URSL (Ureteroscopic Lithotripsy) is a minimally invasive endoscopic procedure used to treat stones located in the ureter, the tube that carries urine from the kidney to the bladder. It is one of the most commonly performed and highly successful treatments for ureteric stones of all sizes, especially those that cause severe pain, obstruction, or fail to pass naturally through medication.
During URSL, a thin, rigid or flexible ureteroscope is passed through the urethra and bladder to reach the stone in the ureter. No cuts or external incisions are required. Once the stone is located, a laser is used to break it into smaller fragments, which are either removed using a small basket or left to pass naturally. Because the procedure is entirely endoscopic, patients experience minimal discomfort and quick recovery.
URSL is ideal for stones stuck in the upper, middle, or lower ureter. It is particularly effective when the stone causes severe pain, leads to infection, or blocks the flow of urine, which can damage the kidney if untreated. The precision of the ureteroscope allows the surgeon to directly target the stone, ensuring high success rates.
After the procedure, a DJ stent may be placed temporarily to prevent swelling, promote healing, and ensure smooth urine drainage. The stent is usually removed after a few days or weeks, depending on the patient’s condition. Mild burning during urination or slight blood in urine is common but temporary.
The advantages of URSL include no external scars, minimal bleeding, shorter hospital stay, and rapid return to normal activities. Most patients are discharged within 24 hours. URSL is safe even for children, elderly patients, and people who cannot undergo open surgery.
Complications are rare but may include infection, ureteral injury, or temporary discomfort from the stent. With the use of advanced laser technology and high-definition endoscopes, URSL provides excellent stone-free outcomes.
Overall, URSL is a highly reliable, safe, and patient-friendly option for treating ureteric stones, offering fast relief from pain and ensuring long-term protection of kidney health.
