Ureteroscopy pp 141-150 | Cite as

Postoperative Care of the Ureteroscopy Patient

  • Itay M. Sabler
  • Ioannis Katafygiotis
  • Mordechai Duvdevani


Ureteroscopy (URS) is the first-line therapy for ureteral and renal stones. Stone-free status may be as high as 90–100%. In parallel to high stone-free rates and the use of miniaturized flexible instruments, the postoperative complication rates still remain a major issue. The postoperative care of the patient submitted to ureteroscopy depends on the type of instrumentation (rigid, flexible), on the size of the ureteroscope, on the type of the procedure (diagnostic, therapeutic for stone or tumor), on the anatomic location the procedure is focused (ureter or kidney), the duration of the operation, the use or not of upper urinary tract drainage, and finally on the occurrence of intraoperative complications. The main issues to consider during the postoperative course are the infections, including sepsis-SIRS, pain management, perirenal hematoma, initial imaging, obstruction and upper urinary tract drainage, and postoperative antibiotic administration. Apart from the administration of antibiotics and perhaps the use of a stent, there are not specific guidelines for the postoperative care of the ureteroscopy patient, and more studies are needed in order a standardized protocol to be proposed.


Αntibiotics Complications Endourology Follow-up of the ureteroscopy Infections Obstruction Pain management Postoperative care of the ureteroscopy patient Retrograde intrarenal surgery Sepsis Upper urinary tract drainage Ureteroscopy 



Computer tomography


Double-J stent


Medical expulsive therapy


Nonsteroidal anti-inflammatory drugs


Percutaneous nephrolithotomy


Perirenal hematoma


Stone-free rate


Shock wave lithotripsy


Ureter catheter




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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Itay M. Sabler
    • 1
  • Ioannis Katafygiotis
    • 1
  • Mordechai Duvdevani
    • 1
  1. 1.Department of UrologyHadassah Hebrew University Medical CenterJerusalemIsrael

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