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Ureteroscopy is an examination of the upper urinary tract, usually performed with a ureteroscope that is passed through the urethra and the bladder, and then directly into the ureter. [1] The procedure is useful in the diagnosis and treatment of disorders such as kidney stones and urothelial carcinoma of the upper urinary tract. [ 1 ]
Additionally, applying water-based lubricant to the catheter and allowing it to run down and coat the opening of the urethra will prevent the catheter from rubbing and irritating the urethral opening. Lastly, preparing lean meals before surgery such as grilled chicken or salad is a good idea to ease recovery for the 48 hours after surgery.
The stent is removed by cystoscopy, an outpatient procedure. Cystoscopy involves placement of a small flexible tube through the urethra (the hole where urine exits the body). The procedure, which usually takes only a few minutes and causes little discomfort, is performed in an outpatient clinic or ambulatory surgery centre.
X-rays are taken at specific time intervals to capture the contrast as it travels through the different parts of the urinary system. [7] At the end of the test, a person is asked to pass urine and a final X-ray is taken. [7] Before the test, a person is asked to pass urine so that their bladder is emptied. [5]
Intravenous pyelogram (IVP): A special diagnostic test that follows the time course of excretion of a contrast dye through the kidneys, ureters, and bladder after it is injected into a vein. Retrograde pyelogram (RPG): X-ray study of the kidney, focusing on the urine-collecting region of the kidney and ureters. Antegrade nephrostogram.
Some painkillers or peeing inside a warm bath may help. Those children who receive antibiotics before the procedure for urinary tract infection will double the dose for 3 days after the procedure. Those not already on antibiotics will be prescribed with 3 days of trimethoprim. Haematuria (blood in urine) may also occur after the procedure. [2]
The time from insertion of the cystoscope to removal may be only a few minutes, or it may be longer if the physician finds a stone and decides to remove it, or in cases where a biopsy is required. Taking a biopsy (a small tissue sample for examination under a microscope) will also make the procedure last longer.
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]