Entries by agile

Endoscopic vesico-ureteric reflux surgery (STING)

Indication: Vesical-ureteric reflux. It is a minimally invasive procedure performed with endoscopy. A synthetic material (Bulkamid) is injected at the ureteric opening to prevent reflux Grade 3-4 Vesical-Ureteric Reflux where conservative management has failed with a progressive deterioration in renal function. How is it done? Patients will receive a general anaesthesia. Prophylactic antibiotics is given. […]

Epididymectomy

Surgical excision of epididymis with spermatic cord block Why is it done? To remove a symptomatic painful epididymis post vasectomy.   How is it done? This procedure is performed under general anesthetic. A single incision is made on the midline raphe of the scrotum. The affected testis and vas deference is then extracted through this […]

Excision of Epididymal Cyst – Spermatocelectomy

What is it  A spermatocele (spermatic cyst) is a common, noncancerous, fluid-filled sac that develops in the epididymis, The cyst usually contains milky or clear fluid that may contain sperm.  Why is it done? Enlarged scrotum Could be uncomfortable The cyst can become so big that the enlarged scrotum buries the penis making usual functions difficult, […]

Exision of Urethral Caruncle Prolapsed Urethral Mucosa

Why is it done? Prolapsed urethral mucosa causing pain and bleeding Occurs from childhood to old age   How is it done? This procedure is done under a spinal/general anesthetic, as decided by the anesthetist. The legs will be elevated into the lithotomy position. This procedure is done with cystoscopy. Your bladder and urethra are […]

Excision of Urethral Diverticulum – Female

Why is it done? Usually, an infected peri-urethral gland blocks and becomes infected Causes a bulge which interferes with urination Can mimic a vaginal prolapse Usually, an MRI of the urethra delineates this beautifully. How is it done? This procedure is done under a general anaesthetic, as decided by the anaesthetist. The legs will be elevated […]

Excision of Urethral Diverticulum – Male

Why is it done? Usually, an infected peri-urethral gland blocks and becomes infected, UTI symptoms Causes a bulge which interferes with urination Can mimic prostate enlargement LUTS Dribbling after urination Usually, a retrograde urethragram the urethra delineates this beautifully. How is it done? This procedure is done under a general anesthetic, as decided by the […]

Extra-Corporeal Shock Wave Lithotripsy – ESWL

ESWL Non-invasive technique of shattering renal or ureteric calculi using sound waves. This service is provided by Queensland Lithotripsy Service who brings their lithotripter to the hospital chosen for your procedure. Why is it done? Renal stones of any size, usually larger than 1cm obstructing/ non-obstructing the renal pelvis or ureter. Conservative form of treatment […]

Sacro Neuromodulation – First Stage

The aim is to alter the neurotransmission from the Spinal Centre to the Bladder via the S3 nerve Why is it done? To alter the neurotransmission from the spinal centre to the bladder: Refractory overactive bladders with urge incontinence (OAB) Underactive bladders (UAB) Chronic pelvic pain Fecal incontinence Causative factors Undetermined Neurogenic causes such as […]

Flexible Cystoscopy

An atraumatic endoscopic procedure to view the bladder. Under local or sedation A diagnostic day procedure under local anaesthetic, where a flexible cystoscope is placed in the bladder via the urethra. Why is it done? To investigate: Haematuria (blood in the urine). Recurrent urinary tract infections. Space occupying lesions in the kidneys, ureters and bladder. […]

Flexible Cystoscopy & Removal Stent

A day procedure under local anaesthetic, where a flexible cystoscope is placed in the bladder via the urethra to remove a stent placed with previous upper urinary tract work Why is it done? To investigate: Removal of stent which was placed after a stone removal, recent ureteroscopy, ureteric re-implantation, precautionary placement prior to pelvic surgery […]