Ureterolithotomy and Dormia Basket Stone Extraction

What Is Ureterolithotomy?

Patients with kidney stones lodged in the ureter may need ureterolithotomy to remove the stones and relieve the pressure on the kidneys.   

The patient receives general anesthesia for the procedure.  There are two main techniques used during ureterolithotomy.  One technique entails passing a special telescope through the ureter into the bladder, while the other involves making an incision into the skin and removing the stone through the side of the ureter.  The former allows the patient to leave the hospital within 24 hours, while the latter takes up to 7 days of recovery before the patient can leave.   

Patients who receive an incision must also have a drainage tube in place for 2 days post surgery to drain excess fluids from the wound.  When there are stitches or clips holding the wound shut, the patient should ensure that the wound remains dry at all times until these stitches are removed.  Recovery is gradual, but most patients resume regular activity within a month.  If the special telescope procedure was used, the patient’s recovery time usually reduces to approximately 1 week.  Patients generally regain full strength two months after ureterolithotomy and start driving within 3 weeks.  Bruising and swelling resulting from the open procedure typically subsides after 4 to 6 weeks.  Some patients suffer from aches and twinges for 6 months post surgery.