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Endourology in Bhubaneswar

Endourology

Endourology in Bhubaneswar

Endourology is a specialisation of Urology that focuses on performing surgery and evaluating the urinary tract using minimally invasive procedures. Through a narrow, flexible tube known as an endoscope, a surgeon with specialised training inserts microscopic cameras and surgical instruments. The surgeon for Endourology in Bhubaneswar puts the scope through the body's natural openings, like the urethra. 

The majority of therapies are administered outside of the hospital. There are very few or no incisions needed for these operations, so there is little chance of infection or scarring. Also, you'll recover more quickly than from open procedures.

Numerous disorders are treated with endourology procedures, including:

  • Blockages in the ureter or urethra

  • Stones and tumours in the bladder, kidney, or ureter

  • Tissue obstructing the prostate

FAQ's

Endourology procedures involve the use of endoscopes and specialised tools inserted through tiny incisions or natural body openings to diagnose and treat conditions within the urinary tract. Most endourological procedures use the existing channels of the urinary tract—such as the urethra, bladder, and ureters—without making large incisions. These procedures can also impact other nearby organs depending on the condition being treated, but the primary focus is typically on the urinary system.

Endourology in paediatric patients has the following indications:

  • Urinary tract stones: Kidney, ureter, or bladder stones can be fragmented or removed by Endoscopic treatments.

 

  • Vesicoureteral reflux (VUR): VUR can be treated by endoscopically injecting bulking agents into the ureter.

 

  • Obstruction of the ureteropelvic junction: Blockages in the ureteropelvic junction can be relieved via endoscopic procedures.

 

  • Ureteroceles: Ureteroceles that obstruct can be treated by endoscopic incision or ablation.

 

  • Urethral strictures: Narrowings in the urethra can be treated using endoscopic techniques.

Commonly done paediatric Endourology procedures are: 

 

  • Cystoscopy: Through a Cystoscopy, the surgeon can examine the urethra and the lining of the bladder. A hollow tube that is gradually pushed up into the bladder through the urethra is called a cystoscope. It is a multifunctional serving technique that can support both diagnostics and therapy.

 

  • Posterior Urethral Valve Fulguration: It is an obstruction in the male infant's genitourinary system. This abnormality arises when the urethral valves have tiny, slit-like apertures that partially obstruct the flow of urine. There's a chance that reflux will also harm other organs. Through a little incision, the urologist inserts the endoscope device, looks for the obstruction, and removes the valve leaflets.

 

  • Deflux injection for vesicoureteral reflux: The anomaly known as vesicoureteral reflux occurs when the ureter grows insufficiently long and enters the bladder irregularly. Urine refluxing up and back into the kidney is therefore possible. The human body naturally produces reflux, which can decompose on its own. This medication creates a persistent bulge, which makes it more difficult for pee to return to normal.

 

  • Incision of the Ureterocele: An abnormality called a ureterocele results in swelling where the ureter ends as it enters the bladder. This could occur as a result of the ureters' flap valves becoming weak. Urine obstruction is the biggest issue it creates, which destroys the kidneys. If the wall of the ureterocele is not excessively thick, this can be treated with a transurethral puncture. 

 

  • Botox Injections for neurogenic bladder: The inability to hold the bladder is commonly known as urgency incontinence. An overactive bladder, also known as an excessively pressurised bladder, can cause a child to have an intense urge to urinate and possibly spill urine while doing so. A potent medication called Botox Injection temporarily paralyses muscles. It lowers the bladder's muscle contractions. It is injected into the bladder muscle using a cystoscope.

 

Urological endoscopy is categorised as the most beneficial procedure in terms such as:

  • It is less intrusive and traumatic

  • The procedure is done quickly

  • Less painful

  • The body has small incisions with a quick healing period

  • Minimal likelihood of infection

  • Very little scarring

  • Minimal loss of blood

This is regarded as one of the safest techniques for surgery. But there are a few common post-surgical problems associated with it, such as:

  • Urinary tract infection

  • Burning sensation while urinating

  • Urine contains blood

  • Urge to urinate frequently

  • If a stent is placed, its removal requires a second procedure

  • Retrograde ejaculation

  • Erectile dysfunction

For paediatric children undergoing Endourological procedures, the prognosis is usually good. With low rates of complications, these minimally invasive procedures provide efficient therapy for a variety of urological diseases. Success rates are high, resulting in enhanced urinary function and patient satisfaction. When given appropriate post-operative care and ongoing monitoring, the majority of children receive notable symptom reduction and attain favourable long-term results, which enable them to lead active and healthy lifestyles.

Seek medical assistance if you observe the following signs and symptoms 

  • Breathing  difficulties 

  • Fever above 101.4 °F (38.4 °C)

  • Prolonged vomiting

  • Substantial oedema or persistent bleeding in the scrotum or penis

  • pus discharge from a wound

  • Even after sitting in a tub of warm water, the child still can't pass urine

  • Urination that hurts and persists for three days

  • Concern with the dressing of the surgical site

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