Inclusion Criteria:  >18 years of age undergoing ureteroscopic stone extraction Stone size 6mm stones or greater and the location to mid ureter or higher Willing to sign informed consent form Able to read, understand, and complete patient questionnaires, and pain questionnaires  Exclusion Criteria:  < 18 years of age Inability to provide informed consent Concomitant surgery (i.e. Percutaneous nephrolithotomy, Holmium laser enucleation of the prostate Solitary kidney Nephrocalcinosis Members of vulnerable patient populations Patients without access to a phone that can receive txt messages