Endoscopy with Laser Removal

Endoscopic laser removal is a modern, minimally invasive procedure used to treat stones in the kidney, ureter, or bladder through natural urinary passages—without any external cuts.
With the expertise of Dr. Ajinkya Kasekar, this procedure ensures precise stone fragmentation, minimal discomfort, and a fast recovery, making it one of the safest and most effective treatments for urinary stone disease.


 

What Is Endoscopic Laser Removal?

This procedure involves using a thin instrument called an endoscope, which is passed through the urethra → bladder → ureter → kidney.
A medical-grade laser—usually Holmium:YAG or Thulium Fiber Laser—is used to break stones into tiny fragments or fine dust.

The stone fragments are then removed or passed naturally through urine.

This technique is used in:

  • URS (Ureteroscopy) for ureteric stones

  • RIRS (Retrograde Intrarenal Surgery) for kidney stones

  • Cystolithotripsy for bladder stones


 

When Is Endoscopic Laser Removal Recommended?

This treatment is ideal for:

  • Kidney stones

  • Ureteric stones stuck in the urinary tube

  • Bladder stones

  • Stones causing obstruction or severe pain

  • Hard stones that don’t respond to medications

  • Patients unfit for open or shockwave treatment

  • Recurrent stones or complex cases

It is commonly used for stones >6–7 mm, which are unlikely to pass on their own.


 

How the Procedure Works

  1. A small endoscope is gently inserted through the urinary passage.

  2. The stone is located using high-quality imaging.

  3. A laser fiber is used to break the stone into dust or tiny fragments.

  4. The fragments are removed or allowed to pass naturally.

  5. A temporary DJ stent may be placed for smooth urine flow.

The procedure typically takes 30–90 minutes, depending on the stone size and location.


 

Benefits of Endoscopic Laser Removal

  • No external cuts or scars

  • Minimal pain and quick recovery

  • Safe for all stone types (even very hard stones)

  • High stone-clearance rate

  • Suitable for children, elderly, and high-risk patients

  • Day-care or short-stay procedure

  • Precise and controlled stone fragmentation


 

Recovery After the Procedure

Most patients:

  • Go home the same day or next morning

  • Return to normal activities within 1–2 days

  • Have mild burning or discomfort temporarily

  • May require a follow-up visit for stent removal after 1–3 weeks

Dr. Ajinkya provides complete post-procedure guidance for smooth healing.


 

Why Choose Dr. Ajinkya Kasekar?

  • Expert in advanced laser stone surgeries

  • Uses the latest endoscopes and laser systems

  • High success rates with minimal complications

  • Gentle, patient-first approach

  • Experienced in complex and recurrent stone cases

  • Clear pre- and post-treatment guidance


 

Book a Consultation

If you are dealing with kidney, ureteric, or bladder stones, endoscopic laser removal offers a highly effective and minimally invasive solution.
Consult Dr. Ajinkya Kasekar for accurate diagnosis and advanced stone management.

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