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Urologic procedure

Flexible ureteroscopy

Intrarenal endoscopic surgery for selected kidney stones using minimally invasive technology.

Flexible ureteroscopy may allow endoscopic access to the kidney to treat selected stones without external incisions.

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Visual educativo de ureteroscopía flexible y vía urinaria.

Decision pathway

1

Evaluate

Symptoms, studies, and reason for consultation.

  • Review the main symptom and its timeline.
  • Organize studies, reports, and relevant history.
2

Plan

Confirm whether the procedure is appropriate.

  • Compare alternatives before deciding.
  • Clarify preparation, general risks, and expectations.
3

Recover

Follow-up and aftercare.

  • Define follow-up and warning signs.
  • Adjust care according to recovery and findings.

The pathway may change according to available studies, patient safety, and medical judgment.

Understand the procedure

What it may evaluate or treat

Flexible instruments can reach areas of the kidney and, when appropriate, fragment or remove urinary stones. Indication depends on size, location, and studies.

The indication for any procedure depends on medical evaluation, available studies, and the patient’s overall condition.

When it is discussed

When it may be considered

  • Kidney stones accessible by endoscopic route.
  • Stones causing pain, obstruction, or recurrence.
  • Cases comparing laser, observation, or another technique.
  • Follow-up of prior stone episodes.

Decision and follow-up

How the next step is organized.

The indication is defined after reviewing studies, patient goals, alternatives, and safety considerations.

Before the procedure

Before indication

Imaging, symptoms, labs, and history are reviewed to determine whether flexible access is safe and useful.

  • CT scan or ultrasound.
  • Urine tests and labs.
  • Stone location and size.
  • Prior episodes or infections.

Afterward and follow-up

Follow-up

Follow-up may include symptom monitoring, later imaging, and prevention according to the case.

  • Recovery review.
  • Monitoring fever, pain, or urinary symptoms.
  • Control studies when appropriate.
  • Prevention of new stones.

Questions for your visit

Useful questions

  • Is my stone accessible by flexible ureteroscopy?
  • Would laser be used?
  • What alternative exists if the stone is large?
  • How are new episodes prevented?

Frequently asked questions about flexible ureteroscopy

It allows endoscopic access to the kidney to evaluate or treat selected stones without external incisions. During the visit, available studies, the reason for consultation, and overall condition are reviewed to explain whether this procedure is appropriate and what alternatives may exist.

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The information on this page does not replace a medical consultation. If you have blood in your urine, urinary retention, fever, severe pain, or an elevated PSA, request an evaluation with a urologist.