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Drink plenty of fluids.","restrictions":["No driving after anesthesia"]},{"phase":"Days 1-7","description":"Urinary urgency, burning and pink urine are common; light activity is encouraged.","restrictions":["Avoid heavy lifting and strenuous exertion"]},{"phase":"Weeks 1-3","description":"Stent removal if placed, with symptom resolution; seek care for fever, severe pain or inability to urinate.","restrictions":["Avoid strenuous exercise until stent is out and symptoms settle"]},{"phase":"Weeks 4-12","description":"Follow-up imaging to confirm stone clearance and discussion of stone prevention.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated ureteroscopy; stent symptoms may last until it is removed."},"result_longevity":"Removes existing stones, but stone recurrence is common without prevention measures; recurrence risk varies by stone type and metabolic factors.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat or secondary stone procedure for residual fragments or stricture, within about 3 months"},"scars":"No incisions; the instrument passes through the urethra, so no visible scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One procedure for a typical uncomplicated stone; staged procedures are sometimes needed for large stone burden or infection."},"stages":[{"code":"ureteroscopic_laser_lithotripsy","label":"Ureteroscopy with laser lithotripsy and fragment removal, with or without stent placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Single procedure on day of treatment."}}],"qualifier":"Single-session protocol; stent removal and imaging are follow-up care."},"success":{"metric":"Stone-free rate after single ureteroscopy","value":85,"unit":"percent","horizon":"4-12 weeks, confirmed on follow-up imaging","population":"Adults with kidney or ureteral stones up to about 2 cm","evidence_status":"limited"},"techniques":[{"name":"Flexible ureteroscopy with holmium:YAG or thulium fiber laser lithotripsy","suits_whom":"Kidney stones and proximal ureteral stones.","recovery":"Same-day discharge usual; stent may remain for 1-2 weeks."},{"name":"Semi-rigid ureteroscopy with laser lithotripsy","suits_whom":"Mid and distal ureteral stones.","recovery":"Same-day discharge usual; stent is often optional."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":2,"unit":"hours","qualifier":"Operating time for one uncomplicated unilateral stone procedure; varies with stone size and burden."},"initial_assessment_documents":["Non-contrast CT scan of kidneys and ureters","Radiology report of CT or ultrasound","Recent urinalysis and urine culture result","Blood creatinine and kidney function results","List of blood thinners","Previous stone treatment or stent records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; fly home after 1-7 days, or after stent removal if placed. Imaging can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your kidney stone may suit shock wave treatment instead","name":"Shockwave lithotripsy","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/ureteroscopy-ghpi1677_07_21/","host":"gloshospitals.nhs.uk","quote":"The alternatives include X-ray studies or scans, lithotripsy (shock wave treatment for kidney stones), laparoscopic (keyhole) or open operations.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"Your stones are larger or hard to reach by flexible scope","name":"Percutaneous nephrolithotomy","source":{"url":"https://www.plymouthhospitals.nhs.uk/stone-service/","host":"plymouthhospitals.nhs.uk","quote":"This type of treatment is typically reserved for larger kidney stones (greater than 1.5 cm - 2 cm) or stones which are difficult to access with a flexible uretero-renoscope.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A3","text":"Your kidney stone may be treated at home with medicine","name":"Medicines for kidney stones","source":{"url":"https://www.nhs.uk/conditions/kidney-stones/","host":"nhs.uk","quote":"Most kidney stones can be treated at home with medicine.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"flexible-ureteroscopy","name":"Flexible ureteroscopy with holmium:YAG or thulium fiber laser lithotripsy","how_it_works":{"text":"A laser passed through a camera breaks stones into smaller pieces","source":{"url":"https://www.plymouthhospitals.nhs.uk/stone-service/","host":"plymouthhospitals.nhs.uk","quote":"A tiny laser is then passed through the camera and is used to break up stones into smaller pieces.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"semi-rigid-ureteroscopy","name":"Semi-rigid ureteroscopy with laser 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