Athens Regional Health System

Ureteroscopy (with Cystoscopy) Stone Extraction

A doctor may evaluate bladder problems using a cystoscope, which is thin like a pencil with a light at the tip and a lens much like a microscope. This procedure is often used for the following conditions:

  • Frequent urinary tract infections
  • Blood in the urine
  • Loss of bladder control or overactive bladder
  • Unusual cells from urine sample
  • Need for a bladder catheter
  • Painful urination, chronic pelvic pain or cysts
  • Urinary blockage
  • Stone in the urinary tract
  • Unusual growth, polyp, tumor or cancer

Most cystoscopy procedures are done under a general or regional anesthesia. Your surgeon will carefully place the cystoscope into your uretha and gently move it into the bladder. Water or saline will flow through the cystoscope to fill and stretch out your bladder so the doctor has a better view.

A ureteroscopy is a procedure during which stones are removed from the ureter.  The ureter connects the kidney to the bladder.

General or regional anesthesia is required.

For the procedure, a ureteroscope, a special, thin instrument is used to look directly inside the ureter. Ureteroscopes are generally flexible and resemble long straws.

The doctor will be able to see the stone through the ureteroscope and can then remove it with a small basket at the end of a wire through the ureteroscope or by extending a flexible fiber that emits a laser beam to break the stone into small pieces that will pass through your urine. The procedure your doctor will use is determined by the location, size and composition of the stone.

Your doctor may leave in a stent that keeps the urteter open for drainage, and you may have a mild burning sensation after you urinate or see small amounts of blood in your urine. This should not last for more than 24 hours. Call your doctor immediately if the bleeding or pain does not subside for a couple of days. If you experience pain, chills or fever, call your doctor immediately.

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