Ureteroscopy (URS), also known as ureterorenoscopy, is a minimally invasive procedure used to diagnose and treat a variety of urinary tract problems. Here at Meerut Urologist, our team of experienced urologist led by Dr. Shaleen Shamra and Dr. Sarat Chandra Garg utilizes advanced URS techniques and equipment to ensure accurate diagnosis, effective treatment, and minimal discomfort for our patients.
URS involves using a thin, flexible instrument called a ureteroscope. The ureteroscope is inserted through the urethra (the tube that carries urine out of the body) and travels up the bladder to reach the ureters (the tubes that carry urine from the kidneys to the bladder).
The ureteroscope has a camera at its tip, allowing the urologist to visualize the inside of the ureters and bladder on a monitor.
Ureteroscopy (URS) is a minimally invasive procedure used to diagnose and treat conditions in the upper urinary tract, particularly the ureters (tubes carrying urine from the kidneys to the bladder). A thin, flexible scope with a camera is inserted through the urethra and bladder to reach the ureters. URS allows visualization and treatment of issues like kidney stones, strictures (narrowings), and tumors.
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URS offers a versatile approach for various urinary tract issues, including:
Compared to traditional open surgery, URS offers significant benefits:
Minimally invasive: URS avoids the need for large incisions, leading to less pain, scarring, and a faster recovery time.
Outpatient or short hospital stay: URS can often be performed on an outpatient basis or may require only a short hospital stay.
Precise diagnosis and treatment: The camera on the ureteroscope allows for a clear view of the urinary tract, facilitating accurate diagnosis and targeted treatment.
Effective for various conditions: URS is a versatile tool for diagnosing and treating a range of urinary tract problems.
URS might be a suitable option for patients with:
The URS procedure typically involves the following steps:
Anesthesia: General anesthesia (you are asleep) or spinal anesthesia (numbs the lower body) might be used depending on the complexity of the procedure.
Ureteroscope insertion: The ureteroscope is inserted through the urethra and navigated to the ureters.
Anesthesia: General anesthesia (you are asleep) or spinal anesthesia (numbs the lower body) might be used depending on the complexity of the procedure.
Ureteroscope insertion: The ureteroscope is inserted through the urethra and navigated to the ureters.
Diagnosis and treatment: The urologist uses the camera to visualize the affected area and performs the necessary procedure, such as stone removal, stricture widening, or biopsy collection.
Instrument removal: The ureteroscope and any other instruments are removed.
Stent placement (optional): In some cases, a small tube (stent) might be placed temporarily to help urine drain from the kidney.
Recovery after URS is generally quick. You might experience some discomfort or burning sensation during urination for a day or two. Your doctor will provide specific instructions on pain management, dietary modifications, and any activity restrictions you might need to follow.
If you are experiencing symptoms of a urinary tract problem, consult a urologist at Meerut Urologist. We offer comprehensive evaluation, diagnosis, and treatment options, including URS. Our team will discuss the procedure's details, address your concerns, and ensure you receive the best possible care.
Laparoscopic uretrolithotomy (LU) is a minimally invasive surgical procedure for removing large stones located in the lower part of the ureter, the tube that carries urine from the kidney to the bladder. However, it's important to understand that LU is a less common approach compared to other techniques like Ureteroscopy (URS) and Shock Wave Lithotripsy (SWL). Here at Meerut Urologist, our team of experienced urologist led by Dr. Shaleen Shamra and Dr. Sarat Chandra Garg will carefully evaluate your situation and recommend the most suitable treatment option for your specific case.
LU is typically considered only when other minimally invasive methods like URS or SWL are not suitable, primarily due to:
Laparoscopic ureterolithotomy is a minimally invasive surgical procedure for removing large or complex stones lodged in the ureter (the tube that carries urine from the kidney to the bladder).
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Compared to traditional open surgery, LU offers some benefits:
Minimally invasive: Several small incisions are made instead of a large incision, leading to less pain, scarring, and a faster recovery.
