URS (Ureteroscopy) with laser lithotripsy is a highly effective, minimally invasive procedure used to treat stones lodged in the ureter or kidney. It involves passing a thin endoscopic instrument through the natural urinary passage—without any cuts—to locate and break the stone using a medical laser.

Under the expertise of Dr. Ajinkya Kasekar, URS with laser removal offers quick pain relief, excellent stone clearance, and a fast, comfortable recovery.

What Is URS?

Ureteroscopy is a procedure where a small telescope-like instrument called a ureteroscope is passed through the urethra → bladder → ureter.
It allows the surgeon to directly visualize the stone in the ureter or kidney.

A Holmium:YAG or Thulium fiber laser is then used to break the stone into tiny pieces or fine dust for safe removal.

Who Needs URS With Laser Removal?

URS is recommended when:

• The stone is 6 mm or larger

• Pain is severe or persistent

• Medical therapy fails to pass the stone

• The stone is stuck in the ureter

• The stone causes infection or urine blockage

• Stones are located in the lower, middle, or upper ureter

• There is recurring ureteric colic

It is also suitable for patients who are not fit for ESWL or open surgery.

How URS With Laser Is Performed

1. A ureteroscope is passed through the natural urinary pathway.

2. The stone is identified using high-definition imaging.

3. A laser fiber is used to fragment the stone into dust or small pieces.

4. The fragments are either removed using baskets or passed naturally.

5. A temporary DJ stent may be placed to ensure smooth urine flow during healing.

The procedure usually takes 30–60 minutes.

No external incision is required.

Benefits of URS With Laser Removal

• No cuts, no stitches

• Immediate relief from obstruction

• Suitable for all ureteric stones

• Safe for hard stones (calcium oxalate, cystine, etc.)

• Day-care or short-stay procedure

• Very high stone-clearance rate

• Minimal post-procedure discomfort

Recovery After URS

Most patients:

• Are discharged the same day

• Resume normal activities in 1–2 days

• Experience mild burning or frequency temporarily

• Have a follow-up for DJ stent removal after 1–3 weeks

When Is a DJ Stent Required?

A stent may be placed if:

• The stone was impacted

• There is swelling in the ureter

• Fragment clearance is required

• Laser dusting generated fine particles

• The patient has infection or severe pain

Stent removal is quick and done through a simple outpatient procedure.

Risks (Rare and Well-Managed)

• Mild burning or frequency

• Temporary blood in urine

• Stent-related discomfort

Serious complications are extremely rare under expert care.

Why Choose Dr. Ajinkya Kasekar for URS?

• Expertise in advanced laser stone surgery

• High success rates for all ureteric stone locations

• Modern ureteroscopes and laser systems

• Minimal pain, fast recovery

• Clear communication and ethical treatment

• Experienced in managing complex or recurrent stone cases

Book a Consultation

If you are suffering from ureteric or kidney stones, URS with laser removal offers a safe, effective, and minimally invasive solution.
Consult Dr. Ajinkya Kasekar for advanced stone treatment and expert guidance.