UROLOGY

UROLOGY AS A SPECIALTY:

Urology  also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary system and the reproductive organs. Organs under the domain of urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymides, vasa deferentia, seminal vesicles, prostate, and penis).

The urinary and reproductive tracts are closely linked, and disorders of one often affect the other. Thus a major spectrum of the conditions managed in urology exists under the domain of genitourinary disorders. Urology combines the management of medical (i.e., non-surgical) conditions, such as urinary-tract infections and benign prostatic hyperplasia, with the management of surgical conditions such as bladder or prostate cancer, kidney stones, congenital abnormalities, traumatic injury, and stress incontinence.^[1]

Urological techniques include minimally invasive robotic and laparoscopic surgery, laser-assisted surgeries, and other scope-guided procedures. Urologists receive training in open and minimally invasive surgical techniques, employing real-time ultrasound guidance, fiber-optic endoscopic equipment, and various lasers in the treatment of multiple benign and malignant conditions.^[2][3] Urology is closely related to (and urologists often collaborate with the practitioners of) oncology, nephrology, gynaecology, andrology, pediatric surgery, colorectal surgery, gastroenterology, and endocrinology

 

A person who specialises in Urology is called a Urologist or Genitourinary Surgeon or GU Surgeon.

 

 

UROLOGICAL SERVICES PROVIDED AT ST LUKE COMMUNITY HOSPITAL

GENERAL UROLOGY CONSULTS AND SCREENING

URO-ONCOLOGY CONSULTS

 

SURGICAL PROCEDURES 

KIDNEY

Biopsy of Kidney - Ultrasound Guided

Nephrectomy - Simple

Nephrectomy - Partial

Nephrectomy - Radical

Open or Laparoscopic Adrenalectomy

Laparoscopic nephrectomy

Laparoscopic Partial Nephrectomy (surgeon max is per surgeon; up to two surgeons allowed)

Nephroureterectomy

Laparoscopic Renal Cryotherapy

Pyelolithotomy

Nephrolithotomy - Major More Than 120 Minutes

Nephrostomy - Percutaneous

Nephrostomy Tract Establishment By Urologist

Percutaneous Nephroscopy and Lithotomy Less Than 90 Minutes

Percutaneous Nephroscopy and Lithotomy - More Than 90 Minutes

Pyeloplasty

Endopyelotomy - Retrograde

Endopyelotomy - Antegrade

Percutaneous Pyelolithotomy

Extracorporeal Shockwave Lithotripsy

Radiofrequency Ablation of Kidney to treat Renal Tumour

Laparoscopic Pyeloplasty

 

URETER

Insertion Of Double J Stent

Ureteroscopy With Minor Additional Procedure

Ureteroscopy With Major Additional Procedure

Reimplantation Ureter - Unilateral

Reimplantation Ureter - Bilateral

Ureterolithotomy

Ureterolysis - Open, Unilateral or Bilateral

Ureterolysis - Laparoscopic, Unilateral or Bilateral

Reduction Ureteroplasty And Reimplant - 1st Stage

Reduction Ureteroplasty And Reimplant - 2nd Stage

 

BLADDER

Colposuspension - Open

Needle Colposuspension, Endoscopic Bladder Neck Suspension Or Similar

Cystoscopy and urethroscopy

Cystoscopy - With Biopsy, Ureteric Catheterization, Urethral Dilatation, Removal Stent

Flexible Cystourethroscopy

Flexible Cystourethroscopy - With Biopsy, Ureteric Catheterization, Urethral Dilatation

Cystoscopy and Transrectal Ultrasound and Biopsy (TRUS)

Cystourethroscopy - With Bladder Neck Incision Or Major Visual Urethrotomy

Retrograde pyelogram

Transurethral Resection Bladder Tumour -Minor <30Min

Transurethral Resection Bladder Tumour -Major >30Min

Cystoscopy - Removal Ureteric Calculus Or Foreign Body

Cystoscopic Destruction And Removal Bladder Calculus / Litholapaxy

Incision Of Bladder Neck

Percutaneous Suprapubic Catheterisation of the Bladder

Total Or Radical Cystectomy With Ileal Conduit Diversion

Cystectomy Plus Bladder Reconstruction

Radical Cystectomy With Urinary Diversion using Orthotopic Neobladder

Radical Cysto Prostatectomy

Bladder - Repair Of Rupture

Cystoscopic Destruction And Removal Bladder Calculus - Minor Less Than 30 Minutes

Cystoscopic Destruction And Removal Bladder Calculus - Major More Than 30 Minutes

Transurethral Resection Of Bladder Tumour – Minor

Transurethral Resection Of Bladder Tumour - Major

Cystolithotomy

Resection of Bladder Diverticulum

Augmentation Cystoplasty

Laparoscopic Colposuspension

Partial Cystectomy

Percutaneous Suprapubic Catheterisation of the Bladder

 

PROSTATE

Inguinal Node Dissection

Open simple Prostatectomy, Fryer or millin

Laparoscopic Pelvic Node Dissection

Prostate - Needle Biopsy

Prostate Saturation Biopsy

Laparoscopic Prostatectomy

Laparoscopic Prostatectomy with Node Dissection

Radical Retropubic Prostatectomy

Radical Retropubic Prostatectomy with Node Dissection

Perineal Prostatectomy

Prostate Brachytherapy

Prostate Cryotherapy

Transurethral Resection of Prostate (TURP)

Laser Prostatectomy

 

INCONTINENCE

Pubo-Vaginal Sling Operation For Incontinence

TVT Sling Revision

Implantation Artifi cial Urinary Sphincter

Male Sling operation

Caruncle - Cauterisation

Incontinence - Peri-Urethral Injection

 

URETHRA

Urethrectomy

Urethroplasty - Stage 1

Urethroplasty - Stage 2

Urethroplasty Including Stricture Repair, Urethral Diverticulum - Minor

Urethroplasty Including Stricture Repair, Urethral Diverticulum Major

Urethroplasty and Buccal Graft

Urethroplasty - One Stage Trans Pubic

Urethroplasty - Revision For Recurrent Stricture

Meatoplasty (Urethra)

Urethral Calculus

Urethrotomy - Internal

Urethral Diverticulum

Direct Vision Internal Urethrotomy, DVIU

 

SCROTUM

Orchidopexy - Unilateral

Orchidopexy - Bilateral

Varicocele Repair- Inguinal

Varicocele Repair- Laparoscopic

Excision of Epididymal Cyst Spermatocele, or Epididymectomy - Unilateral

Excision of Epididymal Cysts Spermatocele, or Epididymectomy - Bilateral

Hydrocele Repair - Unilateral

Hydrocele Repair - Bilateral

Testicular Biopsy

Undescended Testis - Laparoscopy For

Simple Orchidectomy - Unilateral

Bilateral Scrotal Orchidectomies

Radical Orchidectomy

Testicular Prosthesis Insertion

 

PENIS

Circumcision

Dorsal Slit

Penile Biopsy

Penis - Amputation

Penile Plication For Peyronie’s Disease

Penile Prosthesis - Semi Rigid

Penile Prosthesis - Inflatable

Cystoscopy With Urodynamic Assessment

Diathermy Penile Warts Or Minor Genital Skin Lesion Excision

Vasectomy (GP)

Transrectal Ultrasound And Biopsy of Prostate