Entries by agile

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 […]

Flexible Cystoscopy & Urethral Dilation

A day procedure under local anaesthetic, where a flexible cystoscope is placed in the bladder via the urethra. Narrowing in the urethra is dilated. Why is it done? A cystoscopy is used to investigate: Hematuria (blood in the urine) Recurrent urinary tract infections Dilatation of Urethral narrowing/ stricture Abnormal cells suggestive of urothelial carcinoma, on […]

Sacro Neuromodulation – Full Implant

The aim is to alter the neuro-transmission from the Spinal Centre to the Bladder Why is it done? Confirmed OAB where a trial not required Detrusor Sphincter Dyssynergia, DSD Incomplete bladder emptying, large post-void residual urine volumes Underactive bladders Chronic pelvic pain Causative factors: Undetermined Neurogenic causes such as Multiple Sclerosis, Diabetes How is it […]

Hydrocoelectomy

Surgical removal of hydrocele via a scrotal incision with spermatic cord block Why is it done? Enlarged scrotum. Could be uncomfortable. Usually large and uncomfortable. Can become so big that it buries the penis making usual functions difficult, ie urination and sexual function. May contribute to Infertility. How is it done? This procedure is done […]

Indwelling Urethral Catheter – IDC

Non-invasive placement of a silicone tube which is secured inside the bladder and attached to a drainage bag on the outside, in order to drain an obstructed bladder (urinary retention) Why is it done? This can be placed as an emergency for patients in acute urinary retention Prostate obstruction Urethral strictures Blood clot obstruction caused […]