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Transurethral

Surgeries

Transurethral Surgeries

Cystoscopy

This is a very commonly done procedure for several urinary conditions. It can be done as office / outdoor procedure also. It includes inserting a rigid or flexible instrument through the urinary passage (Urethra) to examine the urethra and the bladder & to rule out or diagnose several conditions. This procedure can be done under local / regional / short general anesthesia.

OIU / VIU (Optical / Visual Internal Urethrotomy)

Optical internal urethrotomy is a minimally invasive procedure for management of the narrowing of the urinary pipe (Urethra) causing obstruction. Through the opening of the urinary pipe (urethra), an instrument (Urethrotome) is inserted to incise the obstructed portion in the urethra. Patient may need to carry the urethral catheter for few days depending on the narrowing in the pipe

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TURBT (Transurethral Resection of Bladder Tumor)

Transurethral resection of bladder tumor is the procedure in which the instruments are inserted per urethra and the growth / tumor in the urinary bladder is identified and resected and removed completely. Tissue is sent for biopsy examination. If it is low stage or early cancer, patient will require intravesical medications and follow up cystoscopies in future but if it is high stage cancer he will need bladder removal surgery (Radical cystectomy).

TURP (Transurethral Resection of Prostate)

Transurethral resection of prostate is most commonly done for benign conditions like physiologically enlarged prostate (BPH), or advanced prostatic cancer causing obstruction in urinary flow. It includes 2-3 days of hospitalization in which by through the urinary pipe (Urethra) instruments are inserted which projects video images of the enlarged prostate and it is resected. Similar kind of procedure done for BPH using laser is known as HoLEP (Holmium laser enucleation of prostate).

URS (Ureterorenoscopy)

Ureterorenoscopy is the procedure being done mainly for removal of ureteric stones. Patient generally needs hospitalization for 2 days in which a rigid long scope is inserted per urethra in to the ureter and the stones are fragmented with the help of laser / shock waves. Fragmented portions of the stone are taken out with the help of forceps or basket. Patient may require JJ stent insertion depending upon the condition.

Flexible URS (RIRS – Retrograde Intrarenal Surgery)

A long slender flexible device called a flexible ureteroscope to see and treat stones. The ureteroscope device provides a video image, is inserted through the natural hole into the bladder and up the ureter and kidney until the stone is encountered. The stone can then either be broken up with a laser fiber or pulled out using small baskets.

Advantages:

  • No cut or no artificial hole is made on the patient’s body
  • The whole procedure is performed through normal urinary tract
  • A day care procedure
  • Minimal complications
  • Can be safely done in patients with compromised renal function
  • Is feasible in obese patients and anomalous kidney
  • Is safe in patients with bleeding diathesis
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