Transurethral orifice cystectomy

A simple ureteral cyst is located in the trigone of the bladder. It can also slide into the urethra in men, and women can protrude outside the urethra, causing difficulty in urinating. The cyst is large and small as the ureter squirmes and urine flow out. Curing disease: Indication Transurethral ureteral cystectomy for: A simple or normal ureteral cyst. Preoperative preparation 1, routine cystoscopy to determine the diagnosis. When the bladder is empty, the intravesical pressure is small, the internal pressure of the cyst is large, and the cyst becomes large; otherwise, it becomes smaller. Therefore, it is easy to misjudge its size and position. When inspecting, the bladder must be filled with 250ml to determine its normal position and size. 2, anesthesia and posture According to the size, number, age and general condition of the lesion, general anesthesia, epidural block anesthesia, castor or topical anesthesia are selected. Take the stone position, the vulva and the lower abdomen are sterilized and then draped a single towel. The hole only reveals the penis, and the anus has a finger sleeve. The finger of the intraoperative operator can be guided into the rectum through the finger sleeve to guide or inspect without polluting the finger. The position adjustment can be performed according to the resection site during the electric cutting. At the beginning of the examination and mid-leaf and 6-point resection, the head height is lowered (15°), the operating table is placed in the low position, and the operating table should be raised when the lateral leaves are removed, so that parallel resection can be performed. If the cutting stone is cut at 12 o'clock, the operating table is further raised. The operator has two elbows always supported. It is not fatigued during operation and remains stable. Otherwise, the limbs are suspended and fatigued, and it is not easy to cut accurately. In recent years, developed hospitals and some hospitals in China have adopted television surveillance operations, which are convenient for the operator to operate and easy to teach. Surgical procedure Electric ureteral cysts must be fixed in the case of bladder filling to 300 ~ 400ml to reduce the ureteral cyst shrinkage, cut in the top edge of the cyst, from top to bottom, the top is removed. The cyst is large and can be cut 2 to 3 times. It is not advisable to leave too much left in the sac, and the electric ball is completely used to stop bleeding.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.