Top Tips in Urology

Mr John McLoughlin, Consultant Urological Surgeon, West Suffolk Hospitals NHS Trust and Department of Urology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

• List of Contributors xviiForeword xxiiiPreface xxvList of abbreviations xxviPart 1: Open Urology 1 A technique to minimise the risk of ureteric injury in patients with an enlarged median lobe undergoing radical prostatectomy 3Nikhil Vasdev and David Chadwick2 Novel methods to aid vesicourethral anastomosis in radical retropubic prostatectomy 5Lehana Yeo, Rajindra Singh and Jhumur Pati3 Surgical technique to reduce intraoperative bleeding during open prostatectomy 7Nikhil Vasdev, Edgar Paez and Andrew C. Thorpe4 Millin’s prostatectomy 9Rob Jones and Ru MacDonagh5 Cystectomy 10Patrick F. Keane6 Salvage cystectomy and prostatectomy 12Senthil Nathan7 Creating an ileal conduit spout, 13Simon Fulford8 Prefashioning a urostomy 14Richard Bell9 A novel technique for parastomal hernia repair 16Jeetesh Bhardwa, Rob Gray and Hanif Motiwala10 Parastomal hernia repair 18Derek Fawcett11 Nephrectomy: vascular control during caval thrombectomy 21Dan Wilby and Matt Hayes12 Secure ligation of foreshortened large veins, 22Dan Wilby and Matt Hayes13 How to avoid dislodging the vascular clamp, 23Asif Muneer14 Ligating the renal artery, 24David Cranston15 Renal hypothermia using an innovative ice sludge technique, 25Ruzi Begum and Hanif Motiwala16 Making the best of a short suture length in a deep dark hole, 27John McLoughlin17 Anterior approach for a pyeloplasty 29John McLoughlin18 Ureteric injuries – lower third: adaptations of the Boari flap 31John Kelleher19 Radical orchidectomy for germ cell tumours 35David Hendry20 Don’t lose the lumen at urethroplasty 36Andrew Doble21 Emergency call to the gynae/obstetric theatre 37John McLoughlin22 Is it urine in the drain? 39Christopher Woodhouse23 Cutaneous fistula 40Senthil Nathan24 Postoperative abdominal drain 41Senthil NathanPart 2: Laparoscopic and Robotic Urology25 Modified Hassan technique in super-obese patients 45Tev Aho26 A modification to the Hassan technique for securing pneumoperitoneum 47Ben Challacombe and Pardeep Kumar27 Finger access is the safest 51Richard Napier-Hemy28 Keep it simple 52Jon Cartledge29 The Ten Commandments 56Peter Rimmington30 Controlling a small hole in the inferior vena cava 58Richard Napier-Hemy31 Remember Endoloops? 60Richard Napier-Hemy32 Tips in laparoscopic urology 61Dominic Hodgson33 Laparoscopic suturing using the Storz dolphin-nosed forceps 63Alan McNeill34 Laparoscopic suturing 64Henry Sells35 Improving your laparoscopic suturing 65Chris Eden36 Cholangiogram catheters can help antegrade wire placement at the time of pyeloplasty 66Richard Napier-Hemy37 Laparoscopic nephrectomy: introduction of a balloon-tipped trocar in an obese patient 67Damian Hanbury38 Laparoscopic nephrectomy: closing the exit site in an obese patient 68Damian Hanbury39 Laparoscopic nephrectomy: port sites for left nephrectomy 69Damian Hanbury40 Laparoscopic nephrectomy 70Peter W. Cooke41 Employing an extra port for laparoscopic nephrectomy 71Toby Page42 Improved control of the renal vein during laparoscopic nephrectomy 72Tony Riddick43 Aiding dissection of the renal artery during a laparoscopic radical nephrectomy 73Adam Jones44 Robotic-assisted laparoscopic pyeloplasty 74Prokar Dasgupta45 Laparoscopic prostatectomy 75Peter W. Cooke46 Use of the Endo Close device for prostatic elevation during robotic-assisted radical prostatectomy 76David Bouchier-Hayes47 Additional points of note when