Category: Surgery

Surgery

Cystoscopy

Comment

Cystoscopy

Cystoscopy is a procedure to see the inside of the bladder and urethra using a telescope. Cystoscopy is the use of a scope (cystoscope) to examine the bladder and urethra.

A cystoscopy can be used to investigate and treat symptoms and conditions that affect the bladder and urinary system. Cystoscope is also called as telescope.

Two types of Cystoscope

  • Flexible Cystoscope
  • Rigid Cystoscope

Reasons for Cystoscopy

  • check for abnormalities in the bladder.
  • Diagnose and evaluate urinary tract disorders.
  • Diagnose the cause of repeated bladder infections.
  • Help determine the cause of pain during urination.
  • remove a sample of bladder tissue (Biopsy) for further testing in cases of suspected cancer.
  • urinary blockage caused by prostate enlargementor some other abnormal narrowing of the urinary tract.
  • Bladder stone removal.
  • Remove foreign objects.

Procedure of Cystoscopy

A urologic surgeon, or urologist, performs cystoscopy. The procedure involves looking at the urinary tract from the inside. Abnormalities can be detected in this manner, and surgical procedures can be performed.

A flexible cystoscopy is usually carried out using a local anaesthetic . A rigid cystoscopy is usually carried out under general anaesthetic or spinal anaesthetic (epidural).

The procedure will take about take 5 – 25 minutes. The urethra is cleansed. This is done without needles. The scope is then inserted through the urethra into the bladder.

The procedure is more painful for men than for women due to the length and narrow diameter of the male urethra. Relaxing the pelvic muscles helps make this part of the test easier.

Water or salt water (saline) flows through the cystoscope for clear vision.

Post Procedural Care

Drink 4 – 6 glasses of water per day after your cystoscopy.

Holding a warm, damp washcloth over the urethral opening.

Taking a warm bath to relieve the burning feeling.

Alternate Names

Cystourethroscopy, Endoscopy of the bladder.

Cystoscopy Products

We, Advin Health Care, provide international quality standard products for Cystoscopy procedure.

Surgery

Uroflowmetry

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Uroflowmetry

Uroflowmetry procedure measure of the quantity of urine excreted in a specified period of time which is also called as Urine flow rate.

Uroflowmetry is a simple, non invasive diagnostic screening procedure used to calculate the amount of urine (volume), flow rate in seconds, and length of time until completion of the void.

Continuous recording of urine flow by means of a device consisting of a cylinder placed on a transducer that weighs the urine entering thecylinder during voiding and plots the flow rate on a time scale.

Common periods of time used include “minute” and “seconds.”

Reason for Uroflowmetry

  • Benign prostatic hyperplasia (BPH).
  • Pain during urination.
  • Slow urination.
  • Urinary incontinence.
  • Neurogenic bladder dysfunction.
  • Other urination difficulties.

Procedure of Uroflowmetry

Uroflowmetry is best done when you have a full bladder. Doctor ask to patient not urinate for 2 hours before the test. Drink extra fluids so you will have plenty of urine for the test. Generally, no prior preparation, such as fasting or sedation, is required.

Patient will urinate in a special urinal or toilet with a machine that has a measuring device.

Patient will be asked to begin urinating after the machine has started. When you finish, the machine will create a report for your health care provider.

Outcome of Uroflowmetry Test

Changes in the urine flow rate can be indicative of

  • Blockages in the urethra.
  • Weak bladder muscles.
  • Kidney, prostate or other renal disorders.

Normal Urine Flow Rates

Age

Min. Voided Volume

Flow Rates

Years

ml/sec

Males

Females

7-Apr

100

10

10

13-Aug

100

12

15

14-45

200

21

18

46-55

200

22

15

56-80

200

9

10

Advin Uroflow

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Surgery

TURP Surgery

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TURP (Trans Urethral Resection of the Prostate)

Transurethral resection of the prostate (TURP) is a urological process operated to treat benign prostatic hyperplasia (BPH). TURP surgery is also known as resectoscope procedure.