Effective for large stones: LU can remove large stones that might not be manageable with other minimally invasive methods.
The LU procedure typically involves the following steps:
General anesthesia: You will be asleep during the surgery.
Small incisions: Several small incisions are made in the lower abdomen.
Laparoscopic access: A laparoscope (thin instrument with a camera) is inserted through one incision to visualize the surgical field on a monitor. Surgical instruments are inserted through other incisions.
Closure: The incisions are then closed with sutures or staples.
Stone identification and removal: The surgeon locates the stone and carefully removes it through an incision or fragments it for easier removal.
Recovery after LU typically involves a hospital stay for a few days, followed by a period of recuperation at home. Your doctor will provide specific instructions on pain management, dietary modifications, and activity restrictions to promote optimal healing.
At Meerut Urologist, we understand that passing a kidney stone can be a painful experience. We offer a comprehensive approach to urinary stone management, including evaluation, diagnosis, and a variety of treatment options. Our team will discuss the most suitable approach for your specific case, considering the size, location, and composition of the stone. We are committed to providing you with the best possible care to help you achieve a stone-free urinary tract.
Laparoscopic ureteric reimplantation (LUR) is a minimally invasive surgical procedure used to correct a condition called vesicoureteral reflux (VUR). In VUR, urine flows backward from the bladder up into the ureters, the tubes that carry urine from the kidneys to the bladder. This backward flow can damage the kidneys and lead to infections. Here at Meerut Urologist, our team of experienced urologist led by Dr. Shaleen Shamra and Dr. Sarat Chandra Garg utilizes advanced laparoscopic techniques to perform LUR with high success rates and minimal disruption to surrounding tissues.
VUR occurs when the valve mechanism at the junction of the ureter and bladder malfunctions, allowing urine to flow backward. This can be caused by:
Laparoscopic ureteric reimplantation is a minimally invasive surgical procedure for repositioning a ureter that is not functioning correctly. Small incisions are made in the abdomen, and specialized tools with a camera are used to detach the ureter from the bladder and reimplant it in a more optimal position to ensure proper urine flow from the kidney to the bladder.
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VUR often doesn't cause any symptoms, especially in children. However, in some cases, it might lead to:
LUR offers significant advantages compared to traditional open surgery for VUR correction:
Minimally invasive: Several small incisions are made instead of a large incision, leading to less pain, scarring, and a faster recovery time.
Reduced blood loss: Laparoscopic techniques offer greater precision, minimizing blood loss during surgery.
Improved visualization: Laparoscopy provides magnified views of the surgical field, enabling precise repair of the ureterovesical junction (UVJ) – the connection between the ureter and bladder.
Shorter hospital stay: Faster recovery allows for discharge from the hospital sooner compared to open surgery.
Improved cosmesis: Smaller incisions result in better cosmetic outcomes.
LUR might be a suitable option for patients with:
During LUR, several small incisions are made in the lower abdomen. A laparoscope, a thin instrument with a camera, is inserted through one incision to visualize the UVJ on a monitor.
Surgical instruments are inserted through other incisions. The surgeon carefully dissects the ureter from the bladder wall. Then, a new, more secure tunnel is created in the bladder wall for the ureter to re-enter, preventing urine backflow. The ureter is then reattached to the bladder in this new position.
Effective treatment for VUR: LUR corrects the faulty valve mechanism, preventing urine from flowing backward into the ureters and kidneys.
Minimally invasive approach: Offers faster recovery and less discomfort compared to traditional open surgery.
Improved long-term outcomes: LUR can help prevent kidney damage and UTIs associated with VUR.
At Meerut Urologist, we understand the importance of addressing VUR to prevent potential complications. Our team will work with you to determine the most suitable treatment approach based on your specific condition. If LUR is recommended, we will explain the details of the procedure, address your concerns, and guide you through the entire process.