performing prostate suspension during minimally invasive radical prostatectomy 79Ben Challacombe48 Robotic radical prostatectomy 80Senthil Nathan49 A technique to relocate the robotic prostatectomy retrieval bag to the midline camera port 81Muhammad Jamal Khan and Omer Karim50 The rectal injury test 83Ben Challacombe51 Identifying potential breaches in the rectum during minimally invasive surgery 84Justin Collins52 The wrong plane 85Anonymous53 Spreading tough tissue with robotic forceps 86Marc Laniado54 Robotic-assisted radical prostatectomy 87Prokar Dasgupta55 Steps to free up robotic arm and assistant availability during robotic radical prostatectomy 88Adam Jones56 Use of Ethicon Vicryl foil and robotic camera lights to warm the robotic scope lens to prevent lens fogging 89Muhammad Jamal Khan and Omer Karim57 Management of anastomotic leak following radical prostatectomy 90Ruzi Begum and Omer Karim58 Identification of ureters during minimally invasive radical cystectomy 91Ben Challacombe59 Maintaining pneumoperitoneum during minimally invasive female cystectomy 92Ben Challacombe60 Robotic-assisted radical cystectomy 93Prokar DasguptaPart 3: Upper Tract Endourology61 Puncturing the calyx in order to obtain access for percutaneous nephrolithotomy: the three-finger rule 97Gerald Rix62 Prevention of migration of the Amplatz sheath during percutaneous nephrolithotomy 98Oliver Wiseman63 Using safety wires during percutaneous nephrolithotomy 100Sunil Kumar64 Tips to make percutaneous nephrolithotomy easier 101Aasem Chaudry65 Using multiple guidewires during percutaneous nephrolithotomy 104Stephanie J. Symons66 Encrusted nephrostomy tubes 106James Hall67 Reaching stones in the kidney during flexible ureterorenoscopy with a large renal pelvis 107Gerald Rix68 The advantages of using the Peditrol during flexible and rigid ureterorenoscopy 108Sunil Kumar69 Flexible renoscopy and stone fragmentation 111Bo Parys70 A novel technique to treat large mid or upper ureteric stones 114Asif Raza and Muhammad Jamal Khan71 Rigid ureteroscopy 115Matthew Bultitude72 The Boston shouldered stent 119Bo Parys73 Ureteroscopy 121Nimish Shah74 The pinhole scope: part 1 123Sunil Kumar and Peter Malone75 Use of the dual-lumen catheter 124Oliver Wiseman76 Flexible ureteroscopy 126Stephen Gordon77 Lasering stones 127Senthil Nathan78 Renal pelvic stones 128Anthony Blacker79 Difficult urethral stricture encountered at ureteroscopy 129James Hall80 General tips for a simpler and safer ureteroscopy 130Sunil Kumar81 Flexible ureteroscopy/retrograde study of the right collecting system post cystectomy 132Senthil Nathan82 Optimising the view for difficult stent insertion 133John McLoughlin83 A novel technique for stent exchange over an ileal-ureteric anastomosis 135Rob Gray and Hanif Motiwala84 Stents 137Peter W. Cooke85 Placing a stent in a female patient without having to reload the cystoscope or performing a stent change in a female patient with a flexible cystoscope only 138Gerald Rix86 Paired JJ stents for retroperitoneal fibrosis 139John McLoughlin87 Four tips relating to ureteric stenting 141Sunil Kumar88 Insertion of JJ stent 143Senthil Nathan89 Basketing of stones 144Senthil Nathan90 Backloading guidewires 145David Hendry91 Insertion of a guidewire into the ureter 146Senthil Nathan92 A solution for stent-related bladder symptoms 147Paul HallidayPart 4: Lower Urinary Tract93 Holmium laser enucleation of the prostate: laser technique 151Tev Aho94 Holmium laser enucleation of the prostate: safe morcellation 155Tev Aho95 Holmium cystolitholapaxy 