Contact ureterolithotripsy

Contact ureterolithotripsy is a minimally invasive endoscopic procedure aimed at removing stones from the ureter using laser or ultrasound energy. The operation is performed without incisions, through natural urinary pathways, making it a safe and effective alternative to open surgery.

When is contact ureterolithotripsy required?

• In the presence of ureteral stones that cannot pass spontaneously.
• If the stone causes severe pain, renal colic, or impaired urine outflow.
• In cases of recurrent urolithiasis.
• When medication therapy or extracorporeal shock wave lithotripsy has been ineffective.
• If the stone obstructs the ureter and leads to hydronephrosis.

How is the procedure performed?

1. Diagnostics and preparation – ultrasound, CT scan, or X-ray imaging is performed to determine the exact location of the stone.
2. Anesthesia – the procedure is carried out under spinal or general anesthesia.
3. Insertion of the ureteroscope – an endoscopic instrument is introduced through the urethra into the ureter.
4. Stone fragmentation – laser energy or ultrasonic waves are used to break the stone into fragments.
5. Removal of fragments – residual fragments are either extracted with special instruments or pass naturally with urine.
6. Postoperative monitoring – the patient is observed, and follow-up imaging is performed to exclude residual stone fragments.

Main advantages of contact ureterolithotripsy in Belarus

• No incisions or surgical scars.
• Rapid recovery – patients can return to normal activities within a few days.
• High effectiveness – allows fragmentation and removal of stones of various compositions.
• Low risk of recurrence when preventive recommendations are followed.
• Minimally invasive technique with a low complication rate.

The procedure is performed in leading urological clinics in Belarus using modern laser and ultrasonic technologies. Highly qualified specialists ensure precise manipulation, patient comfort, and rapid postoperative recovery.