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Urologic surgery procedures

79 articles

Adenomectomy

Adenomectomy is a surgical operation that removes an adenoma alone, sparing the organ, performed in the prostate for benign enlargement and in the pituitary gland for pituitary tumors.

Anastomotic urethroplasty

Anastomotic urethroplasty, also called excision and primary anastomosis (EPA), treats urethral stricture by cutting out the narrowed segment and joining the healthy urethral ends without tension.

Aquablation

Aquablation is a robotic, image-guided surgical technique that removes prostate tissue with a heat-free, high-velocity saline jet to treat lower urinary tract symptoms caused by benign prostatic hyperplasia.

Artificial urinary sphincter implantation

Artificial urinary sphincter implantation is a surgical procedure placing an inflatable cuff, pump, and pressure-regulating balloon around the urethra to restore continence in men with severe stress incontinence.

Bipolar transurethral resection

Bipolar transurethral resection is an endoscopic surgical technique that removes prostate or bladder tissue with an electrosurgical loop in saline, greatly reducing the risk of TUR syndrome.

Bladder augmentation

Bladder augmentation, also known as augmentation cystoplasty or enterocystoplasty, is a urologic operation that enlarges the bladder with a detubularized intestinal patch, usually ileum, to create a low-pressure reservoir.

Continent Urinary Reservoirs

Continent urinary reservoirs (Kock, Indiana, Mainz pouches; orthotopic neobladder) are surgically created intestinal pouches that store urine after cystectomy and are emptied by catheterization, avoiding an external bag.

Cystectomy

Cystectomy, also called radical cystectomy, is the surgical removal of all or part of the urinary bladder, typically for muscle-invasive bladder cancer, with urinary tract reconstruction by diversion or neobladder.

Cystolithotomy

Cystolithotomy, historically called sectio alta, is open surgery in which the bladder is opened, usually through a lower abdominal incision, to remove stones; transurethral cystolitholapaxy is the distinct route used most often today.

Cystoplasty

Cystoplasty, or augmentation cystoplasty, is surgery that enlarges the urinary bladder with a patch of intestine, usually detubularized ileum, so it stores more urine at lower pressure.

Cystotomy

Cystotomy is a surgical incision into the urinary bladder, most often to remove stones; the stone-removal form is called cystolithotomy. Open suprapubic surgery removes large stones completely but needs catheterization and a longer hospital stay.

Cytoreductive nephrectomy

Cytoreductive nephrectomy is the surgical removal of the kidney bearing a renal tumor in metastatic renal cell carcinoma, performed to reduce tumor burden before or alongside systemic therapy rather than to cure.

Diverticulectomy

Diverticulectomy is the surgical excision of a diverticulum, a herniated pouch of the organ wall. In the bladder it is usually done for infection, stones, reflux, or malignancy.

Endoscopic combined intrarenal surgery

Endoscopic combined intrarenal surgery (ECIRS), or combined intrarenal surgery, is a urological technique for large or complex kidney stones using simultaneous percutaneous and retrograde ureteroscopic access.

Genitoplasty

Genitoplasty is a family of reconstructive operations on the external genitalia, performed mainly in pediatric urology for congenital adrenal hyperplasia and other differences of sex development.

George Emerson Brewer

George Emerson Brewer (1861–1939) was an American surgeon and urologist, a professor of clinical surgery at Columbia and a colonel directing a U.S. Army base hospital in France during World War I.

Graft urethroplasty

Graft urethroplasty is a urological technique that repairs long or recurrent urethral strictures by sewing in a free graft, most often buccal mucosa from the inside of the cheek.

Holmium laser enucleation of the prostate

Holmium laser enucleation of the prostate (HoLEP) is a transurethral operation for benign prostatic hyperplasia that peels the entire adenoma away and morcellates it, working for glands of any size.

Hypospadias repair

Hypospadias repair is the pediatric urological operation that moves the urethral opening to the tip of the penis and straightens curvature, usually done at 6 to 18 months of age.

Ileal conduit urinary diversion

An ileal conduit is an incontinent urinary diversion in which the ureters drain into a short ileal segment brought out as a stoma, most common after cystectomy.

Inguinal orchiectomy

Inguinal orchiectomy is a urologic procedure that removes a testicle and its spermatic cord through a groin incision, the standard of care for suspected testicular cancer.

Laparoscopic pyeloplasty

Laparoscopic pyeloplasty is a minimally invasive operation that repairs ureteropelvic junction obstruction by excising the blocked segment and rejoining pelvis to ureter, first reported in 1993 with success rates of 85 to 100%.

Lithotomy

Lithotomy is a surgical operation for removing stones from the urinary bladder through an incision in the perineum, practiced since ancient Greece and largely replaced by lithotripsy.

Male Urologic Surgical Procedures

Male urologic surgical procedures (MeSH D013521): surgery on the male genitalia, covering prostatectomy, vasectomy, circumcision, orchiectomy, orchiopexy, and penile implantation, plus endoscopic, robotic, and reconstructive techniques.

Microdissection testicular sperm extraction

Microdissection testicular sperm extraction (micro-TESE) is a microsurgical procedure, introduced by P. N. Schlegel in 1999, that retrieves sperm for ICSI in men with non-obstructive azoospermia.

Neobladder reconstruction

Neobladder reconstruction is a urinary diversion operation that builds a new intestinal reservoir connected to the urethra, most often from terminal ileum, so patients can urinate normally after radical cystectomy.

Nephrectomy

A nephrectomy is an operation to remove all or part of a kidney, performed to treat kidney cancer or to harvest a kidney from a living donor.

Nephron-sparing surgery

Nephron-sparing surgery is a family of operations for kidney tumors, usually partial nephrectomy, that removes the tumor while preserving the rest of the kidney; it is the standard of care for localized T1 renal tumors.

Nephrostomy

Nephrostomy, or percutaneous nephrostomy, is a urology and interventional radiology procedure that drains an obstructed kidney through a tube placed through the skin, first reported by Willard Goodwin in 1955.

Nephrotomy

Nephrotomy: surgical incision into any part of the kidney (MeSH D000074643), historically for renal stones; anatrophic nephrotomy uses Brödel's avascular plane and remains in limited open use.