156Sunil Kumar96 Transurethral resection of prostate 1 157Nikesh Thiruchelvam97 Transurethral resection of prostate 2 158Peter W. Cooke98 Transurethral vaporisation of the prostate 159Senthil Nathan99 Use of catheter introducer 160Derek Fawcett100 An alternative way to pass a urethral catheter post transurethral resection of prostate 161Ben Ayres and Gary Das101 The 17F integral cystoscope 163Graham Sole102 Non-irrigating resectoscope 165Graham Sole103 Urethral strictures 166Anthony Blacker104 Assessment of paediatric urethral strictures 167Amjad Mumtaz Peracha105 The pinhole scope: part 2 168Sunil Kumar and Peter Malone106 How to remove air bubbles in the dome of the bladder 170David Hendry107 Resecting multiple bladder tumours 171Senthil Nathan108 Primary transurethral resection of bladder tumour 172Aasem Chaudry109 Trawling for flat superficial bladder tumour 173John McLoughlin110 Resecting bladder tumours 175Richard Bell111 Never use an Ellick in a clot retention 176Simon Bott112 Displaced suprapubic catheter 177Dan Wilby and Matt HayesPart 5: Andrology113 Glans ‘droop’ following the insertion of a penile prosthesis 181Asif Muneer Suks Minhas and Alex Kirkham114 The key to a successful epididymectomy: the bungee manoeuvre 183John McLoughlin115 Haemostasis for Nesbit’s procedure 185Suks Minhas116 Nesbit’s procedure 187John McLoughlin117 Tension-free vasectomy reversal 190Asif Muneer118 Intracorporeal perforation during penile implantation 191Suks MinhasPart 6: Female Urology119 Recurrent cystocoele and rectocoele repair using modified mesh: new technique 195Rob Gray and Hanif Motiwala120 Eroded transvaginal tape 199Rizwan Hamid121 Midurethral tension-free tapes 201Neil Harris122 Treatment of TVT mesh eroding the bladder 202Georgina WilsonPart 7: General123 Circumcision 205Andrew Doble124 Dressing a circumcision 207Simon Bott125 Postcircumcision dressing: the gauze sporran 208Andrew Doble126 Difficult reduction of paraphimosis 210Andrew Doble127 Round-bodied needles 211Richard Bell128 Bladder clots 212Ling Lee129 Performing a flexible cystoscopy for a bladder which is full of debris 214Asif Muneer130 Passing a urethra catheter across a stricture after a guidewire is passed via the flexible cystoscope 215Ling Lee131 Inserting a catheter over a guidewire 216Simon Bott132 Cryoanalgesia for prostate biopsy 217Simon Robinson and Hanif Motiwala133 Pain relief in epididymo-orchitis 219Andrew Doble134 Hydrocoele 220Senthil Nathan135 Epididymal cyst 221Senthil Nathan136 Shape of the male urethra 222Simon Bott137 Local anaesthetic injection through skin 223Paul McInerney138 Transrectal ultrasound 224John McLoughlin139 Modified transrectal biopsy of prostate 227Ruzi Begum Rob Gray and Hanif Motiwala140 Transperineal biopsy probe set-up 229John McLoughlin141 Changing a difficult or encrusted suprapubic catheter 230John McLoughlin142 How to predict the difficult catheter? Use the Force! 232K. Mozolowski and John G. Calleary143 Urodynamics 233Sarah WoodPart 8: Clinical Management144 Neurourology 237Philip van Kerrebroeck145 Managing urinary tract damage due to ketamine abuse 238Dan Wood146 Top tips for foreskin assessment 239Dan Wood147 Lower urinary tract symptom progression 240Mark J. Speakman148 Management of chronic prostatitis/chronic pelvic pain syndrome: top 10 tips 241J. Curtis Nickel149 Uro-gynae tips 244Glyn Constantine150 Psychological problems and surgery 245Paul McInerney151 Use of analogies to assist with explanation of urological problems 246David NicolQuotes submitted on the back of other tips 249Index 251