Ureteroscopy & Laser Lithotripsy
In Glens Falls, NY

Ureteroscopy and Laser Lithotripsy

Ureteroscopy with laser lithotripsy is a minimally invasive procedure used to treat kidney stones located in the ureter or kidney. Using a thin, flexible camera passed through the bladder and up the urinary tract, Dr. Friedman can directly visualize the stone and use a laser to break it into small fragments for removal or natural passage.

This procedure avoids any incisions and allows for effective treatment of stones that may not pass on their own or respond to other therapies.

When Is Ureteroscopy Recommended?

This treatment is typically recommended when:

• A stone is too large to pass on its own

• The stone is causing pain, infection, or obstruction

• Other treatments (like medications or shock wave therapy) are not appropriate

• The patient has multiple stones or complex anatomy

How the Procedure Works

• Performed under general anesthesia

• A camera (ureteroscope) is passed through the urethra and bladder, up to the ureter or kidney

• A laser fiber is used to break the stone into small pieces

• A small basket may be used to retrieve fragments, if needed

• The procedure is typically outpatient, with most patients going home the same day
   

Ureteral Stents: Why They’re Used

At the end of the procedure, a temporary ureteral stent is often placed. This soft, flexible tube runs from the kidney to the bladder and helps:

• Keep the ureter open to allow urine to drain freely

• Prevent blockage from swelling or stone fragments

• Promote healing and reduce the risk of complications

The need for a stent depends on the size and location of the stone, the degree of manipulation during the procedure, and Dr. Friedman’s clinical judgment.
 

Stent Discomfort and Management

It’s common to experience some discomfort while the stent is in place, including:

• Bladder pressure or urgency

• Burning with urination

• Mild flank or groin pain, especially after urinating

• Blood in the urine

These symptoms are usually manageable and improve over time. To help reduce discomfort, we may prescribe:

• Alpha blockers (like tamsulosin) to relax the ureter

• Urinary tract pain medications (like phenazopyridine)

• Hydration and rest
   

Stent Removal

Stents are typically removed in 3 to 7 days after surgery, depending on:

• The complexity of your procedure

• The amount of swelling or trauma

• Surgeon discretion based on how your body is healing

How stent removal works:

• Performed in the office, usually without anesthesia

• A small camera is used to grasp and remove the stent via the urethra

• The procedure is brief and well tolerated, though you may feel pressure or urgency

Risks of Ureteroscopy and Laser Lithotripsy

This procedure is generally safe and effective, but as with any surgery, there are risks. These may include:

• Infection

• Bleeding

• Injury to the ureter or kidney

• Incomplete stone removal, requiring a second procedure

• Stent-related discomfort

• Rarely, stricture formation (scarring in the ureter)

Dr. Friedman will review all risks with you during your consultation and tailor the approach to minimize complications.

Recovery and Follow-Up

• Most patients can return to light activity within 1–2 days

• Hydration is important to flush out any remaining fragments

• Mild discomfort is normal for a few days

• Follow-up includes stent removal (if placed) and possible imaging or urine tests

High-Quality Stone Care, Close to Home

Dr. Friedman provides a clear, step-by-step explanation of your condition and treatment options—helping you feel confident and informed throughout the process. We are proud to offer advanced, minimally invasive stone care for patients in Glens Falls, Saratoga Springs, and the surrounding Capital and Adirondack regions.

If you’ve been diagnosed with a kidney or ureteral stone and want to explore treatment options, contact our office to schedule a consultation.