You would have had a 3T MRI study prior to pinpoint any suspicious high-grade lesions. PET PSMA is another means of determining if you have any suspicious areas. Usually, targeted biopsies are taken of the prostate via the skin between scrotum and anus (perineal area). The 3 possibilities of an elevated PSA is: Benign Prostate […]
For those guys with normal sized prostates, but with a prominent bladder neck causing all the irritating symptoms of an enlarged prostate (LUTS). Why is it done? This procedure is performed when the bladder neck has become stenotic (narrow) and tight, usually after a TURP, can also be found in the young man, with an […]
Why is it done? Primary management of: Continuous or intermittent bleeding from bladder vessels More prominent after radiation therapy with neo-vascularisation Induced or aggravated by blood thinning and anti-platelet therapy Risk factors: Anti-coagulation therapy: Warfarin, Xaralto etc Anti-platelet therapy Radiation to bladder prostate or bowel These need to be stopped prior to the procedure […]
Non invasive opening of an abscess found in the prostate, Very similar to a TURP with the exception that the bladder neck is preserved Why is it done? This procedure is performed when you have been diagnosed with a prostatic abscess, usually after an MRI investigation. You would have had a history of swinging low […]
Trans Urethral resection of bladder tumour with/without MMC An endoscopic procedure where bladder tumours are excised via the urethra. Why is it done? Primary management of: Resect a bladder lesion suspicious of bladder cancer Three Types of bladder cancer: Urothelial Carcinoma (85%) Squamous Cell carcinoma Adeno carcinoma Metastatic cancer to the bladder – i.e. Breast, […]
A ureteric or renal calculus is removed with technique and may require a laser. A rigid/ flexible ureteroscope can be used. Why is it done? Removal of renal or ureteric stones. Ureteric stones can vary from 5mm to over 1 cm in size. You may present with excruciating pain on the affected side. (This pain […]
Infrequently ureteric injuries can occur with other abdominal surgery i.e.: Hysterectomy. Ovarian mass resection. Bowel resections. Sacro Colpopexy. If the injury is below the pelvic brim, then a re-implantation with is recommended with Boari-flap, otherwise a primary end-to-end anastomosis Why is it done? Stricturing or narrowing of the ureter causing significant hydronephrosis. Injury to ureter […]
Surgical repair of VUJ obstruction, robotic or open Mainly a procedure for pediatric urology to correct grade 4-5 vesicoureteral reflux Distal ureteric injuries. Why is it done? Grade 4-5 Vesical-Ureteric Reflux where conservative management has failed with a progressive deterioration in renal function. Distal ureterectomy due to stricture disease. Iatrogenic injury to lower ureter during […]
Dilatation of urethral stricture. Dine in combination with urethroscopy and placement of IDC is advocated on daily basis at home as management of urethral stricture. Why is it done? To treat a narrowing in the urethra which has formed due to previous damage/injury to the urethra. Causes: after bypass surgery where a drop in blood […]
Removal of urethra. Usually in adjunct to a radical cystectomy. Occasionally done some time after a cystectomy where recurrences occur in urethra. Why is it done? As part of the treatment for aggressive localized Urothelial carcinoma of the bladder. T1G3, > T2 disease. Primary Urethral disease with: Urothelial Carcinoma. Squamous cell carcinoma. Secondary metastatic […]