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.

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