Cystoscopy / Ureteroscopy

Cystoscopy is a diagnostic procedure where the surgeon places a lens to view inside the Urethra & Bladder to look for the culprit for problems such as blood in urine, pelvic pain, urinary blockage.
Ureteroscopy can be done with a scope that is either Rigid or Flexible. A rigid ureteroscope is used to view the Ureter, while with a flexible scope, the Renal Pelvis & Calyx can also be viewed. This procedure is done commonly to find & remove Renal Calculi (Kidney Stones). Removal of the stone is usually done by Laser Lithotripsy (Holmium Laser). A laser fiber is passed through the working port of the scope & fired on the stone to break into small pieces, as well as vaporize it. The remaining larger fragments are captured with a stone retrieval basket (there are many varieties). A stent is placed in the ureter to keep Ureter open & let any remaining fragments of the stone to move from the kidney to the bladder & be removed from the bladder either by Catheter or by urination

Items that may be needed for the procedure:
Water for Cystoscopy
Saline in Pressure bag for Ureteroscopy
Wire to pass up into the ureter & kidney for the Ureteroscope to follow up (we use Sensor Wire most commonly)
Laser & fibers if doing Laser Lithotripsy
Stone Retrieval Baskets to catch Stone fragments
Ureteral Stent
Foley Catheter

From Left to Right
• Sensor Wire used to go up the ureter into the kidney
• Cysto Inflow Tubing
• Cysto Camera
• Light CordTop to Bottom
• Rigid Ureteroscope
• 22fr Cystoscope

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