The cornerstone of Urology services is Endourological surgeries. Endourological surgeries are minimally invasive procedures performed through the urine pipe (Urethra) using miniature endoscopic cameras and instruments. Using this technology, most urological surgeries such as prostate surgery, surgery for tumors, surgeries for stones and stricture can be performed. The advantages of these minimally invasive surgeries are decreased post-operative pain, reduced hospital stay and quicker post-operative recovery and return to normal activities.
Some of the Endourological procedures done for stone disease include:
1. Semirigid Ureterorenoscopy- is a procedure where stones in the Ureter are removed using a semirigid ureteroscope by breaking them into fragments using a laser.
How is Ureterorenoscopy performed?
2. Percutaneous nephrolithotripsy- Multiple stones or single stones bigger than 2cm in size or Staghorn stones are treated using this procedure.
How is percutaneous nephrolithotripsy performed?
3. Mini PCNL - Small renal calculi can be treated with mini-percutaneous nephrolithotripsy (Mini PCNL). The main difference between PCNL and Mini PCNL is the reduced size of the instrumentation used for the procedure. Small renal stones can be easily removed using miniature instruments with a resultant advantage of reduced blood loss and post-operative pain. An additional advantage of the mini-PCNL is that it is a tubeless procedure.
4. Retrograde intrarenal surgery (RIRS) – RIRS is a procedure done using a flexible ureterorenoscope. The main indication for this procedure is to remove upper ureteric and renal stones which cannot be reached by a semirigid ureteroscope.
How is retrograde intrarenal surgery performed?
5. Percutaneous cystolithotripsy - A minimally invasive procedure which is used to treat bladder calculi is called as percutaneous cystolithotripsy.
How is percutaneous cystolithotripsy performed?
Words of Heart
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