- Stricture urethra
- Renal & upper ureteric stones less than 2 cm
- Non-operative non anesthesia modality
- Success rates around 85 % stone clearance
- No substantial side effects
- No admission required
- Age no bar
- Transurethral resection of the prostate (TURP)
- TURP –a most common procedure
- Due to good cautery, Camera etc up to 200 gm prostates can be resected
- The problem of bleeding & TURP syndrome
- LASER can take care of these problems
Advantages of Thulium LASER
- Minimal blood loss- only 15 to 20 % of TURP
- No TURP syndrome as Normal saline used as an irritant
- A catheter can be removed within 24 hours
- Discharge within 24 to 36 hours
- Even patients on Ecosprin & clopidogrel- safe
- Post-op recovery better
- Even large glands up to 200 gms can be resected
- Visual internal Urethrotomy
- LASER Urethrotomy
- Barbagly’s Urethroplasty using buccal mucosal grafts
- The full-length urethra can be repaired through a perineal incision
- Success rates around 90 % long term
What is PCNL?
PCNL is a Percutaneous Nephrolithotomy. If you have a large, multiple or complex stones. The surgery does one to three hours and typically needs a hospital stay of one to two nights. You should be ready to continue regular activities in one to two weeks.
Is PCNL dangerous?
PCNL is a reliable and efficient procedure for removing large, difficult, and many renal calculi. Still, a serious and life-threatening difficulty that can happen during or after PCNL is bleeding, which can happen during needle passage, tract dilatation, or nephrostomy.
- Minimal Access Surgery
- Stones of almost any size cleared
- Hardness not a criteria
- Minimal complication
- Regional Anesthesia
- A short hospital stay of 2 – 3 days
- Minimal post-op pain
- Ancilliary producers like Endopyelotomy can be done
- Even staghorn stones can be cleared by single or double punctures
- Success rate – Total stone clearance 90%
- Sandwich Therapy – PCNL + ESWL
What is Bladder stone?
Bladder stones square measure exhausting lumps of minerals that may type within the bladder once it is not void of excreta. They will not cause any symptoms if they are sufficiently little to be passed out of the bladder once you pee.
Typical symptoms of bladder stones are frequent excreting, particularly throughout the night. lower abdominal pain. a burning sensation or pain within the duct once urinating.
Fast facts on bladder stones
Here area unit some key points concerning bladder stones. a lot of detail and supporting data are within the main article.
- Bladder stones area unit commonest in men over the age of fifty
- Underlying medical conditions area unit usually answerable for bladder stones
- Symptoms of bladder stones embody an amendment excretory product color and pain once urinating
- Bladder stones area unit rare in girls
- Bladder stones will be a reason behind blood in the urine
Bladder stones might not turn out symptoms immediately. But, if the stone irritates the bladder, symptoms will embody the following:
- Discomfort or pain within the phallus for males
- More regular micturition or a stop-start flow
- Starting a stream throughout micturition takes longer
- Pain within the lower abdomen space
- Pain and discomfort once urinating
- Blood within the pee
- Cloudy or abnormally dark pee