{"id":3474,"date":"2025-11-22T13:00:34","date_gmt":"2025-11-22T12:00:34","guid":{"rendered":"https:\/\/www.dominique-urologie.fr\/ureteroscopy-rigid-and-flexible"},"modified":"2025-12-08T23:56:42","modified_gmt":"2025-12-08T22:56:42","slug":"ureteroscopy-rigid-and-flexible","status":"publish","type":"page","link":"https:\/\/www.dominique-urologie.fr\/en\/expertise\/ureteroscopy-rigid-and-flexible","title":{"rendered":"Ureteroscopy (rigid and flexible)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3474\" class=\"elementor elementor-3474 elementor-3472\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6d66b015 e-flex e-con-boxed e-con e-parent\" data-id=\"6d66b015\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-57f3e727 elementor-widget elementor-widget-heading\" data-id=\"57f3e727\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Ureteroscopy (rigid and flexible)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a388a43 elementor-widget elementor-widget-text-editor\" data-id=\"a388a43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Investigation and removal of urinary calculi by the natural route<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66d4ecf5 elementor-widget elementor-widget-text-editor\" data-id=\"66d4ecf5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<a href=\"\/\">Home \/ <\/a>Ureteroscopy (rigid and flexible)\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-54c253f2 e-flex e-con-boxed e-con e-parent\" data-id=\"54c253f2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4db32518 e-con-full animated-slow e-flex elementor-invisible e-con e-child\" data-id=\"4db32518\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2a57f8 elementor-widget elementor-widget-image\" data-id=\"d2a57f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-.1.webp\" class=\"attachment-full size-full wp-image-3484\" alt=\"\" srcset=\"https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-.1.webp 1024w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-.1-300x300.webp 300w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-.1-150x150.webp 150w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-.1-768x768.webp 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5795e235 e-con-full e-flex e-con e-child\" data-id=\"5795e235\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7696fc78 elementor-widget elementor-widget-heading\" data-id=\"7696fc78\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is ureteroscopy (rigid or flexible)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72b59c2 elementor-widget elementor-widget-text-editor\" data-id=\"72b59c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ureteroscopy is an endoscopic urological procedure that allows access to the upper urinary tract (ureter, renal pelvis, caliceal cavities) via <strong>the natural tract<\/strong> &#8211; without surgical incision. There are two types: <\/p><ul><li><strong>Rigid ureteroscopy<\/strong>: mainly used for calculi located in the ureter (pelvic segment, iliac segment, etc.), or to extract fragments, insert probes, etc.<br><br><\/li><li><strong>Flexible ureteroscopy<\/strong>: allows navigation through the kidney cavities, including the calyces, thanks to a flexible, thinner and more malleable endoscope, adapted to anatomical curvatures.<br><br><\/li><\/ul><p>\ud83d\udccc The main objective is direct exploration of the excretory system, visualization of the calculus and then its <strong>fragmentation<\/strong> (usually by laser) or <strong>extraction<\/strong> (forceps, basket) via these natural routes, without opening the skin.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51c3d099 e-flex e-con-boxed e-con e-parent\" data-id=\"51c3d099\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b939c63 e-con-full e-flex e-con e-child\" data-id=\"b939c63\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-3793d8ab e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"3793d8ab\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62aa6d9c elementor-widget elementor-widget-image\" data-id=\"62aa6d9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"936\" height=\"1404\" src=\"https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/06\/MG_3991.jpg\" class=\"attachment-full size-full wp-image-3185\" alt=\"\" srcset=\"https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/06\/MG_3991.jpg 936w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/06\/MG_3991-200x300.jpg 200w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/06\/MG_3991-683x1024.jpg 683w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/06\/MG_3991-768x1152.jpg 768w\" sizes=\"(max-width: 936px) 100vw, 936px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33ce5641 e-con-full e-flex e-con e-child\" data-id=\"33ce5641\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2fc0df7e elementor-widget elementor-widget-heading\" data-id=\"2fc0df7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When is this procedure recommended?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78fb49ff elementor-widget elementor-widget-text-editor\" data-id=\"78fb49ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>Main indications<\/strong><\/h3><p>Rigid or flexible ureteroscopy is indicated in the following situations:<\/p><ul><li>Urinary calculi resistant or inaccessible to extracorporeal lithotripsy (ECL), particularly dense (&gt; ~ 1,000 Hounsfield units) or hard (e.g. cystine calculi).<u><a href=\"https:\/\/archives.uness.fr\/sites\/campus-unf3s-2015\/UNF3Smiroir\/campus-numeriques\/urologie\/enseignement\/urologie_16\/site\/html\/cours.