URSL

URSL, the medical full form (Ureteroscopic Lithotripsy), is widely considered the best treatment for small to medium-sized kidney stones that don’t respond to medications. It’s minimally invasive, offers high stone-free success rates, and enables fast recovery with minimal discomfort. At T.R.U.E. hospitals, our top urologists use precision ureteroscopes and laser lithotripsy to remove kidney stones safely and effectively, combining top-tier technical care with compassionate support.

URSL Specialist

Dr. Yogesh Taneja is known as the Best Urologist in Gurgaon with 15 Years of experience in urology.  He has specializations in other areas like Kidney Stone Treatment, RIRS Treatment, PCNL Treatment, Frenuloplasty Treatment, Andrology Treatment, Ureteroscopy (URS) Surgery, Prostate Enlargement, Sexology Treatment, Erectile Dysfunction and Hydrocele Treatment.

I believe in treating every patient as an individual, taking time to understand their concerns, and working together to find the best treatment plan.


Available at: T.R.U.E. Hospitals
Timing: Mon–Sun | ⏰ 24×7 Open

What is URSL?

URSL is a minimally invasive laser kidney stone procedure that is a common treatment for kidney stones, used to treat kidney stones, especially those size of (7 to 10 mm). A ureteroscope, a thin fiber-optic instrument, is inserted through the urethra to directly visualize the stone; laser energy is then used to fragment it into smaller pieces, which are either removed or passed naturally through urine. URSL is highly effective, avoids external incisions, and allows for quick recovery, making it a preferred choice for many kidney stone specialists in gurgaon.

When is URSL recommended?

  • Ureteral or lower kidney stones are unresponsive to medication or conservative measures.
  • Stones  6–7 mm or unlikely to pass naturally
  • Severe, persistent flank pain or obstructive symptoms
  • Recurrent UTIs are tied to obstructing stones
  • Hematuria (visible blood in urine) linked to ureteric stones
  • Hydronephrosis (kidney swelling due to urine backup)
  • Considered a preferred kidney stone laser surgery option when shock‑wave lithotripsy (SWL) isn’t suitable
  • Safe alternative for kidney stones in pregnancy, especially during the second trimester, with high stone clearance rates and minimal complications, and does not significantly increase risk of pre-term labor when it is performed by a specialist

URSL Diagnosis – What Happens Before Surgery?

Before URSL a kidney stone specialist conducts essential tests:
  • Imaging (X‑ray, ultrasound, or MRI) to locate and measure stones
  • Blood tests, including BUN, to assess kidney function
  • Urinalysis to check for infection or blood

  • These diagnostics help evaluate the size, number, and location of stones and rule out complications. If medicines have not resolved the issue, your kidney stone doctor will review results thoroughly before proceeding with URSL.

How to prepare for URSL?

If you’re about to undergo URSL surgery, it is advisable to prepare yourself for the surgery in advance. This includes following some precautions and making some lifestyle changes to promote the effectiveness of the surgery. Here are some ways in which you can prepare for your URSL:

  • Talk to your kidney stone doctor about all of your symptoms, medical history, prescription drugs, and potential hazards of anesthesia.
  • Your doctor might suggest quitting blood thinners or NSAIDs well in advance if you are currently using them.
  • Fasting guidelines: to avoid issues from anesthesia, avoid solid foods for 6–8 hours before surgery and clear liquids (such as water or milk-free tea) for at least 2 hours.

What is the procedure of URSL?

Ureteroscopic Lithotripsy (URSL) is a minimally invasive procedure for removing small to medium kidney or ureter stones via laser. It typically takes 30–60 minutes, whereas the procedure is as follows:.

  • Anesthesia – Performed under spinal or general anesthesia for comfort.
  • Scope Insertion – A flexible ureteroscope is gently guided via urethra, bladder, into the ureter under x‑ray visualization. Kidney Stone Treatment Small stones are removed using a stone basket, while larger ones are fragmented with a precision laser.
  • Fragment Clearance – Tiny fragments either flushed out via urine or allowed to pass naturally.
  • Stent Placement (if needed) – A temporary ureteral (DJ) stent is inserted to maintain ureter patency and ease fragment evacuation. This helps prevent swelling or obstruction.
  • URSL is ideal when pills fail , especially for stones in the ureter or lower kidney and is favored by many kidney stone specialists for its high success, minimal complications, and rapid recovery.

What to Expect After URSL Surgery?

After your URSL procedure, you'll be monitored by a urologist. Mostly at this point, If everything seems well, patients get discharged the same day. Mild pain or discomfort due to the stent is common and can be managed with prescribed pills. You may notice blood in your urine, which usually clears within 1 to 2 weeks.

What Can You Expect for Recovery After URSL?

Recovery After URSL Surgery is usually quick as seen in many. Most people return to normal routines within a week, whereas to speed up healing following ways can be adapted:
  • Stay hydrated and eat a fiber-rich, healthy diet like fruits, vegetables, and whole grains.
  • Avoid heavy physical activity for a few days.
  • Contact your kidney stone doctor if you notice unusual symptoms intense pain, blood in your urine, fever and chills, or difficulty passing urine

What are the Benefits of URSL Surgery?

URSL offers a safe, modern solution for kidney stones removal with minimal discomfort. Some of the key benefits include:

  • No cuts, stitches, or visible scars
  • Little to no bleeding during the procedure
  • Minimal complications and faster recovery
  • Resume regular activities within a week
  • Resume regular activities within a week
  • Highly recommended by kidney stone specialists in Gurgaon, the benefits of URSL (ureteroscopic lithotripsy) deliver exceptional precision with high effectiveness and convenience. It offers stone-free rates between 85–95%, especially for stones 2 cm, lower retreatment needs, faster recovery, and minimal invasiveness compared to shockwave lithotripsy.

T.R.U.E. Hospital - Best for URSL Surgery in gurgaon

T.R.U.E. hospital in gurgaon makes medical excellence meet advanced technology and advanced infrastructure to provide modern and specialized care to patients suffering from kidney stones. We are associated with the best kidney stone hospitals in Gurgaon that are equipped with best in class infrastructure and amenities.
The best urologists on staff have vast experience using URSL surgery to address kidney stone problems. They have received extensive training on how to carry out this surgery with the highest level of accuracy and guarantee that the patient won't feel any discomfort. In an effort to provide the most recent and superior quality of care, they also keep up with developments in surgical technology. To get the best URSL surgery for kidney stones, schedule a consultation with one of our expert urologists.

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FAQ About URSL Surgery

When is URSL needed?

URSL is recommended when a kidney stone is stuck in the ureter, causing pain, infection, blockage, or if it’s too large to pass on its own.

Is URSL painful?

URSL is performed under anesthesia (general or spinal), so you won’t feel pain during the procedure. Some mild discomfort or burning during urination may occur post-surgery, which usually resolves in a few days.

 

How long does the URSL procedure take?

The procedure typically takes 30 to 60 minutes, depending on the size and location of the stone.

Will a stent be placed after URSL?

Yes, a temporary DJ stent is often placed to ensure urine flow and allow the ureter to heal. It is usually removed after 1–2 weeks.

What is the recovery time after URSL?

Most patients can resume light activities within 24–48 hours, and full recovery is expected in about a week. If a stent is placed, some discomfort may persist until it is removed.