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 […]
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 […]
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 […]
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 […]
Why is it done? Treatment for localized superficial Urothelial Carcinoma of Bladder and Ureter (T1G3) How is it done? A Local anaesthetic gel is administered as for a Urethral Catheterization procedure This is done under a sterile procedure. A 14-16 Fr Indwelling Catheter is placed into your bladder. The BCG is installed using strict […]
Why is it done? To alter the neurotransmission from the nerve to muscle receptor. Refractory overactive bladders with urge incontinence. Chronic pelvic pain? Causative factors: Undetermined Neurogenic causes such as Multiple Sclerosis. Non-neurogenic. NOT INDICATED FOR A PATIENT WITH A HIGH POST VOID RESDUAL URINE VOLUME How is BOTOX administered A sedation/local anesthetic is administered. […]
Why is it done? Treatment for localized Superficial Urothelial Carcinoma of Bladder and Ureter How is it done? A Local anesthetic gel is administered as for a urethral catheterization procedure This is done under a sterile procedure. A 14-16 Fr Indwelling Catheter is placed into your bladder. The pre-made-up Mitomycin solution is installed using […]
Why is it done? Nephroptosis causing abdominal pain Confirmed on standing Urogram with hydronephrosis caused by kinking of the ureter as the kidney falls down due to loss of supporting structures Done with robotic assistance Very Important!! The correct side for surgery should be checked and confirmed with you, Mark correct side, CT scan present […]
A congenital or acquired narrowing in the ureteric pelvis junction. This narrowing is excised with a reconnection. There are several techniques described in repairing this: I prefer the Dismembered Pyeloplasty Why is it done? High grade obstruction. Causing deterioration of renal function. Thinning of renal cortex. Chronic pain. Chronic infection. Recurrent renal calculi. Causes Congenital […]
Endoscopic opening of pelvi-ureteric junction stricture. Endoscopic technique of incising a short stricture with a laser. A stent remains 6 weeks post operatively Why is it done? Stricturing or narrowing of the ureter causing significant hydronephrosis. Leading to chronic infection. End-result is loss of renal function. An end-to-end anastomosis can be considered in the mid […]