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a cystoscopy begins with a scope being gently guided through the urethra to the bladder the surgeon looks carefully for stones tumors or other problems both ureteral openings are inspected to proceed to a ureteroscopy a guidewire is threaded through the cystoscope into the ureter a ureteroscope is guided by the wire in the ureter to the stone stone may be broken into smaller pieces using a laser which are then held by graspers and gently pulled out next a stent may be placed using a scope the stent is guided into the ureter then gently passed up to the kidney strings may be left hanging for stent removal later a foley catheter may be placed to drain urine