I have a 13.49 mm stone in my right upper ureter, about 2 cm from the pelvic ureteric junction, and it's causing grade 1 hydronephrosis. I'm trying to figure out the best surgery option should I go for ureteroscopic laser lithotripsy or PCNL? What would you recommend based on the size and location of the stone?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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For your 13.49 mm stone in the upper ureter, near the pelvic ureteric junction, causing grade 1 hydronephrosis, ureteroscopic laser lithotripsy (URSL) is generally recommended over PCNL. URSL is a minimally invasive procedure that allows for targeted stone fragmentation and removal through the ureter. PCNL, while effective, is more invasive and carries a higher risk of complications.

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Answered 14/08/2025

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