{"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 that allows access to the upper urinary tract (ureter, renal pelvis, caliceal cavities) via the natural tract &#8211; without surgical incision. There are two types: Rigid ureteroscopy: mainly used for calculi located in [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1809,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3474","page","type-page","status-publish","hentry"],"_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}]}}