Usually ureteral stones will form in the kidney and migrate towards the ureter. So many of these stones will pass instinctively. Stones which are larger than 10 mm are not likely to pass spontaneously. These larger stones and some small stones can also require surgical intervention at one point. During ureteral passage, stones more frequently become lodged in the narrow areas of the ureter. So in such cases ureterolithotomy was seldom done by giving the advent and rise of minimally invasive method for the stone fragmentation and stone removal. It was considered as an option when minimally invasive techniques are failed to occur. Ureterolithotomy was open (or) laparoscopic surgical procedure which was used for stone removal in the ureter which is too large to pass, and they may cause – block the flow of urine, pain and bleeding, place pressure on the kidney, cause infection.
PROCEDURE OF URETEROLITHOTOMY (OPEN):
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A cut or incision will be made on the abdomen or side. This incision location will be depends on where the exactly stone was located.
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Both skin and muscle may need for a cut to expose the ureter. The stone will located in the ureter.
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A cut or incision will be done in the ureter just on top of the stone. Then the stone will be removed.
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A stent will be placed in the ureter. This was a device which helps to keep the ureter to open.
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The ureter then it will be sewn shut with stitches. The skin and muscles will then be sewn shut with stitches or staples. A tube will be placed in the wound. It will helps to drain out any extra fluids while wound was healing.
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Then the stone will be sent to a laboratory for the testing.
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After the operation, patient will be taken to the recovery room for the observation. X-rays can be taken to confirm that the stone was completely removed.