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Moderate-sized calculi (&lt; ~ 20 mm) in the ureter or kidney, when LEC is not effective or possible.<u><a href=\"https:\/\/iuep.fr\/lithiase-urinaire\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Renal localization, particularly in the lower calyces or in malformed kidneys, or when the kidney is difficult to access for lithotripsy.<u><a href=\"https:\/\/urologie-lille.fr\/chirurgie\/calcul\/uretero-renoscopie-souple?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Alternative to LEC if contraindicated (e.g. patient on anticoagulant therapy, unfavorable anatomy, high stone density).<u><a href=\"https:\/\/www.urofrance.org\/sites\/default\/files\/chapitre_14_item_262_-_ue_8_-_lithiase_urinaire.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><\/ul><p> <\/p><hr><h3> <\/h3><h3><strong>Limitations and contraindications<\/strong><\/h3><ul><li>Untreated urinary tract infection.<u><a href=\"https:\/\/www.urologues-saint-augustin.fr\/pathologies\/pathologie-3\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Difficult ureteral anatomy (stenosis, history of ureteral surgery, path anomalies, very large prostate) that prevents access or passage of the device.<u><a href=\"https:\/\/www.urofrance.org\/sites\/default\/files\/chapitre_14_item_262_-_ue_8_-_lithiase_urinaire.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Very large stones (&gt; ~ 20-25 mm), or coralliform or very complex stones, for which other techniques (percutaneous nephrolithotomy) are preferable.<u><a href=\"https:\/\/www.s-ecn.com\/sites\/default\/files\/ITEM%20262%20-%20LITHIASE%20URINAIRE_V4_0.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bf1bb7a e-flex e-con-boxed e-con e-parent\" data-id=\"bf1bb7a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-edfcada e-con-full e-flex e-con e-child\" data-id=\"edfcada\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-7dfd0cf e-con-full e-flex e-con e-child\" data-id=\"7dfd0cf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce772fa elementor-widget elementor-widget-heading\" data-id=\"ce772fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How does the procedure work?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce1406f elementor-widget elementor-widget-text-editor\" data-id=\"ce1406f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Here are the typical steps involved in flexible or rigid ureteroscopy, for the exploration and removal of urinary calculi:<\/p><h3>Preparation<\/h3><ul><li>Imaging (injection-free CT scan, ultrasound, possibly X-ray) to locate the stone precisely, measure its size and assess its density.<\/li><li>ECBU (urine cytobacteriological examination) to check sterility or treat an infection prior to surgery<\/li><li>Anaesthesia: often general for flexibility, sometimes local or spinal depending on the patient&#8217;s condition and the location of the stone.<\/li><li>  Sometimes a double-J catheter is inserted to dilate the ureter (&#8220;prepare&#8221; the passage for the ureteroscope), if necessary.<u><br><\/u><\/li><\/ul><div> <\/div><hr><h3> <\/h3><h3>Intervention<\/h3><ul><li>Introduction of the urethroscope through the urethra, then the bladder, then into the ureter; for the flexible version, progression to the renal cavities if required.<\/li><li>Visualization of the calculus, fragmentation (Holmium YAG laser most often) if too large to be extracted directly.<\/li><li>Extraction of fragments or whole calculus with forceps or endoscopic basket.<\/li><li>  At the end of the operation, a double-J catheter (ureteral endoprosthesis) is usually inserted to drain the ureter, prevent edema, facilitate evacuation of fragments or provide relief.<\/li><\/ul><div> <\/div><div> <\/div><hr><h3> <\/h3><h3><strong>Post-operative care<\/strong><\/h3><ul><li>  Short hospital stay, often on an <strong>outpatient<\/strong> or 24-hour basis depending on the case.<\/li><li>Moderate pain, possible transient urinary bleeding, occasional discomfort associated with the double-J catheter (tugging, frequent urges).<\/li><li>Analgesics, possibly anti-inflammatories prescribed.<\/li><li>Control of renal function, urine monitoring.<\/li><li>Removal of double-J probe according to protocol (a few days to a week depending on tolerance and site of calculus).<\/li><li>X-ray or imaging check a few weeks later, to ensure that no residual lithiasis fragments remain.<\/li><\/ul><div> <\/div><div> <\/div><hr><h3> <\/h3><h3><strong>\u26a0\ufe0f <\/strong><strong>Expected results<\/strong><\/h3><ul><li>A high success rate for pelvic ureter stones, often &gt; 90%.<u><a href=\"https:\/\/archives.uness.fr\/sites\/campus-unf3s-2015\/UNF3Smiroir\/campus-numeriques\/urologie\/enseignement\/urologie_16\/site\/html\/cours.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>For moderate-sized kidney stones (&lt; ~1 cm), good results; for sizes between 1-2 cm, less success, and sometimes the need for several operations or additional treatment.<u><a href=\"https:\/\/archives.uness.fr\/sites\/campus-unf3s-2015\/UNF3Smiroir\/campus-numeriques\/urologie\/enseignement\/urologie_16\/site\/html\/cours.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><\/ul><h3><strong>\u26a0\ufe0f <\/strong><strong>Possible complications<\/strong><\/h3><ul><li>Transient hematuria (bleeding in the urine) after the procedure.<u><a href=\"https:\/\/www.clinique-urologique-nantes.fr\/traitements\/ureteroscopie-rigide-et-souple-fragmentation-laser-montee-de-sonde-ureterale\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Pain or discomfort (colic, clot, ureteral spasm) in the days that follow.