
Minimally Invasive Treatment of Urinary Tract Stones
Urinary tract stones that are not amenable to conservative management, can be treated by the following techniques
URS – Ureteroscopy
A ureteroscopy is done with a ureteroscope, a semi-rigid long, thin viewing tube that has tiny lens and a light one end. In general, there are two ways to perform ureteroscopy for stones:
Ureteroscopy is usually done on a day surgery basis under general anaesthesia.
Risk
There is a small chance of infection, bleeding, or injury to the ureter. lf the ureter is too small, a stent may be left in place for one or two weeks to keep the ureter open and then the procedure is performed at a later date.
RIRS – Retrograde intrarenal surgery
Retrograde intrarenal surgery (RIRS) is a procedure for doing surgery within the kidney using a flexible ureteroscope.
In RIRS the scope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The scope thus is moved retrograde (up the urinary tract system) to within the kidney (intrarenal). RIRS may be done to remove a stone. The stone is seen through the scope and can then be fragmented by a laser fibre or removed by small forceps or baskets.
The procedure is usually done under general anesthesia, as a day surgery procedure or with an overnight stay.
Risk
These include :
What is Enlarged Prostate (BPH)?
Benign Prostatic Hyperplasia, or BPH, is a very common condition observed in men over 50 years of age. More than 70% of men have enlarged prostate over the age of 50 and out of them, 25% require surgical Procedure. In this condition, the prostate gland is enlarged causing a hindrance in the flow of urine. The condition is benign, which means that it is not cancerous
Symptoms & Signs:
Minimally Invasive Treatment of Urethral strictures
The urethra is one of the organs of the urinary tract that carries urine from the bladder so that it can be released from the body. The urethra tube is usually wide enough for the urine to flow easily through it. However, when the urethra tube gets contracted, it deliberately blocks down or restricts the urinary flow. This condition is known as the urethral stricture.
Causes of Urethral Stricture
Urethral stricture generally occurs due to the presence of a scar tissue or tissue inflammation. There are many possible factors for scar tissue.
For example; teens who have undergone hypospadias surgery to correct an underdeveloped urethra or men who have penile implants are prone to developing urethral stricture. Other possible causes include:
Risk Factors for Urethral Stricture
Some men are prone to develop a urethral stricture, especially those who have;