Transperineal Prostate Biopsy
A transperineal prostate biopsy is a procedure where multiple biopsies of the prostate are taken through the perineal skin (between scrotum and anus). Taking biopsies using this method drastically reduces the risk of infection compared to biopsies taken through the rectum.
Rigid Cystoscopy
A rigid cystoscopy is a procedure where the inside of the urinary bladder is visualized using a telescope (cystoscope). The procedure is done in hospital under a general anaesthetic. It is considered a minor procedure and is completed as a day surgery procedure. Instruments can be inserted through the cystoscope to allow for such things as bladder biopsies and insertion of ureteric stents.
Rigid Cystoscopy and Retrograde Pyelogram
A rigid cystoscopy is a procedure where the inside of the urinary bladder is visualized using a telescope (cystoscope). A retrograde pyelogram is a type of x-ray that involves injecting a contrast dye up the ureter (the tube that takes urine from the kidney to the bladder). The dye is injected through a catheter that is passed in to the ureter via the cystoscope. A series of x-rays are done to outline the anatomy of the ureter and internal lining of the kidney.
Transurethral Resection of Bladder Tumour (TURBT)
A TURBT is a procedure involving removal (or part removal) of a bladder tumour. A special telescope called a ‘resectoscope’ is inserted into the bladder via the urethra, the tumour is then removed piecemeal using a diathermy loop. The procedure is done in hospital under a general anaesthetic and require a minimum one-night stay.
Rigid Ureteroscopy and Laser Stones
A rigid ureteroscopy is a procedure where the inside of the ureter is visualized using a small semi-rigid telescope. The telescope is inserted via the urethra, through the bladder and up the ureter. The telescope has a working channel that allows passage of instruments like laser fibres, stone retrieval baskets and biopsy forceps. The procedure is a day surgery procedure with discharge two to four hours post operatively.
Removal of Uretertic Stent
A ureteric stent is inserted for a variety of reasons. Although a ureteric stent may be left in place for up to twelve months they should be removed at the earliest safe timing. Removing a ureteric stent is a minor procedure that is usually done in a hospital as a day surgical procedure. For comfort It is usually done using mild intravenous sedation but can be done under local anaesthetic if requested by the patient.
Insertion of Ureteric Stent
A ureteric stent may be required to prevent or alleviate blockage of one or both ureters. If a ureter is blocked urine builds up behind the blockage, this stretches the kidney, causing pain and discomfort. If left for long enough this blockage can cause permanent loss of kidney function. The ureter can be blocked by: stones, tumours, blood clots or abnormalities in ureter development such as a PUJ obstruction.
Trial of Void
A trial of void is a test of your bladder emptying after having an indwelling catheter (IDC). There are many reasons why people require an IDC, some are temporary (following surgery) while others may be long standing (neurological conditions). When an IDC is removed it is important to ensure one can pass urine adequately prior to heading home.
Vasectomy
Vasectomy is a contraceptive option for men. It is a minor surgical procedure that interrupts the passage of sperm through the vas deferens in to the prostate and seminal vesicles. Vasectomy prevents sperm from mixing with seminal fluid and therefore no sperm are present in the ejaculation.
Flexible Pyeloscopy & Laser Stones
A flexible pyeloscopy is a procedure where the inside of the kidney is visualized using a very small telescope. The telescope is inserted via the urethra, through the bladder and up the ureter. The telescope has a working channel that allows passage of delicate instruments like laser fibers or stone retrieval baskets. The procedure is a day surgery procedure with discharge from hospital three to four hours post operatively.
