your doctor when it is safe to have sex.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Extreme urge or inability to urinate
- Excess bleeding
- Redness or swelling at the site of the incision
- Pus draining from the site of the incision
- Signs of infection, including fever and chills
- Nausea and/or vomiting that you cannot control with the medications you were given after the procedure
- Pain that you cannot control with the medications you have been given
- Cough, shortness of breath, or chest pain
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
National Kidney Foundation http://www.kidney.org
Canadian Urological Association http://www.cua.org
The Kidney Foundation of Canada http://www.kidney.ca
Kidney stones in adults. National Kidney and Urologic Diseases Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/KUDiseases/pubs/stonesadults/index.aspx#treatment. Updated January 28, 2013. Accessed January 12, 2015.
Skrepetis K, Doumas K, et al. Laparoscopic versus open ureterolithotomy. A comparative study. Eur Urol. 2001;40(1):32-6.
Ureterolithotomy—dormia basket. Netdoctor website. Available at: http://www.netdoctor.co.uk/surgical-procedures/ureterolithotomy-dormia-basket.htm. Updated July 6, 2009. Accessed January 12, 2015.
Ureterolithotomy (open) consent form. Queensland Government website. Available at: http://www.health.qld.gov.au/consent/documents/urology%5F21.pdf. Published March 2011. Accessed January 12, 2015.
Patient Information: Open removal of stone from ureter. Addenbrooke’s Hospital NHS website. Available at: http://www.camurology.org.uk/wp-content/uploads/ureterolithotomy-44.pdf. Updated April 2014. Accessed January 12, 2015.
- Reviewer: Marcin Chwistek, MD
- Review Date: 01/2015 -
- Update Date: 06/19/2014 -