- Extracorporeal shock wave lithotripsy: The majority of patients have an indication for extracorporeal lithotripsy. But the success of the method depends on many factors including the size, location, composition and hardness of the stone. In addition, patient’s body type plays an important role (i.e obesity). During extracorporeal lithotripsy, the patient lies on a device called Lithotripter. Fluoroscopy is used to identify and target the stone. Ultrasonic waves are emitted from the device and fragment the stone. Therefore, the above procedure is minimally invasive.
- Endoscopic lithotripsy: This method is performed by the introduction of a tool called ureteroscope through the urethra and bladder into the ureter. The stones is identified and fragmented using a laser lithotripsy device.
The fragments are removed by using a special endoscopic basket.
It is worth noting that there are two types ureteroscopes depending on the flexibility of the instrument. These types include the rigid and flexible ureteroscopes. The flexible ureteroscope can also be used to treat kidney stones. The use of ureteroscope by an experienced urologist gives a solutions to many problems with minimal burden to the health of the patient. Stones that have failed conservative or extracorporeal lithotripsy treatment are prime indications for endoscopic lithotripsy. Practically, any ureteral stone (and kidney stone) may be treated with this method.
- Postoperative course