During TURP Procedure, an instrument is inserted up the urethra to remove the section of the prostate that’s blocking urine inflow. It’s frequently used to treat prostate blowup ( benign prostate hyperplasia).

Reasons for TURP procedure

  • Problems with starting urination.
  • Having to urinate more frequently at night.
  • Hesitancy.
  • slow or diminished force of stream.
  • Having an urgent need to urinate.
  • Dribbling after you finish urinating.
  • sensation of incomplete emptying.
  • Blood in the urine.

TURP Procedure (TURP Surgery)

A TURP is prosecuted under general or spinal anesthesia, therefore you won’t feel any pain during the procedure.
Resectoscope is passed into the urethra. It cuts out pieces of towel from the prostate that are bulging or blocking the urethra. An electric current is passed to loop and induce heat, and the heated wire is used to cut away the section of prostate.

The doctor will fit a catheter into the bladder to empty urine.
TURP procedure time depending on how much of prostate needs to be removed.

Recovery Period

Patient can leave hospital two to three days after surgery.

Resume most normal activities within one week.

Advantages of TURP Procedure

  • No longer problem of starting urination.
  • stronger force of stream.
  • decreased need to push.
  • More in control of holding your urine in.
  • No need to get up in the night to urinate as much as you used to.
  • Stronger stream of urine.

Advin TURP SET / Resectoscope SET

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Surgery

Intracorporeal Pneumatic Lithotripsy

Comment

About Intracorporeal Pneumatic Lithotripsy

Lithotripsy is a procedure that breaks up stones in the kidney, bladder, or ureter. In Lithotripsy procedure the physical destruction of hardened masses like kidney stones, Bladder Stone and Uteter Stone.

In the cases where the Extracorporeal Lithotripsy proves to be unsuccessful, Intracorporeal Pneumatic Lithotripsy (endoscopic lithotripsy) is the alternative treatment method.

Intra Corporeal Pneumatic Lithotripter coverts Kinetic impact energy to a mechanical strain which is passed through probe to the calculus. Lithotripter Hand Piece converts Kinetic Energy to Mechanical Strain and it is passing through probe. When energy is transmitted from the Lithocast probe to the calculus, the result is disintegration of the calculus.

Formation of the Stone in human body

The hyper concentration of the dissolved chemicals in the urine crystallizes them. Such crystals form up the stones anywhere in the Kidney, Bladder and Ureters. The stones may vary in size, number and consistency according to their chemical compositions.

There are different types of stones such as Calcium Oxalate, Calcium Phosphate, Uric Acid, Struvite, Cystine and Xanthine etc.

Procedure of Intracorporeal Pneumatic Lithotripsy

Intracorporeal Pneumatic Lithotripter is powerful and based on pneumatically driven projectiles that strike a metallic probe placed endoscopically on a calculus. Probe is passing through rigid endoscopic channel and placed on stone.

Stone (Calculus) break by Ballistic energy and convert in to small fragments. Fragments will be collect by endoscopic basket (Stone Basket) or grasper (Forcep).

These devices work best when they are used through a rigid endoscope, and they can be associated with stone migration during treatment.

Advantage of Intracorporeal Pneumatic Lithotripsy

  • Safe and cost effective procedure.
  • Success rates are 73%- 100%.
  • Most effective method for the removal of large calculi.
  • Faster stone removal compare to other stone removal procedure.
  • No heat generation on the tip of the probe so no damage to the mucosa.
  • Tissue remains unchanged.

Intracorporeal Pneumatic Lithotripsy Products

We, Advin Health Care, provide complete SET of Intra Corporeal Pneumatic Lithotripter with below mentioned accessories.

Advin Intracorporeal Pneumatic Lithotripter – Digital

  • Pneumatic Control Unit 01
  • Hand Piece – 02
  • Probe – 06
  • Foot Switch – 02
  • Oxygen Regulator – 01
  • Mains Cable – 01
  • Air Tubing – 02