Ureteroscopy is a minimally invasive technique during which a thin, lit, flexible scope, called an ureteroscope is passed through the urethra, into the bladder, and then up into the ureter(s).  It is used to investigate symptoms of blockage, such as a tumor or a stone,  like blood in urine, pain, urination problems.

Preparing for an Ureteroscopy

Before your procedure, your doctor may order certain blood or urine tests. If you suspect that you may have a urinary tract infection, please call the physician office immediately so that proper antibiotics can be prescribed before your surgery.

One week before surgery do not take:

  • Aspirin, aspirin-like products, NSAIDs (such as ibuprofen/ (Advil®, naproxen/Aleve®)
  • Any medicine to "thin the blood" such as Coumadin® or heparin,

Tell your doctor if you are taking:

  • Aspirin, ibuprofen or Plavix®
  • Insulin or any diabetic medications you take by mouth
  • Arthritis medications
  • Heart and hypertension medicine
  • Over-the-counter medications, herbal, or vitamin supplements

Check with your doctor to find out if you need to stop any of these medications prior to your procedure.

The Day of Your Ureteroscopy

The procedure lasts from 1 to 3 hours and is usually done under general anesthesia. If you are going home the same day, please arrange to have someone available to drive you home. Ureteroscopy usually can be performed as an outpatient procedure. You may require an overnight hospital stay, however, if the procedure proves lengthy or difficult.

After Your Ureteroscopy

If you received general anesthesia, you will need to rest for 24 hours following the procedure. During that time, do not drive or use any machinery.

  • Your doctor will tell you about any physical limitations you may have.
  • You are likely to feel a burning sensation when you urinate, but this should go away quickly.
  • You may notice a small amount of blood in your urine. This may continue, on and off, for a few weeks. These are normal side effects. Please talk to your doctor if you have any questions or concerns about this.
  • To relieve discomfort, drink two 8-ounce glasses of water every hour for 2 hours. Ask your doctor if you can take a warm bath to relieve the burning feeling. If not, you may be able to hold a warm, damp washcloth over the urethral opening.
  • Your doctor may give you an antibiotic to take for 1 or 2 days to prevent an infection.

When to Call the Doctor

Call your doctor immediately if:

  • Your bleeding becomes excessive
  • You are unable to urinate
  • You experience any signs of infection such as chills, fever, pain or swelling