Introduction to minimally invasive urological procedures

In recent years, due to the rapid development of modern science and technology, the type, quality and function of minimally invasive urological equipment are becoming more and more perfect, the indications for minimally invasive surgery are expanding, the complications are gradually decreasing, and the surgical treatment of urological diseases has reached a fully minimally invasive level. The following minimally invasive urological procedures are commonly used in clinical practice: a. Minimally invasive urological procedures using the natural cavity – transurethral resection surgical instruments are inserted through the urethra, and the operator performs surgical operations to remove bladder, prostate and urethral lesions through the observation monitor. Since there is no surgical incision, patients are mostly discharged from the hospital 3 to 7 days after surgery. The urological diseases suitable for transurethral electrodesiccation are: ureteral cyst, bladder tumor, prostate hyperplasia, bladder neck sclerosis, urethral stricture and other lower urinary tract diseases. Li Xinhua, urology department of Dezhou People’s Hospital Second, minimally invasive urological surgery using an artificial channel – urological laparoscopy and percutaneous nephrological surgery Laparoscopic technology has a century of history, it does not require a large surgical incision, surgical instruments through the diameter of 5 mm or 10 mm trocar to reach the surgical site, the operator through the observation monitor for surgical operations. With the continuous improvement of surgical methods and the increasing refinement of lumpectomy technology, urological procedures ranging from simple renal cyst debulking, high varicocele ligation, cryptorchidism exploration, to adrenal surgery, radical nephrectomy, pyeloplasty, radical prostatectomy, total cystectomy, partial nephrectomy, living donor kidney, complex upper urinary tract stones, etc. can be performed by laparoscopic or percutaneous nephrological surgery. This has enabled most patients with urological diseases to avoid the pain of traditional open surgery. Other: Minimally invasive treatment for female stress urinary incontinence (TVT sling) can cure female stress urinary incontinence by lifting the urethra and bladder neck with a special sling through a small incision in the anterior vaginal wall and a small incision in the lower abdominal wall.