UNITTAS – meaning "United" in Spanish. Our hospital is conceived by the united efforts and collective participation of senior, well experienced medical professionals and professionals from other service sectors.

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Cystoscopy with Ureteroscopic Lithotripsy in Chennai

Safe, scar-free laser treatment for ureteral stones using cystoscopy and ureteroscopic lithotripsy (URS). Quick relief and high success rates at Unittas Hospital.

Experienced Urologists Minimally Invasive Transparent Pricing Insurance Accepted

What is Ureteroscopic Lithotripsy (URS)?

Ureteroscopic Lithotripsy (URSL) is a minimally invasive endoscopic procedure to treat stones in the ureter — the tube connecting the kidney to the bladder. It combines cystoscopy (examination of the bladder) with ureteroscopy (advancing a scope into the ureter) and holmium laser lithotripsy to fragment and extract stones. No skin incisions are required, making it a preferred choice for many patients.

When is Cystoscopy with URS Lithotripsy Recommended?

  • Ureteral stones causing blockage, severe pain, infection, or impaired kidney function
  • Stones that fail to pass naturally or respond to shock wave lithotripsy (ESWL)
  • Stones in the lower or mid-ureter, or those requiring precise removal
  • Patients who prefer a direct, visual method for stone management with low bleeding risk

The URS Lithotripsy Procedure: Step-by-Step

Performed under general or spinal anaesthesia, typically lasting 45–90 minutes:

  1. 1
    Cystoscopy: A cystoscope enters through the urethra into the bladder to visualise the ureteral opening.
  2. 2
    Ureteroscopy: A thin, flexible or semi-rigid ureteroscope advances up the ureter to locate the stone.
  3. 3
    Laser Fragmentation: A holmium laser fibre breaks the stone into small pieces or dust.
  4. 4
    Stone Removal: Fragments extracted using a basket or allowed to pass naturally.
  5. 5
    Stent Placement: A double-J stent is usually inserted to ensure drainage and prevent swelling, removed after 1–4 weeks.

Benefits and Recovery

Scar-FreeEntirely through natural urinary pathways; no external cuts.

High PrecisionDirect visualisation and laser targeting ensure thorough stone clearance.

Quick ReliefEffective for painful obstructing stones with rapid symptom improvement.

Short Hospital StayOften same-day or overnight discharge.

Recovery Timeline

  • Hospital stay: Frequently outpatient or 1 day
  • Activity: Rest 1–2 days; resume light duties soon after
  • Hydration: Drink ample fluids to flush fragments
  • Return to normal activities: Within a few days to a week

Cost at Unittas Hospital, Chennai

We offer transparent, affordable pricing with no hidden charges. Costs include the procedure, anaesthesia, and standard care.

Room TypeApproximate Cost (INR)
General Ward (Sharing Occupancy)₹80,000
Single Room Non AC Deluxe₹90,000
Single Room AC₹1,00,000

* Inclusive of cystoscopy, ureteroscopy, laser lithotripsy, DJ stenting, anaesthesia, and standard care.

Frequently Asked Questions

How does URS differ from ESWL for ureteral stones?

URS provides direct access and laser fragmentation for guaranteed clearance, especially for larger or impacted stones, while ESWL uses external shock waves and may require multiple sessions.

Is the procedure performed under general anaesthesia?

Yes, general or spinal anaesthesia is used for comfort and precision during scope advancement and laser use.

What type of laser is commonly used in URS lithotripsy?

Holmium:YAG laser is standard due to its effectiveness on all stone types and excellent safety profile.

Can URS treat stones that have moved into the kidney?

Yes, semi-rigid or flexible ureteroscopes allow access to the upper ureter and kidney pelvis when needed.

How long does the double-J stent typically stay in place?

Usually 1–4 weeks, depending on stone size, location, and healing. Removal is a quick outpatient procedure.

What are common post-procedure symptoms?

Mild burning on urination, pink-tinged urine, or stent discomfort are normal and improve with time and hydration.

When can I return to work after the procedure?

Most patients resume light work within 2–5 days, avoiding strenuous activity for about a week.

Is URS suitable for recurrent stone formers?

Yes, it allows complete removal and stone analysis to guide prevention strategies.

What pre-procedure preparations are required?

Blood tests, urine culture, imaging, and stopping certain medications (like blood thinners) as advised.

How is success confirmed after URS lithotripsy?

Follow-up imaging (ultrasound or X-ray) verifies no residual fragments and proper stent position.

Does insurance typically cover this procedure at Unittas Hospital?

Most health insurance plans do. Our administrative team helps with pre-authorisation and claim processing.

What warning signs require immediate follow-up after discharge?

High fever, severe pain unrelieved by medication, heavy bleeding, or reduced urine output should prompt urgent contact.

Are there dietary recommendations post-procedure to prevent future stones?

Yes, maintain high fluid intake (2.5–3 litres daily), limit salt and animal proteins, and follow advice based on stone composition analysis.

Ready to Get Started?

Our expert urology team at Unittas Hospital is here to help. Book a consultation today.