Pyeolplasty Robotic/Laparoscopic

PRINCIPLE OF THE INTERVENTION The intervention is most often carried out under general anesthesia. The ureteroscope is an optical instrument of approximately 3 mm in diameter introduced naturally into the bladder. It is then introduced into the ureter where a guide wire has previously been placed.

The ureteroscope may possibly go up to the renal cavities depending on the location of the stone or lesion to be treated. In certain cases it is necessary for technical reasons to use a complementary instrument called a work sheath. Urinary stones can be extracted directly using suitable instruments or be subject to prior fragmentation by various processes such as laser or ballistic lithotripter.

Tumors in the ureter and kidney cavities can be biopsyed and destroyed with a laser. Other conditions of the ureter and kidney cavities can be treated in various ways which will be explained to you by your urologist. During the operation, the urologist is required to use an x-ray device which allows him to take images and find his bearings. At the end of the procedure, a probe can be left in place in the kidney and/or bladder.

Its removal will be carried out on a date set by your urologist. Sometimes ureteroscopy is prepared by placing a double J probe a few days before to dilate and prepare the ureter for URS.

USUAL FOLLOW-UP An analgesic treatment may be prescribed to you if necessary.

In the absence of complications you will be able to quickly leave the establishment. Your urologist will see you again on a date that will be specified to you. In certain cases the probe which has been left in place in the ureter may be removed under local anesthesia during the consultation. However, this type of probe can cause some inconvenience, notably frequent urges to urinate and feelings of heaviness in the side.

In the event of a biopsy of a renal cavity tumor, your urologist will inform you of the result during the consultation. In certain cases you will be asked to take an x-ray before the follow-up consultation.

RISKS AND COMPLICATIONS

In the majority of cases, the intervention proposed to you takes place without complications. However, any surgical procedure carries a certain number of risks and complications described below. Some complications are linked to your general condition. Any surgical procedure requires anesthesia, whether local-regional or general, which carries risks. They will be explained to you during the preoperative consultation with the anesthesiologist. Other complications directly related to the intervention are rare, but possible.

COMPLICATIONS COMMON TO ALL SURGERY ARE: