Signs & Symptoms
Recognize the early signs that indicate you may need medical attention
Renal Colic
Agonising colicky pain from flank to groin — the hallmark of ureteric stone obstruction.
Haematuria
Blood in urine — may be microscopic or visible as pink or red-coloured urine.
Fever with Stone
Fever above 38°C with a known ureteric stone is an emergency requiring urgent drainage.
Nausea & Vomiting
Accompanying severe colic pain, particularly when the stone is impacted.
UTI Symptoms
Burning micturition and frequency from stone-induced infection.
Hydronephrosis
Backpressure kidney swelling from urinary obstruction by the impacted stone.
Common Causes & Risk Factors
Kidney Stone Migration
Stones originating in the kidney that migrate into the ureter causing obstruction and colic.
Dehydration
Low fluid intake leads to concentrated urine and supersaturation of stone-forming minerals.
Diet High in Oxalates
Spinach, nuts, and tea combine with calcium to form calcium oxalate stones.
Metabolic Abnormalities
Hypercalciuria, hyperuricosuria, or renal tubular acidosis predispose to recurrent stones.
Anatomical Abnormalities
Ureteric stricture, pelvi-ureteric junction (PUJ) obstruction, or horseshoe kidney increase stone risk.
Treatment Options
Advanced minimally invasive techniques for better outcomes and faster recovery
X-Ray & CT KUB
Non-contrast CT to confirm stone position, size, and density before planning treatment.
Medical Expulsive Therapy
Alpha-blockers and NSAIDs for small stones < 6 mm to facilitate spontaneous passage.
URSL with Holmium Laser
Ureteroscope + laser vaporises stone to dust — zero incision, 90%+ success in one session.
DJ Stent Management
Temporary DJ stent for ureteric healing — removed at 2-week clinic review.
Benefits at Chahal Hospital
No Cuts Whatsoever
Ureteroscope enters through the natural urinary passage — zero incision, zero scars.
Same-Day Discharge
Most URSL patients go home the same day or the following morning.
High Success Rate
Over 90% of ureteric stones are fully cleared in a single URSL procedure.
Laser Precision
Holmium laser targets only the stone, protecting the delicate ureteric lining.
Expert Urologist
Dr. Ajay Chahal (MCh Urology) has performed hundreds of URSL procedures.
Rapid Pain Relief
Complete colic relief immediately after stone fragmentation and stent placement.
Your Specialist
Dr. Ajay Chahal
Consultant – Urology & Uro-Surgery
MBBS, MS (General Surgery), MCh (Urology)
Book AppointmentFrequently Asked Questions
No. URSL is performed under anaesthesia. You may have mild discomfort from the DJ stent (urinary frequency, mild bladder spasm) which resolves after stent removal at 2 weeks.
The procedure typically takes 30–60 minutes depending on the number and size of stones. Simple lower ureteric stones may be done faster.
A DJ (Double-J) stent is a thin plastic tube placed inside the ureter to keep it open while swelling from the laser treatment resolves. It typically stays for 2–4 weeks and is removed cystoscopically in clinic.
Yes, bilateral URSL can be performed in a single session if both ureters are obstructed, though this is assessed case by case.
Most people return to desk work within 2–3 days and to physical work within 1–2 weeks after URSL.
Ready to Get Treatment?
Consult our expert specialists for URSL – Ureteroscopic Lithotripsy. Advanced, minimally invasive care with faster recovery and lasting results.