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Surgical videos

Many urological procedures are performed using endoscopic cameras; these can be interfaced to video recorders to allow archiving of procedures for teaching purposes. Some examples of endourological procedures are shown here.

Bladder neck incision

For small prostate glands, incision of the neck of the bladder using a “spike” and electric current produces equivalent results to TURP (transurethral resection).

Link: https://youtu.be/iZ8TU48NmLc

Bladder tumour resection

A papillary bladder tumour resected using a loop & electric current down to the level of the bladder muscle.

Link: https://youtu.be/9mZ6QVvniVU

HoLEP (Holmium laser enucleation of prostate)

The laser is used to detach each prostate lobe in turn, releasing them into the bladder where they are shredded & evacuated using a morcellator.

Link: https://youtu.be/tuUAhtXBZLk

Laser Endopyelotomy

Incision of a secondary obstruction at the ureteropelvic junction (UPJ) using a rigid ureteroscope; follows previous failed open surgery (courtesy of Mr Oliver Wiseman, Consultant Urologist)

Link: https://youtu.be/HXQCNJQRc5Q

Percutaneous stone removal

Ultrasonic fragmentation of a kidney stone by the percutaneous route (ultrasound probe visible in lower part of screen) followed by large fragment extraction with forceps

Link: https://youtu.be/i9IBMIuVrzE

Litholapaxy (crushing a bladder stone)

A special instrument (lithotrite) is inserted into the bladder and used to crush the stone into small pieces. The fragments are then evacuated from the bladder.

Link: https://youtu.be/rUGFwvhH0Q0

TURP

Transurethral resection of the central part of the prostate gland using a wire loop and electric current for benign enlargement of the prostate. “Chippings” are produced and then evacuated from the bladder.

Link: https://youtu.be/sXRNq76U8Aw

Ureteric stent insertion

Initial insertion of a guidewire followed by insertion of the stent over the wire under X-ray control.

Link: https://youtu.be/VKHYtgx2hYc

Ureteroscopy (diagnostic)

Endoscopic view of the ureter with a stone in the upper ureter causing infection & inflammatory polyps in the lower ureter. Note the guidewire placed in the ureter to facilitate passage of the telescope.

Link: https://youtu.be/oBzQi7kTMH8