Tirtham Surgical Hospital+91-9428736360

Ureteric Stone Treatment in Ahmedabad

When a Stone Gets
Stuck on Its Way Down

A ureteric stone is a kidney stone that has moved into the ureter — the narrow tube that carries urine from the kidney to the bladder. Because the ureter is narrow, a stone here often blocks the flow of urine and causes sudden, severe pain (renal colic). Many small ureteric stones pass on their own; larger stones, or stones that cause blockage or infection, need removal.

Ureteric Stone Removal (URS)

Ureteric stone treatment in Ahmedabad depends on the size and position of the stone, whether the kidney is blocked, and whether there is infection. Options range from medicines that help the stone pass to ureteroscopy (URS), in which a fine telescope is passed through the natural urinary passage to break and remove the stone without a cut on the skin.

At Tirtham Surgical Hospital, Science City Road, Sola, Ahmedabad, ureteric stone removal (URS) is listed among the urological surgeries, with a 24-hour emergency operating team. This page explains the symptoms, tests, whether a stone is likely to pass, treatment, the DJ stent, recovery and risks.

What Is a Ureteric Stone?

Stones form in the kidney. A ureteric stone is one that has moved down and become stuck in the ureter. The ureter is divided into three parts: the upper part near the kidney (proximal), the middle part, and the lower part near the bladder (distal). The position of the stone affects how likely it is to pass and which treatment is suitable.

FeatureKidney stoneUreteric stone
Where it isInside the kidneyIn the ureter, between the kidney and the bladder
Typical symptomsMay cause no symptomsOften sudden, severe pain, as the stone blocks urine flow
Main riskGrowth, infection, blockage if it movesBlockage of the kidney, with or without infection

Related page: Kidney stone removal

Symptoms

  • Sudden, severe, cramping pain in the loin or back, spreading to the lower abdomen or groin, often coming in waves
  • Pain that moves lower as the stone moves down, with burning or a frequent urge to pass urine when it is near the bladder
  • Blood in the urine
  • Nausea and vomiting
  • Fever and chills, if there is infection

How a Ureteric Stone Is Diagnosed — Step by Step

  • Medical history and examination: pain, fever, previous stones and other illnesses
  • Urine test: for blood and infection; urine culture if needed
  • Blood tests: kidney function and blood count
  • Non-contrast CT scan (CT KUB): the most accurate test for the size and position of the stone, and for swelling of the kidney (hydronephrosis)
  • Ultrasound: a radiation-free test, also useful in pregnancy, to look for swelling of the kidney
  • Treatment plan: the doctor explains whether the stone can be allowed to pass or needs removal, with the benefits and risks of each option

Will the Stone Pass?

SituationWhat usually happens
Small stone (up to about 5 mm)Good chance of passing on its own, often within a few weeks
Stone of about 5–10 mmMay pass, especially in the lower ureter; a medicine to relax the ureter may help
Stone larger than about 10 mmLess likely to pass; removal is usually advised
Stone in the lower ureterMore likely to pass than a stone higher up
Stone with blockage and infection, a single kidney, or uncontrolled painNeeds prompt treatment regardless of size

While waiting for a stone to pass, the doctor may advise pain relief, a medicine to relax the ureter, and follow-up scans. If the stone has not passed within the advised time, or pain or blockage continues, removal is considered.

Ureteric Stone Treatment Options in Ahmedabad

A ureteric stone removal specialist in Ahmedabad chooses the treatment based on the size and position of the stone, the presence of infection, and the patient's health.

Ureteric stone treatment in Ahmedabad is sometimes done in two stages, with a blocked, infected kidney drained first and the stone removed later.

OptionHow it worksGenerally used for
Medical expulsive therapyPain relief and a medicine to relax the ureter, so the stone can passSmall stones, especially in the lower ureter
URS (ureteroscopy)A thin telescope is passed through the urethra and bladder into the ureter; the stone is broken with a laser and removed; no cut on the skinMost ureteric stones that need removal
Flexible ureteroscopy (RIRS)A flexible telescope reaches the upper ureter and kidneyUpper ureteric stones, or stones that have moved back into the kidney
ESWL (shock wave lithotripsy)Shock waves from outside the body break the stoneSelected upper ureteric stones
DJ stent or nephrostomyA tube is placed to drain a blocked kidneyEmergency — blocked, infected kidney; the stone is treated after the infection is controlled

Ureteric Stone Removal by URS: Step by Step

  • Spinal or general anaesthesia is given
  • A thin telescope is passed through the urethra and bladder into the ureter
  • The stone is seen directly and broken with a laser
  • Fragments are removed or left to pass, depending on their size
  • A DJ stent may be placed in the ureter
  • A urinary catheter may be placed for a short time

About the DJ Stent

A DJ stent is a soft, thin tube placed inside the ureter to keep urine draining while swelling settles. It is usually removed after some days to a few weeks, in a short procedure. While it is in place, it may cause discomfort, frequent urination, burning, or blood in the urine.

