Published on: 2025-07-17 | Written by: Dr. Islam Karim, Consultant Urologist
Many patients suffer from kidney, ureter, or bladder stones, which can cause severe pain and serious complications if left untreated. With advances in medical technology, it is now possible to eliminate these stones without traditional surgery through laser fragmentation using flexible endoscopy — a method recommended and performed by Dr. Islam Kareem, Consultant of Urology, Kidney Endoscopy, and Abdominal Laparoscopy, due to its high success rate and minimal complications.
Laser fragmentation using flexible endoscopy is a minimally invasive procedure in which a very thin, flexible scope is inserted through the urethra and navigated to the location of the stone in the kidney or ureter. Then, a laser beam (usually Holmium laser) is used to break the stone into tiny fragments, which can either pass naturally or be removed during the procedure.
Dr. Islam Kareem confirms that this technique is highly effective for treating stones of various sizes and locations, especially in cases where surgery is risky or previous treatments like shockwave lithotripsy have failed.
According to Dr. Islam Kareem, this modern approach to stone removal offers many benefits:
✅ No surgical incision required: No external cuts or stitches, resulting in less pain and faster recovery.
✅ High precision: The flexible scope allows access to all parts of the kidney and ureter.
✅ Very high success rate, even with complex or multiple stones.
✅ Fewer complications: Lower risk of bleeding or infection compared to open surgery.
✅ Quick discharge: Most patients leave the hospital the same day or the next.
Dr. Islam Kareem explains that the procedure is suitable for patients who:
Have kidney stones larger than 5 mm.
Have a stone stuck in the ureter that hasn’t moved with medication.
Suffer from recurrent stones.
Did not benefit from external shockwave therapy.
Cannot undergo surgery due to other health conditions.