Service Introduction

TUL

The general principle of this method is the same as endoscopy, in which a long, narrow, telescopic tube-shaped instrument (flexible or rigid) called a ureteroscope is pushed from the urethra into the bladder and from there into the ureter. Upon reaching the stone, the stone is crushed or removed with the help of shock waves or laser or other mechanical devices, and the crushed stones are washed out with the help of abundant water or air pressure and pushed out of the body. In this method, in most cases, the lower half of the body is numbed from the waist down, and in some cases, with the diagnosis of an anesthesiologist, the surgery is performed under full anesthesia.

Instructions before ureteroscopy or TUL surgery:

-The patient must be fasting from 12 o'clock the night before the surgery.

-Aspirin and warfarin and blood-thinning drugs should be stopped a few days in advance and the doctor must be informed of their use.

Postoperative care for TUL during hospitalization:

-Water and fluid intake should be in accordance with the doctor's advice and usually fasting for 6 hours after returning from the operating room.

-The patient should usually be in bed until the morning after surgery.

-The patient has a Foley catheter after surgery.

-Sometimes, for better urine drainage and better excretion of small stone fragments, a tube is placed between the kidney and bladder (in the ureter), called a ureteral catheter, which is usually removed the day after surgery with the Foley catheter, according to the doctor's instructions.

Home care after ureteroscopy:

-At least 6-8 glasses of fluids should be consumed per day. If you do not have fluid restrictions.

-Avoid strenuous and heavy activity until the doctor instructs.

-There is no prohibition on walking or climbing stairs.

-There is no prohibition on sexual intercourse.

-If medication is prescribed, the course must be completed.

-After discharge, the urine may contain some blood, which will decrease over time with fluid intake.

-If a double-jewel (a ureteral tube that is not visible and can remain in the body for 3-6 weeks) is inserted, sometimes the patient experiences frequent urination, burning sensation in the urine, and blood in the urine, which improves over time with fluid intake. The patient must definitely return for removal as recommended by the surgeon, because its presence can cause infection or re-formation of stones. In addition, these patients should avoid heavy exercise, jumping, and jumping.

-If fever or severe blood in the urine occurs, the patient should see a doctor or the hospital emergency department as soon as possible.