High Contrast Mode:

Ureteroscopy Specialists in Atlanta

A Minimally Invasive Solution for Kidney and Ureteral Stones & Ureteroscopy with Laser Lithotripsy

What is Ureteroscopy?

Ureteroscopy is a highly effective, minimally invasive procedure used to diagnose and treat problems within the urinary tract, such as kidney stones. Using a small, lighted viewing scope called a ureteroscope, the procedure allows the urologist to examine the ureters—tubes that connect the kidneys to the bladder—and address any issues, including the removal or breaking up of kidney stones.
Schedule Appointment
a few men sitting on a couch

Why is Ureteroscopy Performed?

Ureteroscopy is performed to treat or diagnose various conditions in the urinary tract, including:
close-up of people shaking hands

Kidney Stone Removal

Small instruments or a laser can be used to break up and remove kidney stones.
a doctor holding a clipboard

Stent 
Placement

A stent may be placed in the ureter to help urine and stone fragments pass. Stent removal typically occurs 1-2 weeks later, often without anesthesia.
a room with a desk and a chair

Growth or Tumor Removal

To examine or remove growths or tumors in the urinary tract.
a person holding a pen

Narrowing Of 
Ureters

For evaluating or treating narrowed ureters.

a man and a woman looking at a computer screen

Repeated Urinary Tract Infections

Diagnosing the underlying cause of frequent UTIs or other urinary issues.

How Does A 
Ureteroscopy Work?

Ureteroscopy involves the use of a small, flexible or rigid ureteroscope equipped with a camera and light. This scope is inserted through the urethra, allowing the surgeon to view and treat issues within the urinary system.

  • Procedure Time: About 1 hour
  • Anesthesia: General anesthesia is typically used, allowing you to sleep during the procedure.
  • Procedure Process: After cleaning the groin and urethra, the scope is inserted through the urethra into the bladder and up into the ureter for stone removal or diagnostic purposes

Schedule Appointment
a bedroom with a bed and a chair

How to Prepare for Ureteroscopy

Be sure to arrange for someone to drive you home after the procedure. To ensure the best outcome, your urologist will provide specific instructions on how to prepare for the procedure, which may include:
a woman in a white coat

Medications

Inform your surgeon of all medications you're taking, including over-the-counter drugs. You may need to stop taking certain medications, such as aspirin or blood thinners, before surgery.
a plate of food

Fasting

You'll need to refrain from eating or drinking after midnight on the day of your surgery.
a person holding the hands together

Pregnancy

Let your doctor know if you are pregnant or suspect you may be.

Preparing for Ureteroscopy with Laser Lithotripsy (ULL)

Laser lithotripsy is typically performed as an outpatient procedure, meaning you can go home the same day. Before the procedure, your doctor will conduct imaging tests, such as a CT scan or X-ray, to determine the size, location, and number of kidney stones.

Be sure to inform your doctor about any medications you're currently taking. Some medications, including blood thinners and over-the-counter pain relievers like aspirin or ibuprofen, may need to be temporarily stopped before the procedure to prevent excessive bleeding.

Since you will be under general anesthesia during the procedure, fasting for 8 to 12 hours beforehand is typically required.

a man and a woman writing on a blackboard

What to Expect During Ureteroscopy with Laser Lithotripsy

During the procedure, your surgeon will use a ureteroscope—a thin, flexible tube with a camera—to navigate through your urethra and bladder, reaching the stone in your ureter. A laser is then used to break the stone into smaller pieces, which can either be passed naturally or removed by the surgeon.

In most cases, a temporary stent will be placed in your ureter to help with urine drainage and to ensure proper healing after the procedure. This stent is typically removed during a follow-up visit a few days later.

a medical machine with a monitor

How Long Does the Procedure Take?

Ureteroscopy with laser lithotripsy generally takes between 30 to 90 minutes, depending on the size and location of the kidney stone. For larger or more complex stones, the procedure may take longer, and in some cases, an overnight hospital stay may be necessary.

a bathroom with a bed and a sink

Recovery and Aftercare

Following the procedure, you’ll be taken to a recovery room until your pain is under control and you can urinate comfortably. Anesthesia may cause drowsiness and nausea for a few hours, so be sure to have someone available to drive you home.

You may experience some discomfort, including bladder pain or cramping.

It’s normal to see some blood in your urine after the procedure—this should gradually decrease over time.

a person sitting on a couch

Follow Up Care

A follow-up appointment will be scheduled a few days after your procedure to remove the stent. Additional follow-up appointments may be necessary, depending on your recovery progress. These symptoms typically resolve as your body heals. If you have concerns about any side effects, contact your doctor for advice. You may experience some common side effects, including:
Pain & bruising
Fatigue
Constipation
Nausea

After The Procedure

Once the ureteroscopy is complete, you’ll spend time in a recovery room. You can return to driving once you stop taking narcotic pain medication, and most people feel better within 5 to 7 days. If you have a stent, it may take longer to fully recover. When you're awake and able to urinate, you can go home. Here’s how to care for yourself post-procedure:
a person sleeping on a bed

Rest

Plan to rest for 24 hours and have someone stay with you during this time.
a person holding a glass of liquid

Medications

Your doctor may prescribe pain relievers and antibiotics to prevent infection. Follow the instructions closely.
a person holding a glass of water

Hydration

Drink 4-6 glasses of water daily to flush your urinary system and help pass any remaining stone fragments.

a person's hand holding a towel over a toilet

Blood in Urine

It's normal to see blood in your urine for a few days following the procedure.
a person holding the waist

Pain Relief

You may experience pain in your bladder and a burning sensation when urinating. Warm baths or a heating pad can help relieve discomfort.

a person holding their hands together

Stent Discomfort

If a stent was placed, you may feel some pain in your side, especially during urination.

Are You a Candidate for Laser Lithotripsy for Kidney Stones?

If you have kidney stones lodged in your ureter, particularly those located close to the bladder, laser lithotripsy (LL) may be an ideal treatment option for you. This advanced procedure can be more effective than shock wave lithotripsy (ESWL) because it uses a powerful laser beam to directly break up the stone.
Schedule Appointment
a doctor talking to a man

6 Reasons To Come To Advanced

appointment

Same Day Appointments

Need to be seen today? Advanced Urology offers same day appointments and even urgent same day surgery.
Experience

World Class Facilities

We have ultramodern facilities to provide all your care.. This includes offices, lab studies, advanced testing, and state of the art surgery centers. We want you to have a pleasant and pain free experience.
Problem Solving

Advanced Techniques

Advanced Urology offers the latest with Advanced Implant therapy. This precision allows for targeted millimeter accuracy, minimizing side effects.
Outcome

Best In Class Outcomes

Our data warehouse includes 100 million data points that continuously track quality measures and ensure the absolute best outcome. Our personable men’s health doctors will tailor an individual treatment plan based on your unique needs. Results matter.
Technology

Leading Edge Technology

We utilize the best latest high end technology to ensure great outcomes. This includes Endoluxe Vision, daVinci X robotics, and Exactvu microultrasound.
Doctor

Expert Doctors

Our men’s health specialists are board certified with Advanced training in men’s health. This super-specialization leads to more experience, greater expertise, and a better outcome. Drs. Dave, Shah, and Farber are world renown for their skill, knowledge, and compassion.