Surgical Videos
Many urological procedures are performed using endoscopic cameras; these can be interfaced to video recorders to allow archiving of procedures for teaching purposes.
Some examples of endourological procedures are shown below:
Bladder neck incision
About this video:
For small prostate glands, incision of the neck of the bladder using a "spike" and electric current produces equivalent results to TURP (transurethral resection).
Bladder tumour resection
About this video:
A papillary bladder tumour resected using a loop & electric current down to the level of the bladder muscle.
HoLEP (Holmium laser enucleation of prostate)
About this video:
The laser is used to detach each prostate lobe in turn, releasing them into the bladder where they are shredded & evacuated using a morcellator.
Laser Endopyelotomy
About this video:
Incision of a secondary obstruction at the ureteropelvic junction (UPJ) using a rigid ureteroscope; follows previous failed open surgery (courtesy of Mr Oliver Wiseman, Consultant Urologist)
Percutaneous stone removal
About this video:
Ultrasonic fragmentation of a kidney stone by the percutaneous route (ultrasound probe visible in lower part of screen) followed by large fragment extraction with forceps
Litholapaxy (crushing a bladder stone)
About this video:
A special instrument (lithotrite) is inserted into the bladder and used to crush the stone into small pieces. The fragments are then evacuated from the bladder.
TURP
About this video:
Transurethral resection of the central part of the prostate gland using a wire loop and electric current for benign enlargement of the prostate. “Chippings” are produced and then evacuated from the bladder.
Ureteric stent insertion
About this video:
Initial insertion of a guidewire followed by insertion of the stent over the wire under X-ray control.
Ureteroscopy (diagnostic)
About this video:
Endoscopic view of the ureter with a stone in the upper ureter causing infection & inflammatory polyps in the lower ureter. Note the guidewire placed in the ureter to facilitate passage of the telescope.