URETHROPLASTY.pptx
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Urethroplasty is a surgical repair of the urethra to treat injuries or defects caused by trauma, medical procedures, or infections. There are several types of urethroplasty procedures that can be used depending on the location and severity of the damage. The surgery involves accessing and repairing the damaged part of the urethra by removing or rebuilding the strictured tissue. Grafts from the mouth, genitals, or rectum may be used to supplement the repair. After closing the incision, a catheter is placed to allow the urethra to heal while draining urine, and is usually kept in place for two weeks. Potential complications include bleeding, infection, erectile dysfunction,
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urethroplasty
This document discusses urethral stricture disease, including its definition, risk factors, presentation, diagnosis, and various treatment options. It provides details on endoscopic treatments like dilation and urethrotomy, as well as surgical options like urethroplasty repairs using grafts, flaps, and anastomoses. Five case examples are presented and management options discussed. Key points covered include techniques for anastomotic repairs, the use of buccal mucosa grafts, and monitoring after treatment. Current controversies regarding urethroplasty utilization and outcomes are also noted.
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A transurethral resection of the prostate (TURP) is a surgical procedure to remove part of the enlarged prostate gland to relieve urinary obstruction. During a TURP, a resectoscope is inserted through the urethra to cut or ablate prostatic tissue. General or spinal anesthesia is used. Post-operative care focuses on monitoring for complications like infection, bleeding, or a deep vein thrombosis (DVT). While anticoagulants are typically used to treat DVTs, they cannot be given to TURP patients due to the risk of bleeding. Instead, prevention techniques like ambulation and compression stockings are emphasized.
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Urethroplasty principles and practicess.pptx
The surgical treatment of an injury or defect within the urethra's walls is known as urethroplasty. The three most frequent factors leading to urethral damage that needs to be repaired are trauma, iatrogenic injury, and infections. The gold standard treatment for urethral strictures is urethroplasty, which has a lower recurrence rate than dilatations and urethrotomies. Although recurrence rates are higher for this challenging treatment group, it is likely the only effective treatment option for chronic and severe strictures.
Urethroplasty is not regarded as a small procedure, taking three to eight hours on average in the operating room. Between 20% and 30% of urethroplasty patients may benefit from the ease of going under the knife for a shorter period of time and going home the same day. On average, hospital stays last two to three days. Seven to ten days may be needed for hospitalization for more complicated surgeries.
Fewer than ten percent of patients experience significant complications after urethroplasty, while complications, particularly recurrences, are more frequent in long and complex strictures.
TURP step by step operative urology
TURP step by step operative urology series
for more resources:
www.uronotes2012.blogspot.com
enter your mail & press follow us by mail to receive our daily feeds
FUTURE OF LAPAROSCOPY
It has not changed the nature of disease
The basic principles of good surgery still apply,including appropriate case selection, excellent exposure,adequate retraction and a high level technical expertise
If a procedure makes no sense with conventional access, it will make no sense with a minimal access approach
The cleaner and gentler the act of operation, the less the patient suffers, the smoother and quicker his convalescence,the more exquisite his healed wound.
We actually do not know what is there stored for us, but we believe that laparoscopy is trending towards advancement and nano and robotic technology is going to replace in future.
3D cameras have come into existence and various newer technologies are being invented.
Open Pyelolithotomy
The document describes surgical procedures for removing kidney stones. It indicates that open surgery is still needed in cases of obstruction, infection, failed lithotripsy, or stones too large for other procedures. It then provides details on instruments, incisions, and techniques for simple pyelolithotomy, coagulum technique, extended pyelolithotomy, and managing stones extending into the ureteropelvic junction. The goal is to remove all stones and debris while minimizing damage to the kidney and ensuring the pelvis can be closed watertight.
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TURP Presentation
A transurethral resection of the prostate (TURP) is a surgical procedure to remove part of the enlarged prostate gland to relieve urinary obstruction. During a TURP, a resectoscope is inserted through the urethra to cut or ablate prostatic tissue. General or spinal anesthesia is used. Post-operative care focuses on monitoring for complications like infection, bleeding, or a deep vein thrombosis (DVT). While anticoagulants are typically used to treat DVTs, they cannot be given to TURP patients due to the risk of bleeding. Instead, prevention techniques like ambulation and compression stockings are emphasized.
