Rigid and Flexible Ureterorenoscopy in Birmingham
Ureterorenoscopy (URS) is a minimally invasive procedure used to diagnose and treat conditions within the ureter and kidney, most commonly kidney stones. Mr Syed Ali Shahzad, Consultant Urological and Robotic Surgeon, performs rigid and flexible ureterorenoscopy at private hospitals across Birmingham.
What Is Ureterorenoscopy?
A ureteroscope is a thin, flexible or rigid instrument with a camera at its tip that is passed through the urethra and bladder into the ureter and kidney without any incisions. It allows the surgeon to visualise the inside of the urinary tract and, when equipped with a laser fibre, to break up and remove stones or treat other lesions.
Rigid vs Flexible Ureteroscopy
- Rigid ureteroscopy is used for stones in the lower part of the ureter, close to the bladder. It provides a clear, stable view and strong suction for stone fragment removal.
- Flexible ureteroscopy (FURS) uses a flexible scope that can navigate the curves of the upper ureter and kidney collecting system. It is the preferred technique for stones in the kidney or upper ureter.
The Procedure
Ureterorenoscopy is performed under general anaesthetic as a day-case procedure in most cases. A laser (holmium or thulium) is used to fragment stones into dust or small pieces that can be removed using a basket device or flushed out. A temporary ureteric stent is usually placed after the procedure to allow any swelling to settle and ensure free drainage.
Recovery
Most patients go home the same day. There may be some mild discomfort, urinary frequency or blood-stained urine for a few days after the procedure. If a stent has been placed, it is removed in a separate brief outpatient procedure under local anaesthetic, typically after 1 to 4 weeks.
Book a Consultation
Mr Shahzad is recognised by BUPA, AXA, AVIVA, Vitality, Cigna and WPA and welcomes self-pay patients. No GP referral is needed. Book an appointment or contact us.

