Ureteroscopic lithotripsy is suitable for middle and lower ureteral stones or upper ureteral stones that have failed extracorporeal shock wave lithotripsy, etc. The specific steps include anesthesia, positioning, setting the scope, lithotripsy and lithotripsy.
1. Anesthesia: general anesthesia or lumbar anesthesia is adopted according to the situation.
2. Position: after successful anesthesia, the patient should be placed in the lithotomy position (the patient lies on the examination bed, with the buttocks close to the bedside, and puts them on the leg support).
3. Placement of the mirror (divided into hard and soft mirror): from the urethra into the ureteroscope, the mirror is placed into the area of the lesion, leaving the guidewire, along the guidewire will be placed in the outer sheath of the ureteroscope to the site of the stone.
4. Lithotripsy: The ureteroscope is inserted, the holmium laser is placed at the stone site through the channel, and the doctor breaks the stone under the flexible mirror.
5. Stones extraction: put the appropriate size basket into the ureter, use the basket to take out the stones.
After the operation, observe the patient’s general condition, do stone analysis routinely, and do the next treatment according to the nature of the stone.