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Upper Ureteric Calculus Treatment

Upper ureteric calculus is a urological condition that can affect men and women of all age groups and may cause a range of symptoms. At Pristyn Care, we provide comprehensive diagnosis and treatment for upper ureteric calculus treatment at affordable prices. To book your consultation with us, reach out to our care coordinators. They will help schedule your appointment with our expert urologists. Call us today.

Upper ureteric calculus is a urological condition that can affect men and women ... Read More

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    Deepanshu Gupta  (CUMPmqrGu3)

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What is Upper Ureteric Calculus?

Ureters are tubes that connect the bladder to the kidneys and allow urine to travel from the renal pelvis to the urinary bladder. Several factors can cause stones to form in the ureters, and these stones can exhibit various symptoms. Upper ureteric calculus refers to stones that form in the upper part of the ureter. 

Calculus in the upper ureters can accompany various painful symptoms such as pain in the lower back or sides of the abdomen, issues with urinating, blood in the urine, nausea, fever, etc., and impact a person’s quality of life. This is precisely why it is suggested that patients seek timely treatment for this condition. There are multiple treatment options for upper ureteric calculus, including both conservative and non-conservative methods. 

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Diagnosing Upper Ureteric Calculus

Before treatment, a comprehensive diagnostic procedure is necessary to evaluate the extent of the condition. The assessment begins with the examination of the patient’s symptoms, their medical history, and any other issues they’re facing. The physical examination is performed during the initial consultation, after which the doctor suggests a range of diagnostic tests. These tests help doctors determine the location, size, and composition of the stones and rule out associated complications. Find below the most commonly prescribed diagnostic tests before upper ureteric calculus treatment: 

  • Urinalysis: A urinalysis or urine test helps look for infections in the urine, such as a UTI. In addition, a blood test also helps in looking for the level of substances in the urine that may have led to the formation of upper ureteric calculus. 
  • Ultrasound: In this imaging test, the doctors use sound waves to see if there’s a blockage in the ureters. An ultrasound can also help detect other abnormalities in the ureters or kidneys. 
  • Computed tomography (CT) scan: A CT scan helps in determining the stone’s location, size, etc. 
  • Blood test: The purpose of performing blood tests before upper ureteric calculus treatment is to see how well the kidneys are functioning and look for other conditions or infections that may be present. 

Are you going through any of these symptoms?

Treatment for Upper Ureteric Calculus

The doctors lay out a personalized treatment plan for patients with upper ureteric calculus based on the findings of the investigations. The treatment varies based on the complexity of the condition, in addition to the location, size, and composition of the stone. If the condition isn’t too severe, and the stones are small in size, the doctor may suggest medicines and therapy for treatment. In addition, they may also suggest some lifestyle modifications, including improving hydration, eating the right foods, etc. 

However, if the condition is serious, the stones are large in size, and there’s a risk of complications, the doctor may move on to non-surgical or surgical treatment procedures. Here are the most commonly performed procedures for the removal of upper ureteric calculus: 

  • Extracorporeal Shock Wave Lithotripsy (ESWL): This non-invasive procedure involves the use of shock waves to reduce the stones to smaller fragments, making it easier for the stones to pass through the system. This procedure is typically performed in the case of upper ureteral stones. 
  • Ureteroscopy with Laser Lithotripsy: (URSL) In this technique, a thin tube with a camera, also known as a ureteroscope, is inserted through the urethra, to the bladder, and into the ureter to get the visual of the stone and confirm its exact location. After locating the stone, the doctors use a laser to break the stones into smaller pieces, which flush out of the system naturally. 
  • Percutaneous Nephrolithotomy (PCNL): The PCNL procedure is recommended if the stones are too big in size. In this procedure, the stones are removed from the ureter through a small incision in the flank area. The incision is made to access the kidney for removal. 

Preparing for Upper Ureteric Calculus Treatment

Preparing for upper ureter stone treatment comprises several steps. Here are some general guidelines to follow before upper ureteric calculus treatment: 

  • Make sure you follow your doctor’s instructions on discontinuing any medications before the procedure. Certain medications can increase the risk of bleeding, and therefore, the doctor might suggest you discontinue such medicines, starting a few days before the procedure. 
  • Fast for at least 8 hours before the procedure, as eating anything can cause complications with anesthesia. Follow your doctor’s instructions regarding the same. 
  • Make sure you have all the necessary documents handy on the day of your procedure. Prepare a file of all the test reports and other important documents to avoid any hassles on the day of the procedure. 

If you are apprehensive about the procedure, or have any queries, get them addressed by the doctor before the procedure. By doing so, you will be able to remain calm throughout. 

