Surgery Endoscopic

20 años experiencia

+20 years of experience

Minimally invasive technique

Minimal scars

recuperación rápida

Fast recoveries

Everything you need to know about endoscopy

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

This technique has several advantages over conventional open surgery:

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

Endourological surgery procedures for kidney stones

  • Ureterorenoscopy or RIRS (Intrarenal retrograde surgery) are performed through the use of a surgical instrument called a 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 ascended through the ureter until it reaches the lithiasis, which must be fragmented with a laser, or to 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 between 12 and 24 hours.
  • Percutaneous Nephrolithotomy (PNL) It is indicated in the treatment of kidney stones larger than 2 cm. To do this, a small incision is made in the skin and using a surgical instrument called a nephroscope, the stone is located, fragmented with a laser and the stone remains are subsequently extracted.

Endourological procedures of the urethra

  • Endoscopic uretreotomy It is an intervention for the treatment of urethral stricture.
urethral stricture It 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 stricture with the blade of an endoscopic instrument called a urethrotome. After the surgical intervention, the urinary catheter is kept in place for a period of time to maintain the caliber of the urethra. Usually, after removing the catheter, it is necessary to perform urethral dilations.

Endourological procedures of the bladder

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

Prostate endourological procedures

The Transurethral Resection (TUR) of the prostate It is performed using an instrument called a resectoscope that has a handle at the tip and allows the obstructive part of the prostate to be resected (removed) to leave a wide gap that allows urinating comfortably. The tissue obtained is sent to a pathologist for analysis.
doctor juan carlos ramirez urologo

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

Dr. Patricia Ramírez

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Endoscopic surgery in Madrid

Ruber International Hospital

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