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Home » Treatments » Ureteroscopy & Holmium Lasertripsy

Treatments · Kidney Stones Ureteroscopy & Holmium Lasertripsy for kidney stones, broken up from within.

A ureteroscope reaches the stone directly and a holmium laser breaks it into fragments - performed under general anaesthetic, usually as a day case. No GP referral needed.

Mr Maneesh Ghei Performed personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045 BupaPlatinum Consultant
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DaysNot months -
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Day CaseSame-day
discharge
Insured or Self-PayAll major insurers accepted
In short

Ureteroscopy with holmium laser lithotripsy treats kidney stones through a scope passed via the urethra, taking 45 minutes to an hour under general anaesthetic, with same-day discharge for most patients.

Medically reviewed by Mr Maneesh Ghei·GMC 5208045·September 2026

Is This For You?

This treatment may suit you if

Your stone is too large to pass on its own

Or it is causing pain, infection or other complications.

Your stone is lodged in the ureter

This procedure reaches stones directly, regardless of their composition.

You have most types of kidney stone

It is appropriate for most stone types and locations within the kidney or ureter.

Alternatives To Consider

Other options for kidney stones

ESWL

A non-invasive treatment using shock waves, best suited to stones under 2cm in the kidney or upper ureter, performed as an outpatient without anaesthesia.

Percutaneous Nephrolithotomy (PCNL)

Recommended for large or complex stones, or when other treatments have failed - highly effective but requires hospitalisation and a longer recovery.

What's Involved

The facts, and the fees

What the procedure involves

General anaesthesia, with some adjustment to eating, drinking or medication beforehand
A ureteroscope is passed through the urethra and bladder into the ureter or kidney to locate the stone
A holmium laser fragments the stone into smaller, passable pieces - larger fragments may be removed with a basket
A temporary JJ stent may be placed to aid healing and the passage of fragments

Fees, explained up front

Fees depend on your case and whether a stent is required. Every cost is set out and agreed before you decide anything.

AnaestheticGeneral
Operation time45 minutes - 1 hour
DischargeSame day
RecoveryOften back to routine activity the next day
As with any procedure, risks include infection, bleeding, damage to the ureter, or the need for a further procedure if fragments do not pass.
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Simple, Fast, Clear

Located and cleared in 3 steps

1

Book your consultation

Most patients are seen within a few days for imaging and an assessment with Mr Ghei.

2

Your procedure

The ureteroscope locates the stone and a holmium laser breaks it into fragments, usually within an hour.

3

Stent removal and follow-up

If a stent was placed, it is removed at a short follow-up appointment once healing is confirmed.

Mr Maneesh Ghei, Consultant Urological Surgeon
GMC 5208045 · FRCS (Urol)
Your Consultant

Mr Maneesh Ghei

MBBS, MS, MRCSEd, MD (UCL), FRCS (Urol)

Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.

In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.

Cancer Lead · Whittington Hospital BupaPlatinum recognised consultant English · Hindi · Punjabi · Urdu
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Common Questions

Before you book

Is this a major operation?
No. Ureteroscopy and holmium laser lithotripsy is a minimally invasive procedure, typically performed under general anaesthesia without any incisions in the body. Most patients return home the same day.
How long is recovery?
Recovery is fast, and patients can often return to routine activities the next day.
Ureteroscopy vs cystoscopy - what is the difference?
A cystoscopy is purely to visualise the bladder and is usually the first part of a ureteroscopy, whereas a ureteroscopy also visualises the ureter and kidney and is used to break down stones.
Do I need a GP referral?
No. Self-pay patients can book directly with no referral. If you plan to claim through insurance, some insurers ask for a GP referral first - we can guide you on what your policy needs.
Take the First Step

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