Endourological Procedures And How Are They Performed ?

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What is Endourology ? Endourology refers to a
specific specialty area in urology in which small
internal endoscopes and instrumentation are used
to see into the urinary tract and perform
surgery. Urology is a surgical specialty which
deals with diseases of the male and female
urinary tract and the male reproductive organs.
The purpose of endourology is to develop
minimally invasive techniques that can equal or
surpass the results of classical open surgery.
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Endourological Procedures And How Are They
Performed ? What distinguishes endourology from
traditional urology is that all procedures are
done internally, without any extensive incisions.
Endourology is also known as minimally invasive
urologic surgery or laparoscopic surgery. Stones
may be taken out or fragmented using tiny
instruments inserted into the body through such
areas the urethra, bladder, and ureter. In
addition to treatment, doctors can help determine
what is causing the kidney stones and help
identify ways to prevent further stones from
forming. Thin, flexible instruments including
lasers, graspers, miniature stone retrieval
baskets, special scalpels, and cautery, can be
used to perform surgery without creating any
incisions at all. Nearly all endoscopic
procedures can be done on an outpatient basis.
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• What Are The Different Types Of Endourological
  Procedures?
• Endourological procedures differ from the
  traditional urological procedures as they are
  minimally invasive. The different types include
  the following
• Urethroscopy  If you have pain when you pee or
  possibly kidney stones, your doctor may want you
  to have a ureteroscopy. Its a procedure to find
  and fix problems in your urinary tract. This is
  performed if the surgeon needs to have a thorough
  look at the urethra or the bladder and needs to
  take sample tissues from the lining of either
  area to clarify the problem. The procedure is
  used to treat strictures of blockages of the
  urethra. During ureteroscopy, your doctor inserts
  a thin, flexible scope into your bladder and
  ureter (the tube that carries urine from your
  kidneys to your bladder). This way she can look
  for kidney stones or other signs of trouble.
• Cystoscopy  used to look inside the bladder
  using a thin camera called a cystoscope. It is
  inserted into the urethra and passed into the
  bladder to allow a doctor to see inside. Small
  instruments can be passed down the cystoscope to
  treat bladder problems. Cystoscopy is most often
  done as an outpatient procedure. Before the
  procedure you will empty your bladder. Then you
  will be placed on an exam table. A liquid or gel
  local anesthetic may be used on your urethra. The
  average cystoscopy takes about 5 to 10 minutes.
• Ureteroscopy  it is an effective way for the
  urologist to get a clear view of the urinary
  tract, remove or break up stones and remove
  suspicious-looking tissue. Doctors sometimes use
  this procedure as part of shock wave lithotripsy,
  a treatment to break up kidney stones.
  Ureteroscopy is used to treat a urine blockage
  and tumours of the ureter. Ureteroscopes are
  precision instruments used for surgical
  procedures within these structures. At times an
  ureteroscope may also be used to traverse the
  length of the ureter in order to perform a
  procedure in the kidney.
• Nephroscopy  Nephroscopy is an endoscopic
  diagnostic and therapeutic procedure to check the
  interior of the kidney -renal calyces and pelvis
  in particular. Renal calyces are the exit point
  of the urine that has been produced in the renal
  parenchyma. Renal pelvis is the spot of the
  kidney where the urine accumulates before
  transferring to the bladder through the ureter.
  There are two different nephroscopic techniques,
  which differ a lot one from the other Flexible
  Nephroscopy (with the use of flexible
  ureteroscope) and Percutaneous Nephroscopy
  (approaching the pyelocalyceal system
  percutaneously).
• Extracorporeal Shock Wave Lithotripsy- This
  minimally invasive technique for the
  disintegration of stones involves the
  administration of shock waves that are generated
  by a machine called a lithotriptor. After the
  machine is calibrated, and the stone has been
  targeted, shock waves are focused and passed
  through the body in such a manner that their
  maximum energy is dispersed at the locale of the
  stone, with the intent of stone disintegration.
  The pulverized fragments then pass in the
  patients urine. The procedure works best for
  smaller stones. Otherdeterminants for success
  with this treatment technique include stone
  composition and the specific anatomic location of
  the stone within the urinary tract.

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• Who Needs Endourology?
• Endourology can be extremely useful for many
  patients, however, an evaluation with an
  endourologist or laparoscopist is first
  essential. Your medical condition and your
  particular condition will be evaluated, before
  the right procedure is selected. Conditions that
  may be benefited from Endourology include
• Kidney stones and tumours
• Bladder stones and tumours
• Blockages of the urethra and the ureter
• Enlarged prostate in males
• If you have any questions regarding Endourology
  procedures be sure to contact a specialist.

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Am I A Candidate For Endourology? Whether or
not a patient is a suitable candidate for an
endourological procedure depends on the result of
an evaluation by an endourologist or
laparoscopist. The patients medical history and
the nature of the disease are taken into
consideration. So how do you know if you are a
candidate for endourology? Well first, you will
need to meet and be evaluated by an endourologist
or laparoscopist. The physician will take into
account your specific medical history and the
particular nature of your disease. The specialty
of urology is constantly advancing. Many urologic
operations that were once done by open surgery
can now be performed through the laparoscope.
Much of this change has been due to improved
technology. It will become increasingly important
for urologists to be able to have the skill and
experience using the surgical microscope. Dr
Rahul Yadav is the best Endourologist for all
these procedures for patients where it is
indicated.
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Reference - https//drrahulyadav.com/endourology-t
reatments/
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