Kidney Stones & Endourology

A Minimally Invasive Approach To Treatment

At Lahey Hospital & Medical Center’s Institute of Urology, our Endourology Program focuses on the minimally invasive treatment of conditions such as kidney stones, enlarged prostate, scarring of the ureters and cancer of the lining of the kidneys and ureters.

The procedures used to treat these conditions are typically performed with small, highly advanced endoscopes, without the need for any incisions.

Conditions Treated

Led by Jessica Mandeville, MD, the Endourology Program is dedicated to the evaluation and treatment of patients with the following conditions:

  • Kidney and ureteral stone disease, including complex staghorn stones and stone disease in patients with complex genitourinary anatomy, such as patients with prior kidney or ureteral surgery or those with prior bladder replacement surgery
  • Metabolic kidney stone diseases, including rare conditions that cause severe kidney stone disease such as cystinuria, hyperoxalurias (including hyperoxaluria due to bowel disease), renal tubular acidosis, hyperparathyroidism, sarcoidosis, idiopathic hypercalciuria, and uric acid stones/hyperuricosuria
  • Ureteral strictures, such as congenital ureteropelvic junction (UPJ) obstruction and postoperative ureteral strictures
  • Malignant tumors of the ureter and kidney
  • Bladder stones
  • Benign prostatic hypertrophy (enlarged prostate), also called benign prostatic hyperplasia or BPH (medical and surgical management)

Treatment Options

Kidney Stones
  • Extracorporeal shock wave lithotripsy (ESWL)
  • Ureteroscopy with stone lithotripsy/extraction
  • Percutaneous nephrolithotomy
Ureteral Strictures
  • Endopyelotomy (percutaneous antegrade and ureteroscopic retrograde)
  • Endoureterotomy
Tumors of the Ureters & Kidney
  • Ureteroscopic and percutaneous biopsy/resection/ablation
BPH & Bladder Stones
  • Transurethral incision of the prostate (TUIP, holmium laser or electrocautery)
  • Transurethral resection of the prostate (TURP, monopolar or bipolar)
  • Bipolar transurethral vaporization of the prostate (TUVP)
  • Holmium laser ablation of the prostate (HoLAP)
  • Holmium laser enucleation of the prostate (HoLEP)
  • Cystolithalopaxy/bladder stone extraction