Ureteroscopy is a highly effective, minimally invasive procedure used to treat stones located in the ureter or kidney. It is performed under general anaesthetic, ensuring complete comfort throughout your treatment.
Ureteroscopy is recommended for stones that are causing pain, blockage, infection risk, or have not passed on their own. A fine telescope is passed through the natural urinary passage (no cuts on the skin) to locate and treat the stone. Laser energy is used to break the stone, and fragments are removed safely.
How Ureteroscopy Works
A very fine telescope (a ureteroscope) is passed gently through the natural urinary passage — the urethra, into the bladder, and then up the ureter.
Depending on the location of the stone:
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A semi-rigid ureteroscope is used for stones in the ureter
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A flexible ureteroscope with a movable tip is used to reach stones inside the kidney
A thin laser fibre can be passed through the telescope to break the stone into tiny fragments.
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Larger pieces may be removed using a tiny wire basket
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Very small fragments are usually left to pass naturally in the urine
How Successful Is Ureteroscopy?
Ureteroscopy is one of the most successful treatments for stones 15 mm or smaller, offering excellent stone-free rates with a quick recovery.
This makes it an ideal option for patients who need reliable, minimally invasive stone removal.
What to Expect on the Day
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You will have a general anaesthetic and be asleep throughout.
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A thin telescope is passed through the urethra and bladder into the ureter or kidney.
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The stone is broken with a laser and removed with tiny baskets if needed.
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A temporary stent may be placed to help the kidney drain and reduce swelling.
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Most patients go home the same day.
After the Procedure
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Mild discomfort, urgency, or blood-tinged urine is common for a short period.
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If a stent is in place, you may feel some flank discomfort or urinary frequency until it is removed.
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You can usually return to normal activities within one or two weeks.
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A follow-up scan or X-ray will be arranged to ensure the stone has cleared
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Benefits of Ureteroscopy
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Minimally invasive – no cuts or incisions
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Suitable for both ureteric and kidney stones
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Can treat stones resistant to shock wave treatment (ESWL)
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Very high success rate for stones ≤ 15 mm
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Fast return to normal activities
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations
When to Seek Specialist Advice
You may benefit from a consultation if you experience:
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Persistent ureteric or kidney stones not passing naturally
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Severe or recurrent flank pain (renal colic)
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Stones causing blockage or impaired urine flow
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Recurrent urinary tract infections (UTIs) due to stones
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Blood in urine (haematuria)
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Increasing stone size or failed prior treatments (e.g., ESWL)
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Suspected ureteric abnormalities (strictures, lesions)
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Difficulty passing urine or signs of obstruction
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Reduced kidney function or hydronephrosis on imaging
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Fever, chills, or signs of infection with obstruction — urgent
Early assessment can provide reassurance and allow timely treatment where needed.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.