Preparing for Ureteric Stone Removal

  • CT scan to confirm the position of the stone shortly before the procedure, if advised
  • Urine culture; any infection is treated before the procedure
  • Blood tests, ECG and other tests as advised, and a pre-anaesthesia check-up
  • A check of all medicines; blood thinners may need to be stopped or adjusted, only as advised by the doctor
  • Fasting instructions
  • Written informed consent after the procedure, its benefits, risks and alternatives have been explained

Before ureteric stone removal in Ahmedabad, a repeat scan helps because a stone can move or pass between the first scan and the day of the procedure.

Recovery and Preventing Another Stone

  • Hospital stay: usually a short stay after URS
  • Return to activity: light activity usually within a few days
  • Stent: removed at the time advised; stent symptoms settle after removal
  • Fluids: drink plenty of fluids, unless advised otherwise
  • Prevention: drink enough fluid to pass about 2.5 litres of urine a day (unless your doctor has advised a fluid limit), reduce salt, keep normal dietary calcium, and ask about metabolic tests if you have had more than one stone

When to Contact the Hospital After Treatment

  • Fever or chills
  • Severe pain not controlled by the prescribed medicines
  • Heavy bleeding or large clots in the urine
  • Passing very little or no urine

Risks and Possible Complications

Ureteroscopy is generally safe, but it has risks. The doctor explains these before taking consent.

  • Blood in the urine for a short time
  • Urinary infection or fever, and rarely sepsis
  • Stent-related discomfort, frequent urination or bleeding
  • Fragments left behind, or the stone moving back into the kidney, needing another procedure
  • Failure to reach the stone in a narrow ureter, needing a stent first and a second procedure some weeks later
  • Injury to the ureter — usually minor and treated with a stent; serious injury is rare
  • Narrowing of the ureter later — rare
  • Anaesthesia-related risks — assessed at the pre-anaesthesia check-up

Ureteric Stone Treatment Cost in Ahmedabad

The cost differs from patient to patient. The main factors are:

  • The treatment needed — medicines, URS, flexible ureteroscopy or ESWL
  • Size and position of the stone, and the number of procedures
  • Whether a DJ stent is placed, and its later removal
  • Planned or emergency treatment, and whether there is infection
  • Investigations, such as CT scan and urine culture
  • Length of hospital stay and room category
  • Medicines

Some of these services may be arranged with other specialists or centres; the doctor explains this when planning treatment. A written estimate based on the patient's condition and chosen room category can be requested from the hospital.

Insurance

  • Mediclaim and cashless facility is available, subject to the patient's policy terms and insurer approval
  • Assistance is provided with documents required for reimbursement claims

Ureteric Stone Doctor in Ahmedabad

A ureteric stone is usually treated by a urologist, who decides whether the stone can pass and performs ureteroscopy, stent placement and other procedures when needed. The first ureteric stone doctor in Ahmedabad a patient sees is often a family physician or an emergency doctor. Different doctors may be involved at different stages:

DoctorRole in ureteric stone care
Family physician or emergency doctorPain relief, first urine test and scan; refers when the stone is large, the kidney is blocked or there is fever
UrologistDecides between waiting and removal; performs URS, flexible ureteroscopy, ESWL, and DJ stent placement and removal
General surgeonAssesses sudden abdominal and loin pain and rules out other surgical causes, such as appendicitis
RadiologistPerforms and reports the CT scan and ultrasound; may place a nephrostomy tube to drain a blocked kidney
AnaesthetistChecks fitness and gives spinal or general anaesthesia
NephrologistAdvises on kidney function and on repeated stones

Ureteric Stone Treatment Doctor in Ahmedabad

Along with the questions listed in the FAQ below, these points are useful to clarify with your ureteric stone treatment doctor in Ahmedabad before agreeing to a procedure:

  • Is the kidney blocked, and is there any sign of infection in the urine test?
  • If there is infection, will the kidney be drained first and the stone treated later?
  • Which doctor will perform the procedure, and what are the doctor's qualifications?
  • Will a repeat scan be done shortly before the procedure, in case the stone has moved or passed?
  • What happens if the stone cannot be reached or fragments remain?
  • What type of anaesthesia is planned, and how long is the hospital stay likely to be?
  • Does the estimate include stent removal, and is the treatment covered by my insurance policy?
  • Should my stone be tested, and do I need blood or urine tests to prevent another stone?