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Recovery After Upper Ureteric Calculus Treatment

The recovery process after upper ureteric calculus treatment is also very important in ensuring effective treatment outcomes. There are several things patients can do to fast-track their recovery after the procedure and prevent potential complications. Some key aspects of recovery include: 

  • If there’s pain or discomfort following treatment, the patients must take the prescribed medications for pain management without fail. In addition, they shouldn’t skip any medications prescribed by the doctor during their recovery period. 
  • The patients must eat the right foods and increase their fluid intake. They must drink plenty of water throughout the day. Drinking enough fluids will ensure that the remaining fragments pass through the system. 
  • The doctor may ask the patients to make some dietary changes, such as avoiding certain foods and beverages. This may include cutting back on foods that can cause the stones to form. In addition, they may also suggest that they eat a diet rich in fruits and vegetables.
  • The patients must monitor their activity levels and avoid strenuous activities. Exerting the body during recovery may delay the healing process. The patients can do light activities such as walking to improve circulation and promote healing. However, they must avoid strenuous workouts and playing any sport during this period. Also, they must rest as much as they can till they feel fit enough to resume their daily activities. 
  • Patients must attend all the follow-up appointments with the doctor. Follow-ups are important to ensure there are no complications and the patient is recovering just fine. 
  • The doctor may give some more specific instructions to patients, which they need to follow without fail to ensure a healthy recovery. 

Frequently Asked Questions

Which treatment is considered the best for upper ureteric calculus?

Different treatments are suggested for removing upper ureteric calculus, depending on what the condition demands. The doctors determine the best treatment for the patient depending on the severity of the condition, and the patient’s overall health, among other factors. Therefore, different treatments work differently for patients. For instance, if a patient has small stones, ESWL can be quite effective. However, if the stones are large or the condition is complex, PCNL or open surgery may be the most suitable treatment option. 

Is upper ureteric calculus treatment covered under insurance?

Yes. With the presence of upper ureteric calculus, there persists a risk of complications as severe as kidney damage. Therefore, most insurance providers cover its treatment in their health insurance and mediclaim policies. But, there can be a difference in the amount of coverage offered by different insurance providers. Therefore, patients should discuss the coverage with their insurance provider before filing a claim. At Pristyn Care, we provide 100% insurance assistance to help patients claim their insurance seamlessly. 

How dangerous is upper ureteric calculus?

Upper ureteric calculus can sometimes be quite dangerous. It can obstruct the ureter and affect urine flow. In addition to that, it can also lead to kidney damage or cause stone infections, which can lead to further complications. 

What causes upper ureteric calculus?

Several factors can lead to the formation of upper ureteric calculus. Patients with a family history of ureteric calculus are at an increased risk of developing ureteric calculus. In addition, individuals with poor healthy fluid intake and an unhealthy diet consisting of too much sodium or protein and junk and processed food are at risk of developing these stones. 

What are the most common symptoms of upper ureteric calculus?

Upper ureteric calculus can exhibit various symptoms, but the severity of these symptoms can vary from person to person. Here are the most common symptoms of upper ureteric calculus: 

  • Severe pain in the upper flank that comes and goes in your upper flank
  • Pain that radiates to your lower abdomen.
  • Pain or a burning feeling while urinating.
  • Bloody or discolored urine (brown, pink, or red).
  • Cloudy urine
  • Frequent urges to urinate.
  • Urinating a very small amount.
  • Nausea.
  • Vomiting.

How helpful are home remedies in treating upper ureteric calculus?

Home remedies can be quite effective in the treatment of ureteric calculus that’s small in size. Drinking enough water throughout the day can help flush out the stone without much discomfort. Yet, it is always advisable to take expert guidance before trying out any home remedies for the treatment of ureteric calculus. 

Are upper ureteric stones recurrent?

Yes. Upper ureteric stones can recur even after treatment, as a treatment only helps remove stones and doesn’t help prevent them in the future. But, they can be prevented by making some lifestyle changes such as 

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Medically Reviewed By
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Deepanshu Gupta
15 Years Experience Overall
Last Updated : March 15, 2025

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    Piyush Pathak

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    I had 3-4 stones occuring again and again but finally went for operation with PristynCare. They found the root cause and treated me well with Stent insersion. Feeling great now and I hope wont occur again.

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    Ananya Kapoor Sharma

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    Pristyn Care in Bangalore exceeded my expectations for kidney stone treatment. The medical team was not only proficient but also compassionate. The follow-up care was thorough, making my recovery smooth. Highly recommend their services!

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    Exceptional URSL treatment at Pristyn Care Kolkata. The medical team was thorough in explaining the procedureand the personalized care was impressive. The facility was cleanand the follow-up care ensured a speedy recovery. Highly satisfied!

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    Opted for 8 mm stone surgery at Pristyn Care, Hyderabad and the staff made me feel comfortable throughout. The facility is well-equipped and the overall service is commendable.

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    Received ESWL treatment at Pristyn Care in Delhiand the experience was impressive. The aftercare support was excellent and i'll give a full Promotor.

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    Opted for URSL kidney stone treatment at Pristyn Care, Delhi. The doctors were knowledgeable. The personalized care and attention to detail during the entire process made me feel confident in my choice. Highly recommended!

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