Dr. Karun Singla

Urologist, General surgery, Genitourinary surgery, Robotic Surgery

  • A urologist may suggest ureteroscopy if they suspect a polyp, tumor, stone or abnormal tissue somewhere in the urinary tract. It is a procedure done to treat stones and tumors of the ureter.

  • This procedure is performed under general anesthesia. The urologist inserts a thin scope (ureteroscope) into the bladder and ureter to check for kidney stones. Once the ureteroscope is into the bladder, a sterile solution is released through the tip of the scope.

  • Urethrotomy is a surgical procedure done to remove obstruction to urine flow because of urethral stricture. Optical Internal Urethrotomy procedure is done with the use of endoscopic device called a urethrotome and a sharp knife for the incision in the urethra.

Endourology and Laser

Endourology is a minimally invasive surgery done to treat urinary tract problems with the help of small telescopes. Endourology has largely replaced open surgery for most of the urinary tract problems such as stones, prostate problems, tumors etc.

Endourological procedures include:
Rigid Ureteroscopy

A urologist may suggest ureteroscopy if they suspect a polyp, tumor, stone or abnormal tissue somewhere in the urinary tract. It is a procedure done to treat stones and tumors of the ureter. A urologist may suggest ureteroscopy if they suspect a polyp, tumor, stone or abnormal tissue somewhere in the urinary tract. It is a procedure done to treat stones and tumors of the ureter.

This procedure is performed under general anesthesia. The urologist inserts a thin scope (ureteroscope) into the bladder and ureter to check for kidney stones. Once the ureteroscope is into the bladder, a sterile solution is released through the tip of the scope. The bladder fills with this sterile solution and the urologist is able to its walls more clearly. The scope is then guided into the ureter. A special scope may be used to remove the stone, polyp, or a piece of tissue for a biopsy.It is usually a 30 minutes procedure, however if the procedure is done for the removal or breaking up the stone, or to collect a tissue sample for biopsy, it may take longer. To relieve the blockage of the ureter, stents (flexible plastic tubes) can be passed up the ureter using cystoscopy and x-rays. Post the procedure, the ureteroscope is removed and your bladder is emptied out off the liquid. It may take 1-4 hours before the anesthesia wears off.

Flexible ureterorenoscopy (fURS) / Retrograde Intrarenal Surgery (RIRS)

A flexible telescope is passed into the ureter and the kidney through the urethra and laser is used to break stones and remove them. RIRS offers a completely cut-less/stitch-less treatment for kidney stones.

Transurethral resection of the prostate (TURP)Transurethral resection of the prostate (TURP)

Transurethral resection of the prostate (TURP) is a surgical procedure done to treat urinary problems caused due to an enlarged prostate. A surgical instrument called resectoscope is inserted through the tip of the penis into the urethra (a tube that carries urine from the bladder). The prostate surrounds the urethra. Any excess prostate tissue that may be blocking the urine flow is trimmed away by the urologist using the resectoscope. TURP is suggested by the urologist to reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including:

Frequent urgency to urinate
Difficulty starting urination
Slow, prolonged urination
Increased frequency of urination at night
Stopping and starting again while urinating
The feeling you can't completely empty your bladder
Recurring urinary tract infections
Kidney or bladder damage
Inability to control urination or an inability to urinate at all
Bladder stones
Blood in your urine

Optical Internal Urethrotomy (OIU)

Urethrotomy is a surgical procedure done to remove obstruction to urine flow because of urethral stricture. Optical Internal Urethrotomy procedure is done with the use of endoscopic device called a urethrotome and a sharp knife for the incision in the urethra. This procedure helps to remove any narrowing or obstruction in the urethra.

Percutaneous Nephrolithotomy (PCNL)

Percutaneous nephrolithotomy, is a surgical procedure done under a general or spinal anesthesia to remove kidney stones in which the surgeon makes a small incision in the back. A hollow tube is inserted from this incision in the back into the kidney through which the telescope and other instruments are passed into the kidney to break and remove the stones. Post the surgery, a small catheter may be inserted into the kidney to drain the urine out until the kidney heals completely. Percutaneous nephrolithotomy is recommended when the kidney stone is:

Larger than 2 cm (0.8 in.) in diameter.
Large and is caused by an infection.
Blocking the flow of urine out of the kidney.
Not broken up by extracorporeal shock wave lithotripsy (ESWL).

PCNL offers the advantage of being minimally invasive thereby avoiding big cuts on the body and allows for early mobilization and recovery and return to work.

Case Study

FRACTURE:

Shock Wave Lithotripsy

Women's Health

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