Urology

Laparoscopic / Retroperitoneoscopic Ureterolithotomy

Ureterolithotomy is a procedure to remove stones from the ureter. The ureter is a tube between the kidney and the bladder. Urine passes down to the bladder through this tube. In open ureterolithotomy 3 – 4 inch incision is done on skin.

Laparoscopic (keyhole surgery) procedures use small 5mm to 10mm incisions are done. This helps to avoid large incisions that are used during open surgery. Recently this surgery is also done retroperitoneoscopically ( Laparoscopic procedure without entering abdomen). With this method return of intestine motility is quickest.

PUJ obstruction

Indications

  • Large upper & mid ureteric stone
  • Impacted upper & mid ureteric stone
uretero

Advantages

Cutting out the PUJ obstruction and joining the kidney onto the ureter is called pyeloplasty. This has the best results and lasts for the longest period. This can be achieved through a traditional surgery (‘open pyeloplasty’) where large skin incision is done or bykeyhole surgery (‘laparoscopic pyeloplasty’).

  • Only 5 – 10mm skin incisions.
  • Less pain
  • Shortest hospital stay ( 1-2 days only)
  • More chance of complete stone removal
  • Earliest return of intestine function ( about 6 hours)