Surgery Endoscopic

20 years of experience

+20 years of experience

Minimally invasive technique

Minimal scarring

rapid recovery

Fast recoveries

Everything you need to know about endoscopy

Endoscopic surgery is a minimally invasive technique in which the interior of an organ or cavity is directly observed by means of an instrument called an endoscope, which is introduced through natural orifices. Different surgical procedures can be performed through this approach. 

This technique has several advantages over conventional open surgery:

  • Less postoperative pain.
  • Reduced risk of complications of surgical wounds
  • Lower risk of bleeding during surgery.
  • Less scar sequelae with better aesthetic result.
  • Shorter hospital stay
  • Faster recovery
There are multiple surgical procedures performed with this minimally invasive technique:

Endourological procedures for the surgery of renal lithiasis

  • Ureterorenoscopy or RIRS (Retrograde Intrarenal Surgery) is performed through the use of a surgical instrument called ureteroscope, which can be flexible, rigid or semi-rigid. This is introduced through the urethra until it reaches the bladder and once there, it is moved up the ureter until it reaches the lithiasis, which has to be fragmented with a laser, or even the kidney. After surgery a double J catheter is usually placed in the ureter for a few days after the procedure. The hospital stay ranges from 12 to 24 hours.
  • Percutaneous Nephrolithotomy (PNL) is indicated for the treatment of kidney stones larger than 2 cm. A small incision is made in the skin and through a surgical instrument called a nephroscope the stone is located, fragmented with a laser and then the lithiasic remains are extracted.

Urethral endourological procedures

  • Endoscopic urethreotomy is an intervention for the treatment of urethral stricture.
Urethral stricture is a scar that narrows the tube through which urine is eliminated to the outside from the bladder (urethra). The surgical technique consists of opening the narrowing with the blade of an endoscopic instrument called a urethrotome. After the surgical intervention, the urinary catheter is maintained for a period of time to maintain the caliber of the urethra. Usually, after removal of the catheter, it is necessary to perform urethral dilatations.

Endourological procedures of the bladder

Once the tumor in the bladder has been identified, we proceed to perform a Transurethral Resection of Bladder Tumor (TUR-BVR). This technique is performed using an instrument called a resectoscope that has a loop at the tip and allows samples to be taken from the bladder and the tumor to be resected (removed) and the samples obtained to be sent to a pathologist for analysis.

Prostate endourological procedures

The Transurethral Resection (TUR) of the prostate is performed using an instrument called a resectoscope which has a loop at the tip and allows the obstructive part of the prostate to be resected (removed) to leave a wide opening for comfortable urination. The tissue obtained is sent to an anatomopathologist for analysis.
doctor juan carlos ramirez urologist

In cases related to Urology, the correct term is Endourology (minimally invasive surgery inside the urinary tract).

Dr. Patricia Ramirez

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Endoscopic surgery in Madrid

Ruber Internacional Hospital

It is very important to individualize each case and offer the best treatment for each patient.

Our team of specialists in Uro-Oncology is ready to help you and look for the best solution to your ailment.

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