<u><a href=\"https:\/\/archives.uness.fr\/sites\/campus-unf3s-2015\/UNF3Smiroir\/campus-numeriques\/urologie\/enseignement\/urologie_16\/site\/html\/cours.pdf?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Urinary tract infection, even more severe if sampling or fragmentation with untreated pre-existing infection.<u><a href=\"https:\/\/www.urologues-saint-augustin.fr\/pathologies\/pathologie-3\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Risk of ureteral injury (perforation, laser burn, avulsion, or trauma) to be handled with care.  <u><a href=\"https:\/\/www.urologie-bordeaux.com\/interventions\/ureteroscopie-rigide-et-souple\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><li>Remote ureteral stenosis in some cases.<u><a href=\"https:\/\/www.urologie-bordeaux.com\/interventions\/ureteroscopie-rigide-et-souple\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><br><\/a><\/u><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-66f1d26 e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"66f1d26\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-046b3f1 elementor-widget elementor-widget-image\" data-id=\"046b3f1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;],&quot;sticky_offset&quot;:60,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1078\" height=\"1500\" src=\"https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie.webp\" class=\"attachment-full size-full wp-image-3499\" alt=\"\" srcset=\"https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie.webp 1078w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-216x300.webp 216w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-736x1024.webp 736w, https:\/\/www.dominique-urologie.fr\/wp-content\/uploads\/2025\/11\/Ureteroscopie-768x1069.webp 768w\" sizes=\"(max-width: 1078px) 100vw, 1078px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0b0f820 e-flex e-con-boxed e-con e-parent\" data-id=\"0b0f820\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-06eb699 elementor-widget elementor-widget-heading\" data-id=\"06eb699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why choose this technique rather than an incision or other method?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae9f657 e-con-full e-flex e-con e-child\" data-id=\"ae9f657\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4b2c6be e-con-full e-flex e-con e-child\" data-id=\"4b2c6be\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5d1db37 elementor-widget elementor-widget-icon-box\" data-id=\"5d1db37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u2714 Minimally-invasive: no open surgery, no scarring, less trauma, faster recovery.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f73c013 e-con-full e-flex e-con e-child\" data-id=\"f73c013\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-495ce44 elementor-widget elementor-widget-icon-box\" data-id=\"495ce44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u2714 Natural route management: access is via the urethra\/bladder, avoiding any external incisions.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-db47887 e-con-full e-flex e-con e-child\" data-id=\"db47887\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c381e1 elementor-widget elementor-widget-icon-box\" data-id=\"7c381e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u2714 Reaches stones that could not be expelled spontaneously or treated effectively by other methods (LEC in particular).\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e45023e e-con-full e-flex e-con e-child\" data-id=\"e45023e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-60aa75b elementor-widget elementor-widget-icon-box\" data-id=\"60aa75b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u2714 Good compromise between efficacy, safety and comfort for many patients.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-28cc7f9f e-flex e-con-boxed e-con e-parent\" data-id=\"28cc7f9f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3802a6d5 elementor-widget elementor-widget-heading\" data-id=\"3802a6d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pre- and post-operative<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e9f7f3f e-con-full e-flex e-con e-child\" data-id=\"e9f7f3f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9f72720 elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"9f72720\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>Pre-op: what you need to know<\/strong><\/h3><ul><li>The patient will need to undergo a number of tests prior to surgery: imaging (non-injected CT scan, ultrasound) to locate the stone and measure its density and size.<\/li><li>Check for urinary tract infection (ECBU), and treat if necessary.<\/li><li>Information on anesthesia and hospitalization (outpatient or 1-day, depending on the facility).<\/li><li>Check current treatments (anticoagulants, antiaggregants), possible adjustments.<\/li><li>Discussion on the possible insertion of a preliminary probe (double-J) if the ureter is not dilated enough for the endoscope to pass.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b497500 elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"b497500\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><strong>After the operation: follow-up<\/strong><\/h3><ul><li>Moderate pain expected, slight bleeding possible, often for a few days.<\/li><li>Painkillers \/ anti-inflammatories as required.<\/li><li>Drink plenty of fluids to help eliminate lithiasis fragments.