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How to perform TURP Technique
More info please visit https://senseheal.blogspot.com/2019/05/turp-technique.html
Urethroplasty principles and practicess.pptx
The surgical treatment of an injury or defect within the urethra's walls is known as urethroplasty. The three most frequent factors leading to urethral damage that needs to be repaired are trauma, iatrogenic injury, and infections. The gold standard treatment for urethral strictures is urethroplasty, which has a lower recurrence rate than dilatations and urethrotomies. Although recurrence rates are higher for this challenging treatment group, it is likely the only effective treatment option for chronic and severe strictures.
Urethroplasty is not regarded as a small procedure, taking three to eight hours on average in the operating room. Between 20% and 30% of urethroplasty patients may benefit from the ease of going under the knife for a shorter period of time and going home the same day. On average, hospital stays last two to three days. Seven to ten days may be needed for hospitalization for more complicated surgeries.
Fewer than ten percent of patients experience significant complications after urethroplasty, while complications, particularly recurrences, are more frequent in long and complex strictures.
TURP step by step operative urology
TURP step by step operative urology series
for more resources:
www.uronotes2012.blogspot.com
enter your mail & press follow us by mail to receive our daily feeds
FUTURE OF LAPAROSCOPY
It has not changed the nature of disease
The basic principles of good surgery still apply,including appropriate case selection, excellent exposure,adequate retraction and a high level technical expertise
If a procedure makes no sense with conventional access, it will make no sense with a minimal access approach
The cleaner and gentler the act of operation, the less the patient suffers, the smoother and quicker his convalescence,the more exquisite his healed wound.
We actually do not know what is there stored for us, but we believe that laparoscopy is trending towards advancement and nano and robotic technology is going to replace in future.
3D cameras have come into existence and various newer technologies are being invented.
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Use focusing Shock Waves to breakdown
a stone into small pieces.
Shock waves are acoustic pulses.
Pass through better in water and solid but
not in air.
Introduce in 1980 by Dornier which is a supersonic aircraft company
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URETHROPLASTY.pptx
- 2. OVERVIEW TOPIC What is urethroplasty? Indication Diagnostic examination Preparation for surgery Complication
- 3. URETHROPLASTY Scar tissue repair of urine channel Surgical repair of an injury or defect within the walls of the urethra. Trauma, iatrogenic injury and infections are the most common causes of urethral injury/ defect requiring repair.
- 4. 4 types of urethroplasty perform : Anastomotic Buccal mucosa onlay graft Scrotal or penile island flap (graft) Johansen’s urethroplasty
- 10. INDICATION URETHRAL STRICTURE – some parts of your urethra has become narrower, blocking the flow of urine. Urinary strictures are much more common in the men than women. EPISPADIAS OR HYPOSPADIAS – congenital conditions that affect your urethra, which were repaired in childhood. Blockage are especially common in urethras that have previously been rebuilt. SEVERE TRAUMA
- 14. Preparation for surgery Preparation sterile store General set Scope set Major linen Mayo cover Dressing towel Gown Supplement Diathermy flex with pin Bipolar diathermy Skin hook retractor Scott retractor Turner warwick Retractor Mastoid retractor Morison retractor Curved sharp scissor Iris scissor 6’ Debackey df Mosquito artery Short babcock Medium lagenback retractor
- 15. Preparation OR Blade #15, #11 Suction tubing Ivd tubing Vicryl 3/0, 4/0 Vicryl rapide 3/0 Foley’s catheter #14, #16 Silicone catheter #14, #16 Flexible scope Rigid scope Bentson/roadrunner guidewire Ureteric catheter #5
- 16. For buccal mucosa Bipolar diathermy Mouth gag Tongue depressor Iris scissor Curved sharp scissor Adson tooth&non tooth DF Marcaine adrenalin Adrenaline Saline (to paint) Needle orange (make sure remark for throat pack)
- 17. What happen during urethroplasty The incision to the muscle tissue to reach the urethra. The incision is typically either on the underside of the penis, in scrotum and anus(perineum) Location of the stricture identified, either removed or rebuilt depending on the length and location. If the blockage is longer, or located in the penile urethra, the surgeon will harvest the mouth, genital or rectal tissue to supplement the incised(cut away) tissue from the urethra. The incision then closed and a small drain is placed. The catheter allows the urethra to heal while urine is able to leave the body.(usually keep for 2 weeks) Muscle and skin closed up with stitches that absorbed by the body.
- 19. COMPLICATION Bleeding – external and inyeternal suture line Infection Erectile dysfunction Urine spraying Recurrent of stricture (in long term)
- 20. Thank You