Entries by agile

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 […]

Intravesical BCG-Therapy

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 […]

Intravesical Botox

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. […]

Intravesical Mitomycin C –Therapy

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 […]

Nephropexy – Robotic Assisted

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 […]