Endourology

Endourology is a specialized branch of urology that focuses on diagnosing and treating urinary tract disorders using minimally invasive techniques. These advanced procedures provide effective solutions for various conditions while minimizing patient recovery time.

PCNL (Percutaneous Nephrolithotomy)

PCNL is a surgical procedure used to remove large kidney stones (greater than 2 cm) located near the pelvic region.

  • Procedure Details:
    • A small puncture (approximately 1 cm) is made through the skin to access the kidney.
    • The procedure is guided by imaging techniques such as X-rays.
    • A nephroscope is used to directly visualize and remove the stone.
  • Anesthesia:
    PCNL is typically performed under general or spinal anesthesia.
  • Ideal Candidates:
    Patients with large kidney stones that cannot be treated effectively with other methods.

URS (Ureteroscopy)

Ureteroscopy is a minimally invasive procedure used to diagnose and treat stones in the ureter and kidney.

  • Procedure Details:
    • A thin telescope (ureteroscope) is inserted through the bladder and into the ureter.
    • Stones are located and either fragmented using lasers or removed entirely.
  • Advantages:
    • No external incisions are required.
    • Effective for treating ureteral and smaller kidney stones.
  • Suitability:
    Best for patients with small to medium-sized stones in the ureter or kidney.

TURBT (Transurethral Resection of Bladder Tumor)

TURBT is a procedure to treat bladder tumors by removing them through a minimally invasive technique.

  • Procedure Details:
    • A special telescope called a resectoscope is used to scrape out the tumor.
    • Often, no further treatment is required if the tumor is completely removed.
  • Purpose:
    • Primarily used for diagnosing and treating bladder cancer.

RIRS (Retrograde Intrarenal Surgery)

RIRS is a highly advanced, minimally invasive procedure for treating kidney conditions.

  • Procedure Details:
    • The instrument enters through natural body openings, traveling through the bladder and ureter to access the kidney.
    • Stones, strictures (narrowing), or tumors within the kidney are treated without external incisions.
  • Applications:
    • Removal of kidney stones.
    • Treatment of kidney outlet narrowing or strictures.+
    • Removal of kidney tumors.
  • Anesthesia:
    This outpatient procedure is performed under local, intravenous, or general anesthesia.
  • Benefits:
    • No external scars.
    • Short recovery time.