Manual Endourology (eBook)

Contents 8
Endourological Training Models --- Maurice-Stephan Michel, Herbert Leyh 11
Introduction 12
Synthetic Organ Models 12
Animal Organ Models 13
Computer-Based Training Systems 13
Tips for Training 16
References 17
Urethrotomy --- Herbert Leyh, Roger Paul 19
Introduction 20
Pathogenesis of Urethral Strictures 20
Preoperative Preparation 20
Anaesthesia 20
Indications 20
Limitations and Risks 21
Contraindications 21
Instruments 21
Operative Technique (Step by Step) 22
Operative Tricks 24
Postoperative Care 24
Common Complications 24
Laser Urethrotomy 25
Outcome 25
References 25
Urethrocystoscopy --- Herbert Leyh, Roger Paul 27
Introduction 28
Indications for Urethrocystoscopy 28
Limitations and Risks 28
Contraindications 28
Instruments 28
Preoperative Preparation 30
Anaesthesia 30
Operative Technique (Step by Step) 30
Operative Tricks 34
Postoperative Care 34
Common Complications 34
New Developments:Virtual Cystoscopy 35
References 35
Rare findings in Cystoscopy --- Hassan Abol-Enein 37
Introduction 38
Image Gallery 38
Pediatric Endoscopy --- Marcus Riccabona, Ulrike Necknig 45
Introduction 46
Urethrocystoscopy 46
Endoscopic Treatment 46
Recommended Reading 50
Image Gallery 51
Laparoscopy for the Undescended Testicle --- Ulrich Humke, Stefan Siemer, Roland Bonfig, Mark Koen 57
Introduction 58
Patient Counselling and Consent 58
Preoperative Preparation 58
Anaesthesia 58
Indications 58
Limitations and Risks 58
Contraindications 58
Special Instruments 58
Operative Technique (Step-by-Step) 59
Tips and Tricks 60
Postoperative Care 61
Complications 61
Do’s 61
Dont’s 61
References 61
Image Gallery 62
Transurethral Resection of Bladder Tumours --- Armin Pycha, Salvatore Palermo 65
Introduction 66
Indications 66
Contraindications 66
Preoperative Preparation 66
Anaesthesia 66
Instruments 66
Patient Positioning 67
Operative Technique (Step by Step) 67
Resection Procedure according to Nesbit (1943) 67
En Bloc Resection according to Mauermayer (1981) 68
Bladder Mapping 68
Before Finishing TUR-B 68
After Finishing TUR-B 69
Postoperative Care 69
Common Complications 69
Trouble-shooting 69
Postoperative Complications 70
New Developments 70
Comments 70
Remember 70
Do’s 70
Dont’s 71
References 71
Image Gallery 74
Surgical Anatomy of the Prostate Sphincter Complex --- Lutz Trojan, Maurice-Stephan Michel 81
Introduction 82
Anatomy 82
Innervation 84
Identification 85
Injury of the Prostate Sphincter Complex 85
References 85
Transurethral Resection of the Prostate --- Jens-Uwe Stolzenburg, Kossen M.T. Ho, Thilo Schwalenberg 86
Introduction 87
Preoperative Preparation 87
Anaesthesia 87
Strong Indications for Surgery (according to the EAU-Guidelines) 87
Relative Indications 87
Limitations and Risks 87
Contraindications 87
Instruments 88
Operative Technique (Step by Step) 88
Operative Tips 89
Postoperative Care 90
Common Complications 90
TUR Syndrome 90
Postoperative Complications 90
Late Complications 91
New Developments 91
References 91
Image Gallery 92
Minimal Invasive Transurethral Resection of the Prostate --- Jan Fichtner 97
Introduction 98
Anesthesia 98
Indications 98
Contraindications 98
Instruments 98
Operative Technique (Step by Step) 98
Operative Tricks 98
Postoperative Care 98
Image Gallery 99
Percutaneous Nephrolithotomy and Percutaneous Nephrostomy --- Jens-Uwe Stolzenburg, Chris Anderson, Evangelos N. Liatsikos, Thilo Schwalenberg 101
Introduction 102
Preoperative Preparation 102
Anaesthesia 102
Indications 102
Contraindications 102
Instruments 102
Operative Technique (Step by Step) 103
Operative Tips 104
Postoperative Care 105
Common Complications 105
Rare Complications 105
References 105
Image Gallery 106
Ureterorenoscopy --- Thomas Knoll, Maurice-Stephan Michel 112
Introduction 113
Preoperative Preparation 113
Anaesthesia 114
Indications for Ureterorenoscopy 114
Limitations and Risks 115
Contraindications 115
Ureterorenoscopes 115
Stone Disintegration and Stone Extraction Tools 117
Stone Extraction 117
Operative Technique (Step by Step) 118
Operative Tricks 120
Postoperative Care 120
Common Complications 121
Postoperative Complications 121
References 121
Subject Index 123