Top Tips in Urology

Part 1 Renal: access for percutaneous renal procedures; percutaneous nephrolithotomy; percutaneous nephrolithotomy; flexible ureterorenoscopy. Part 2 Ureter: easy introduction of the rigid ureteroscope; pressure over the abdominal wall helps pass a ureteroscope; ureteroscopy for stones; "two down - one up"; the Sachse urethrotome; using the pusher first technique to facilitate the insertion of double J stent; double J stenting; securing ureteric catheters; a tidy method for ureteric catheters; ureteric catheters; how to prevent guide wires, dormia baskets and ureteric extras from leaping out of the trolley onto the floor; use of ureteric catheter sheath to prevent contamination of ureteric catheter. Part 3 Bladder: risks in the use of spinal anaesthesia for resection of bladder tumours; bladder diverticulae; resection of vault and posterior wall bladder tumours; that elusive stone or chip; removing stone fragments using the stone punch; avoiding disaster with the lithotrite; day case cystoscopy; bladder biopsies; flexible cystoscopy; flexible cystoscopy; placement of the difficult suprapubic catheter; siting of the suprapubic catheter; tying the knot during Stamey colposuspension. Part 4 Prostate: Golby's gallows; Gibbon's hook; bilateral bladder neck incisions facilitate resection of large median lobe; the undercut; TURP; haemostasis after transurethral resection of the prostate; TURP; dealing with torrential bleeding from the prostate; the management of clot retention; control of venous bleeding following transurethral resection of the prostate; haemorrhage after retropubic prostatectomy. Part 5 Urethra: the fractured pelvis and the "S" bend urethra; how to use an Otis urethrotome in an awkward urethra; getting through an "impassable" urethral stricture; the difficult urethral stricture; catheter introducers; the Maryfield introducer. Part 6 Laparoscopy: introduction of the first port for laparoscopy; improving the laparoscopic view; laparoscopic suturing. Part 7 Endoscopic equipment tips: resectoscope care; to clean diathermy loops, leads and points; preventing thermal injury to drapes or patient when using an unprotected light cable; how to ensure good colour balance during micro-video operating procedures. Part 8 Open urology: general points; prepping the patient is fun.... if you know how! - towelling up; skirting the umbilicus; the Bristol roll; bits of plastic; securing a tube drain; making the best of a short suture length in a deep dark hole; Koontz closure for re-closing a ruptured Pfannenstiel incision. Part 9 Renal. 10 Ureter. (Part contents)