Endourology


Transurethral Resection of the Prostate (TURP)

TURP - A transurethral resection of the prostate (TURP) is a surgical procedure that removes portions of the prostate gland through the penis. A TURP requires no external incision.
This procedure is mainly done for BPH patient with LUTS and may be done occasionally for patients with prostate cancer as well. The aim is to remove part of the prostate gland from inside creating a good channel to pass urine. The instrument called resectoscope is introduced through the penis and the prostate is resected using a current loop (TURP) or by a bipolar resection kit (TURIS).

Transurethral Resection Of Bladder Tumor (TURBT)

TURBT - Similar to TURP, this procedure is done through an instrument inserted through the urinary passage and the tumour inside the bladder is resected. Commonly done for suspected or proven bladder cancers, it is rarely done for patients with lesions in the bladder for the sake of achieving a diagnosis. The removed tissues are sent for the histological diagnosis.

Cystoscopy

A cystoscopy is an examination of the inside of the bladder and urethra, the tube that carries urine from the bladder to the outside of the body. In men, the urethra is the tube that runs through the penis. The doctor performing the examination uses a cystoscope-a long,
thin instrument with an eyepiece on the external end and a tiny lens and a light on the end that is inserted into the bladder. The doctor inserts the cystoscope into the patient's urethra,
and the small lens magnifies the inner lining of the urethra and bladder, allowing the doctor to see inside the hollow bladder. Many cystoscopes have extra channels within the sheath to insert other small instruments that can be used to treat or diagnose urinary problems.

Ureteroscopy (URS)

Ureteroscopy (URS) involves the use of small telescopes that are inserted through the bladder and into the opening of the ureter. The telescope allows visualization of stones in the ureter and/or kidney. Depending on the size of the stone and the diameter of the ureter, the stone may be fragmented and/or removed. The most common method of fragmentation is performed using a lithoclast. One benefit of this treatment is the ability to directly visualize the fragmentation process. Moreover, stone fragments can be collected for analysis by passing a stone basket through the telescope and capturing the fragments for removal.