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.
Female stress incontinence animations
These patient information animations have been developed to help female patients and others involved in their care understand some of the complexities involved in undergoing incontinence surgery and to help patients make an informed choice on the various potential surgical treatment options. It is designed to help patients think about what an operation might mean for them and potential questions to ask.
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).
Bladder tumour resection - A papillary bladder tumour resected using a loop & electric current down to the level of the bladder muscle.
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.
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)
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
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.
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.
Ureteric stent insertion - Initial insertion of a guidewire followed by insertion of the stent over the wire under X-ray control.
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.