Ureteroscopy

Types of ureteroscopy

According to the purpose of the procedure, a diagnostic and therapeutic technique is distinguished. In the first case, endoscopy is prescribed to examine the urinary tract and make a diagnosis. The treatment procedure involves endoscopic manipulations in the urethra. It is carried out with an already established diagnosis according to ultrasound, excretory urography, retrograde ureteropyelography and other methods. The cost of extended ureteroscopy is determined by the volume of manipulations.

There are:

• dry ureteroscopy - a small volume of air is injected into the bladder, while the organ is in its normal (non-distended) state;
• irrigation ureteroscopy - the bladder is pre-filled with fluid to stretch its walls and improve the doctor's view.

According to indications, the study is supplemented with a biopsy - taking a sample of biomaterial from pathologically altered areas. Analysis of the tissues of the urethra in men is prescribed much more often, since their urethra is more susceptible to various types of diseases. In women, the main pathological process is more often located in the bladder.

How is ureteroscopy performed

To examine the urinary tract, a special endoscopic device is used - a ureteroscope. The apparatus contains a camera and a lighting system. The endoscope transmits the image from the optical system to the screen, where the doctor can examine in detail the condition of the walls of the urethra.

For ureteroscopy, the patient lies down in the urological chair. To eliminate discomfort, before starting the procedure, the urethra is treated with a local antiseptic solution. Active manipulations begin after the medicine begins to act, and the sensitivity of the mucous membrane is temporarily turned off.

Performing ureteroscopy in women is not particularly difficult. The female urethra is short and wide, so the doctor can easily insert the endoscope. Examination of the urethra is combined with endoscopy of the bladder.

Urethrocystoscopy in men is a lengthy and complex procedure. The male urethra is much longer and has a different diameter in different departments, so ureteroscopy is divided into anterior and posterior. When carrying out manipulations, the doctor acts as carefully as possible so as not to damage the mucous membrane.

Transcript of results

During the diagnosis, the endoscopist sequentially examines the walls of the urethra. Normally, the mucous membrane is moist and shiny, its color varies from pale to bright pink in different departments. The specialist pays attention to changes in the relief, narrowing of the lumen, signs of inflammation, foreign bodies and neoplasms. Based on the results of the examination, the doctor issues a conclusion, which describes in detail all the identified changes.

The urologist analyzes the results of endoscopy together with the data of other types of diagnostics: urethrogram, ultrasound images, indicators of laboratory tests of urine. The diagnosis is based on the results of a comprehensive examination, after which the doctor selects the necessary treatment, according to clinical protocols.

Ureteroscopy at the "K+31" clinic

Endoscopic examinations are carried out on new equipment. Modern optical tubes display a clear image on which even small changes in the mucous membrane can be seen. The procedure is performed under sterile conditions, all reusable devices are thoroughly disinfected to minimize the likelihood of complications.

The network of medical centers "K+31" presents the best prices for ureteroscopy and ureterorenoscopy in Moscow. We also do our best to ensure that the procedure is not accompanied by discomfort, if necessary, we involve a team of anesthesiologists to perform general anesthesia (sedation). The comfort and safety of the study is confirmed by numerous patient reviews.

To make an appointment with a urologist and endoscopic examination of the urethra, leave a request in the online form or contact us by phone.