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Laparoscopic ureterolithotomy. Prices, reviews, ratings

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Ureterolithotomy is an alternative method of removing ureteral stones. Experts say that this method can replace open surgery. Its effectiveness exceeds traditional methods of stone removal several times.
Ureterolithotomy is an alternative method for removing ureteral stones. Experts say that this method can replace open surgery. Its effectiveness exceeds traditional methods of stone removal several times.

General information

The following set of instruments is used during ureterolithotomy:

  • rubber holders for immobilizing the ureter;
  • forceps for extraction stone.
Ureterolithotomy is an excellent alternative to standard treatments used to remove ureteral stones.

The Surgery Process

Preparation

Before a patient undergoes a stone removal procedure called laparoscopic ureterolithotomy, the patient is positioned so that the surgeon can have good access to the location of the stone. The patient is positioned in the same way as in kidney surgery. If the stone is located in the lower part of the ureter, the patient should lie in a horizontal position on his back.

After this, the anesthesiologist gives the patient general anesthesia and an experienced urological surgeon begins the operation.

The process of ureterolithotomy

  • An incision is made in the upper part of the ureter.
  • The surgeon identifies the ureter.
  • Using an X-ray, the doctor determines in which area of the ureter the stone is located and makes an incision above the place where the stone is identified.
  • A rubber holder is placed under the ureter, which is needed to mobilize the ureter.
  • The stone is removed using forceps.
  • Several catgut sutures are placed on the incision in the ureter.
  • A thin drainage tube so that urine, blood and other fluids can drain through it.

Rehabilitation period

After the patient is transferred to the general ward, he must follow all the instructions of the urologist. The main requirement of an experienced specialist will be a strict rule to drink about 3 liters of liquid per day. This will help to clear the ureter as quickly as possible by removing urine.

Indications

This method is indicated in the following situations:

  • remote lithotripsy does not give tangible results;
  • the entrance to the ureter is blocked by a stone of a sufficiently large size (more than 1 cm).

Contraindications

It is strictly forbidden to perform surgery on patients in the following situations:

  • the presence of adhesions in the abdominal cavity;
  • severe obesity;
  • contraindications to anesthesia.

Complications

The most Common possible complications after ureterolithotomy are:

  • urinary leakage;
  • ureteral stenosis.
Complications most often arise due to the unprofessionalism of doctors who perform the operation and introduce an infection into the ureter, or due to the fact that the patient does not follow all the instructions of the urologist.

Prices and clinics


Ureterolithotomy should be performed by an experienced surgeon in the nephrology department. In this case, complications after surgery can be avoided, and the patient will recover quickly enough. To choose the right clinic, you should look at the medical portal . With its help, you can not only familiarize yourself with the list of clinics, but also choose the most suitable option for you.

09 Jan 2024, 14:07
Urologist

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