Endoscopic diagnosis and treatment in urethral pathology : by Petrisor Aurelian Geavlete

By Petrisor Aurelian Geavlete

Handbook of Endourology comprises 5 targeted, review-oriented volumes which are excellent for college students and clinicians searching for a finished assessment instead of an entire path. every one quantity is definitely available via publication structure. subject matters lined evaluate either the endourological analysis and remedy of prostate, urethral, urinary bladder, higher urinary tract, and renal pathology. All chapters describe the newest ideas, overview the most recent effects, and research the main smooth applied sciences. some time past ten years, the sphere of endourology has improved past the urinary tract to incorporate all urologic minimally invasive surgeries. fresh developments in robot and laparoscopic bladder surgical procedure make this one of many quickest relocating fields in medication. As present textbooks are too time-consuming for busy urologists or trainees who additionally have to study different parts of urology, this assortment offers speedy references and over 4000 photographs which are applicable for fellows in addition to these instructing within the field.

  • Offers evaluate content material for urologists in education and “refresher” content material for specialists in endourology
  • Explores new surgical options and know-how via review-level content material and huge photos of pathologies
  • Includes over 500 pictures in line with quantity; photos taken from greater than 4000 endourologic methods played every year on the editor’s hospital

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A urethro-vesical catheter is in most cases enough to solve this complication. 3 Urinary Incontinence Postoperative urinary incontinence is due to the injury of the striated sphincter, especially during the incision of proximal bulbar urethra strictures. Solving this complication can be a difficult task, the therapeutic options ranging from periurethral injection of different substances to artificial sphincters. 62). Relapse may be associated with an increase in spongiofibrosis and often requires to be treated by open surgery.

Retrograde urethrotomy on a metallic dilator inserted anterogradely. For very short and complete strictures, retrograde urethrotomy may also be guided using a Benique metallic curved dilator. This is passed via the route of the suprapubic cystostomy, through the bladder neck and anterogradely up the urethra, until its distal tip distorts the intraluminal tissue of the stricture. The incision is done in the distorted area, until the metallic dilator is seen. • Incision with a scalpel under anterograde visual control.

41). • Retrograde urethrotomy on a wire inserted anterogradely. This is an alternative to the technique described earlier. Sometimes, in very tight strictures that are impossible to be catheterized retrogradely, a guidewire can be inserted anterogradely, through the working channel of a flexible cystoscope inserted close to the stenosis. 43). 44). 25 Punctiform stricture (a) for which gradual incisions with Nd:YAG laser are done with the fiber inserted on a ureteroscope (b–d); large lumen obtained at the end of the procedure (e, f).

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