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 […]
This is an endoscopic technique of enucleation of the prostate using Greenlight laser therapy. Similar to a TURP – “Re-bore” only with minimal bleeding and shorted hospital stays. Some would argue this is ” The new Gold Standard” Why is it done? Endoscopic vaporization of a benign enlarged prostate, using laser. Indications: Patients on anticoagulation […]
Perineal placement of Radioactive Iodine-125 seeds in the prostate as treatment for Intermediate-Risk Prostate Cancer Why is it done? This is a radiation therapy option for the management of a localized prostate cancer. Criteria include: PSA less than 10 Gleason 3,4 adenocarcinoma prostate, Higher grades may have extra-prostatic extension requiring combined External Beam Radiation Staging […]
Periurethral bulking for a type 3 urinary incontinence: “lead-pipe urethra” (ISD): Bulkamid or Macroplastique Why is it done? Where Intrinsic Sphincter Deficiency has been proved after failed previous sling. How is it done? This procedure is done under a spinal / general anesthetic, as decided by the anesthetist. The legs will be elevated into […]
For those guys who suffer persistent low-intermediate grade of stress urinary incontinence after their radical prostatectomy for prostate cancer. Usually 2 level 2 pads per day. Why is it done? Male Stress incontinence Usually after a TURP/TUVP, Radical Prostatectomy in 2% of cases. How is it done? This procedure is done under a spinal […]
Opening of a meatal stenosis (pinhole narrowing). Why is it done? To treat a narrowing in the tip of the urethra which has formed due to previous damage/injury to the urethra. Where intermittent dilatation is not desired, as discussed with the patient. Causes: Circumcision in early childhood where the foreskin is still attached to the […]
This is the procedure used to resect the inside (enlarged, obstructive part) of the prostate. Known generally as the “Re-Bore”. Glycine is used as an irrigate. Why is it done? This procedure is performed when the prostate gland is enlarged to such an extent that medication cannot relieve the urinary symptoms. Symptoms include a […]