Kidney stones are a common but painful condition affecting many individuals. Thanks to medical advancements, patients no longer need to undergo large surgical cuts or prolonged hospital stays for treatment. Endoscopic removal of kidney stones has emerged as a safe, minimally invasive procedure that allows for faster recovery, less discomfort, and excellent long-term outcomes.
As a leading Urologist in Pune, I often meet patients who are anxious about kidney stone surgery. This guide aims to help you understand what endoscopic removal involves, its benefits, and how you can ensure a smooth recovery.
What Is Endoscopic Removal of Kidney Stones?Endoscopic removal, also known as ureteroscopy or RIRS (Retrograde Intrarenal Surgery), is a modern technique where a thin, flexible scope is passed through the urinary tract to directly reach and remove or fragment stones using a laser.
Unlike open surgery, no external cuts are made. This makes it one of the most patient-friendly and effective treatments for stones located in the kidney or ureter.
Advantages of Endoscopic Stone Removal ● Minimally invasive – No surgical cuts or scars
● Quick recovery – Most patients can return to daily activities within a few days
● Less pain compared to traditional surgery
● Precise stone clearance with high success rates
● Day-care procedure in many cases, reducing hospital stay
When Is Endoscopic Removal Recommended? Endoscopic stone removal is usually advised in the following cases:
● Stones that do not pass naturally with medications
● Stones causing severe pain, infection, or obstruction
● Multiple or large kidney stones
● Stones not suitable for shock wave therapy (ESWL)
● Patients who want quicker recovery and minimal downtime
The Procedure: Step by Step 1. Anesthesia – Given to ensure a pain-free experience.
2. Endoscope insertion – A thin scope is gently advanced through the urinary tract.
3. Stone fragmentation – A laser is used to break the stones into fine pieces.
4. Stone removal – Fragments are either removed or allowed to pass naturally.
5. Stent placement (if required) – A temporary stent may be placed to ensure smooth urine flow.Recovery and Aftercare Most patients are discharged within 24 hours. Some mild burning during urination may occur initially but settles quickly.
Tips for faster recovery: ● Drink plenty of fluids to flush out stone fragments.
● Follow prescribed medications to prevent infection.
● Avoid heavy lifting for a week.
● Attend follow-up visits to ensure proper healing.
● Discuss with your urologist about dietary changes to prevent recurrence.
FAQs About Endoscopic Kidney Stone Removal Q: Is endoscopic kidney stone removal painful?
A: No, the procedure is done under anesthesia, and recovery is usually
comfortable with minimal pain.
Q: How long does it take to recover?
A: Most patients can resume normal activities within 3–5 days after the
procedure.
Q: Can kidney stones come back after treatment?
A: Yes, recurrence is possible. Regular follow-ups, lifestyle changes, and
dietary modifications help reduce the risk.
Q: Is hospitalization necessary?
A: In most cases, it is a day-care or one-day admission procedure.
Expert Urology Care in Pune At The Urology Clinic, Pune, I strive to provide patient-centered, advanced treatments for kidney stones and other urological conditions. With expertise in endoscopic and minimally invasive urology, I ensure that patients receive safe, effective, and personalized care.If you are struggling with kidney stones and want expert guidance on the latest treatment options, book a consultation today. 
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