Question

What procedure is performed to remove the right ureteral calculus in a patient who presents to the hospital?

1) Cystoscopy with ureteroscopy
2) Lithotripsy
3) Nephrectomy
4) Ureteral stenting

Answer 1

To remove a right ureteral calculus, cystoscopy with ureteroscopy is generally performed, but lithotripsy or ureteral stenting may also be used depending on the situation. Nephrectomy is a last resort.

Step-by-step explanation:

The procedure performed to remove a right ureteral calculus is typically a cystoscopy with ureteroscopy. This procedure involves using a cystoscope to view inside the bladder and a ureteroscope, which is further inserted into the ureter to locate and remove the kidney stone. Lithotripsy might also be employed, which is a non-invasive procedure where high-intensity ultrasound pulses are used to break the stone into small fragments. In more severe cases where these methods are not successful or appropriate, surgical options such as ureteral stenting or nephrectomy can be considered. Ureteral stenting involves the insertion of a small tube into the ureter to help urine and small stones to pass, whereas nephrectomy, the removal of the kidney, is considered a last resort.