Stone Surgery
URSL (Ureteroscopic Lithotripsy)
Endoscopic treatment of ureteric stones: a scope is passed up the ureter and the stone is broken with a laser.
01What is it?
URSL (also called URS) uses a semi-rigid or flexible ureteroscope to reach stones in the ureter and fragment them with laser energy.
02When is treatment considered?
For ureteric stones that fail to pass, cause persistent pain or blockage, or when faster relief is preferred over medical expulsive therapy.
03Available treatment options
Alternatives include medical expulsive therapy (medicines to help passage), ESWL for selected stones, or observation for small asymptomatic stones.
04What does the procedure involve?
Under anaesthesia the scope is passed through the urethra and bladder into the ureter; the stone is fragmented and pieces retrieved or left to pass as dust. A DJ stent is commonly placed temporarily.
05Expected recovery
Usually a day-care or overnight procedure. Return to routine activity within a few days; stent-related symptoms settle after removal.
06Common risks
Temporary blood in urine, stent discomfort, infection, and rarely ureteric injury or stricture. A second procedure is occasionally needed.
07When to seek medical attention
Fever with chills, severe pain or inability to pass urine after surgery are reasons to seek urgent care.
08Frequently asked questions
This website provides general educational information and is not a substitute for an individual medical consultation. Diagnosis and treatment should be based on assessment by a qualified healthcare professional.