Ureteric stones are stones that become lodged in the ureter, the narrow tube that carries urine from the kidney to the bladder. These stones often originate in the kidney and move into the ureter.
Depending on the size and location of the stone, some ureteric stones may pass naturally. Others can cause significant pain, urinary obstruction or infection and may require active treatment.
Ureteric stones can cause sudden and severe symptoms, particularly when they obstruct urine flow.
Active treatment may be considered when a stone is unlikely to pass naturally or is causing significant symptoms or complications.
The urologist may use imaging and laboratory tests to determine the size and exact location of the stone and assess its effect on the urinary system.
Treatment depends on the stone's size, location, symptoms, likelihood of spontaneous passage and the patient's overall health.
Small stones that are likely to pass naturally may sometimes be managed with observation, pain control, appropriate fluid guidance and medicines prescribed by the treating doctor.
Ureteroscopy is a minimally invasive procedure in which a small scope is passed through the urinary passage into the ureter. The stone can be located and fragmented using a laser, after which the fragments may be removed.
A temporary ureteric stent may be placed in selected patients following the procedure.
In selected cases, shock wave treatment may be used to break a suitable ureteric stone into smaller fragments that can pass through the urinary system.
Suitability depends on factors such as stone size, location, composition and the patient's anatomy.
Ureteroscopy is commonly used for stones that require active removal. It does not require a large external incision because the scope is introduced through the natural urinary passage.
During the procedure, the surgeon identifies the stone and uses suitable instruments or laser energy to fragment and remove it.
Recovery depends on the size and location of the stone and the procedure performed. Some patients may experience temporary urinary frequency, burning or blood in the urine.
If a ureteric stent is placed, patients may experience increased urinary frequency, urgency or discomfort until the stent is removed.
A blocked urinary system together with infection can be a medical emergency. Patients with fever, chills, severe pain, vomiting or feeling seriously unwell in the presence of a suspected urinary obstruction should seek urgent medical care.
In such situations, relieving the obstruction and treating the infection may take priority before definitive stone removal.
After treatment, the cause of stone formation should be evaluated where appropriate. Depending on the type of stone, prevention may involve adequate fluid intake, dietary modifications and treatment of underlying metabolic or urinary conditions.
Consult Dr. Jaspreet Singh Chhabra for specialist evaluation and minimally invasive treatment of ureteric stones.
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