<\/li><li>In the event of a double-J probe, it will be removed according to protocol (a few days to a week or more depending on the situation).<\/li><li>A radiological\/imaging check a few weeks later to ensure that no fragments remain.<\/li><li>Urological follow-up to monitor complications such as stenosis, infection and catheter-related discomfort.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-64ebff00 e-flex e-con-boxed e-con e-parent\" data-id=\"64ebff00\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5389ef98 elementor-widget elementor-widget-heading\" data-id=\"5389ef98\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">The expertise of Dr S\u00e9bastien Dominique<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b149f1e elementor-widget elementor-widget-heading\" data-id=\"5b149f1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ureteroscopy specialist\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21219a5d elementor-widget elementor-widget-text-editor\" data-id=\"21219a5d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr. Dominique will determine whether ureteroscopy is the best option for your case, compared to other methods such as lithotripsy, percutaneous nephrolithotomy, etc.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-40cb6d5e e-con-full e-flex e-con e-child\" data-id=\"40cb6d5e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9b7dc9b e-con-full e-flex e-con e-child\" data-id=\"9b7dc9b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34046048 elementor-widget elementor-widget-icon-box\" data-id=\"34046048\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u2714 He will assess the risks associated with your general condition, the size, location, composition of the stone, and your urinary anatomy.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-21b1e72 e-con-full e-flex e-con e-child\" data-id=\"21b1e72\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-521d2cbd elementor-widget elementor-widget-icon-box\" data-id=\"521d2cbd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u2714 It also ensures follow-up, evacuation, post-operative monitoring, and adapts treatment according to results.\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-924e104 e-flex e-con-boxed e-con e-parent\" data-id=\"924e104\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d49541f elementor-widget elementor-widget-heading\" data-id=\"1d49541f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">About us<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f952329 elementor-widget elementor-widget-heading\" data-id=\"6f952329\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">My video review  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64a3bb2c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"64a3bb2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>I&#8217;ve made this video to explain flexible and rigid ureteroscopy in detail.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3cca1916 elementor-widget__width-initial elementor-widget-tablet__width-inherit elementor-widget elementor-widget-video\" data-id=\"3cca1916\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;#&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55f5b02b elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-video\" data-id=\"55f5b02b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=gWsvWtxkcag&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-617afa07 e-flex e-con-boxed e-con e-parent\" data-id=\"617afa07\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-745f254 elementor-widget elementor-widget-heading\" data-id=\"745f254\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Make an appointment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32e9d88b elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"32e9d88b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr S\u00e9bastien Dominique offers you a personalized assessment, an adapted procedure, and attentive follow-up to guarantee the best possible result.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f042a8f e-con-full e-flex e-con e-child\" data-id=\"f042a8f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-122f663 elementor-widget elementor-widget-button\" data-id=\"122f663\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/sebastien-dominique\/booking\/telehealth-suggestion?specialityId=177\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Consultation appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71994336 elementor-widget elementor-widget-button\" data-id=\"71994336\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.dominique-urologie.fr\/en\/surgery-appointment\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Surgery appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Investigation and removal of urinary calculi by the natural route What is ureteroscopy (rigid or flexible)? Ureteroscopy is an endoscopic urological procedure [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1809,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3474","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/3474","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=3474"}],"version-history":[{"count":2,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/3474\/revisions"}],"predecessor-version":[{"id":4154,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/3474\/revisions\/4154"}],"up":[{"embeddable":true,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/pages\/1809"}],"wp:attachment":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=3474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}