Ureteric Stone Hospital in Ahmedabad

A blocked kidney with infection can become serious within hours, so a ureteric stone removal hospital in Ahmedabad should be able to diagnose the stone accurately, drain a blocked kidney at short notice and perform the procedure safely. These are the facilities that matter most:

FacilityWhy it matters
Access to CT scan and ultrasoundShows the size and position of the stone and any swelling of the kidney
Laboratory for urine culture and kidney functionDetects infection and guides antibiotics before the procedure
Operation theatre with endoscopic and laser equipmentNeeded for ureteroscopy and breaking the stone
X-ray imaging during the procedureGuides the telescope, wire and DJ stent into the right position
Emergency availability for drainageA blocked, infected kidney needs a stent or nephrostomy without delay
Anaesthesia servicesNeeded for safe spinal or general anaesthesia
Follow-up arrangementsEnsures the DJ stent is removed or changed on time

The facilities available at Tirtham Surgical Hospital are listed further below on this page.

Treating Surgeon

At Tirtham Surgical Hospital, ureteric stone removal in Ahmedabad is performed by:

DetailInformation
NameDr. Alpesh Patel
QualificationMBBS, MS (Civil Hospital, Surat)
SpecialtyGeneral & Laparoscopic Surgery
DesignationFounder, Tirtham Surgical Hospital
Registration statusRegistered Medical Practitioner
Registration numberGujarat Medical Council Reg. No. G14657
OPD availabilityOn appointment, Mon–Sat
Emergency surgical services24-hour emergency operating team at Tirtham Surgical Hospital

View doctor profile

Facilities at Tirtham Surgical Hospital

  • 24-hour emergency operating team
  • Laparoscopic and endoscopic setup
  • Mediclaim and cashless facility, subject to policy terms
  • 6 themed recovery rooms
  • Large parking facility

Frequently asked questions

When should I see a ureteric stone doctor in Ahmedabad?+
See a doctor for sudden, severe loin pain, blood in the urine, or a stone found in the ureter on a scan. Pain with fever, or passing very little urine, needs emergency care. Ureteroscopy is usually performed by a urologist, so a ureteric stone surgeon in Ahmedabad can advise whether the stone is likely to pass or needs removal. When choosing a ureteric stone specialist in Ahmedabad, check the doctor's qualifications and medical council registration.
What should I ask a ureteric stone removal surgeon in Ahmedabad before the procedure?+
  • What is the size and position of my stone, and is it likely to pass?
  • How long can I safely wait for it to pass?
  • Which procedure is suitable, and why?
  • Will a DJ stent be placed, and when will it be removed?
  • When can I return to work?
  • How can I prevent another stone?
Will my ureteric stone pass on its own?+
Many small stones, especially those up to about 5 mm and in the lower ureter, pass on their own, often within a few weeks. Larger stones, or stones higher in the ureter, are less likely to pass. A scan showing the size and position guides the decision.
What is ureteroscopy (URS)?+
Ureteroscopy is a procedure in which a thin telescope is passed through the urethra and bladder into the ureter, without a cut on the skin. The stone is broken with a laser and removed. A DJ stent may be placed afterwards.
When is a ureteric stone an emergency?+
Pain with fever or chills, passing very little or no urine, a stone blocking a single working kidney, uncontrolled pain or repeated vomiting need emergency care. A blocked, infected kidney is drained first, and the stone is treated after the infection is controlled.
Why is a DJ stent placed, and is it uncomfortable?+
A DJ stent keeps urine draining from the kidney while the ureter heals. It can cause discomfort, frequent urination, burning or blood in the urine, which settle after it is removed. It must be removed at the time advised.
What facilities should a ureteric stone hospital in Ahmedabad have?+
A ureteric stone removal hospital in Ahmedabad should have access to CT scan and ultrasound, a laboratory for urine and blood tests, an operation theatre with endoscopic and laser equipment and X-ray imaging during the procedure, anaesthesia services and emergency availability. When comparing a ureteric stone surgery hospital in Ahmedabad, you can also ask how emergency drainage and stent removal are arranged.
What decides the cost of ureteric stone treatment?+
The cost depends on the treatment needed, the size and position of the stone, the number of procedures, any stent, planned or emergency treatment, investigations, the length of stay, room category and medicines. A written estimate based on your condition can be requested from the hospital.
Is ureteric stone treatment covered by health insurance?+
Medically necessary treatment is generally covered under health insurance policies, subject to policy terms, waiting periods and insurer approval. Tirtham Surgical Hospital has a mediclaim and cashless facility and helps with the required documents.

Contact and Location

Tirtham Surgical Hospital

3rd Floor, Silver Radiance 2, 312-315, Science City Road, Sola, Ahmedabad, Gujarat 380060

Landline:
079-27436360 | 079-40036360
Tirtham SurgiMitra (second-opinion line):
+91-9974416665
Emergency:
24-hour emergency operating team
OPD timings:
On appointment, Mon–Sat

Next step

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