Ureterotomy

Ureterotomy: what is it and when is it performed?

Ureterotomy is a surgical procedure that is used to treat diseases of the bladder and ureters. It involves cutting the urethra to remove stones, tumors, or other obstructions that may be preventing normal urine output.

The operation can be performed either open or minimally invasive. In the first case, the surgeon makes a small incision in the skin to gain access to the urethra. In the second case, endoscopic instruments are used, which are inserted through the urethra. This approach is usually preferred because it is less invasive and requires less recovery time after surgery.

A ureterotomy may be indicated for stones or tumors in the bladder or ureters that can cause difficulty urinating or other serious problems. This procedure can also be used to treat urethral strictures (narrowings) that may occur as a result of inflammation or injury.

Like any surgical procedure, ureterotomy has its risks and limitations. Bleeding, infection, or other complications may occur during surgery. Additionally, recovery from surgery may take some time, and patients may require additional help and support.

In general, ureterotomy is an effective treatment for urinary problems and can be prescribed when indicated. If you are experiencing urinary problems or other symptoms related to your bladder or ureters, contact your doctor to find out if ureterotomy is an appropriate treatment option for you.



Ureterotomy: procedure and application in urology

Ureterotomy is a medical procedure performed to cut or dissect the ureter, the tubular organ responsible for transporting urine from the kidneys to the bladder. The term "ureterotomy" comes from the Greek words "uretero" (urethra) and "tome" (incision, dissection).

Ureterotomy is used in urology for the treatment and correction of various pathologies of the ureter, such as strictures (narrowings), stones, tumors or other obstructions that can lead to disruption of the normal flow of urine. The procedure can be performed either through open surgical approach or using endoscopic methods.

In an open ureterotomy, the surgeon makes a small incision in the skin to access the ureter. The ureter is then widened or incised to remove obstructions or open the ureteral lumen. Endoscopic ureterotomy uses special instruments inserted through the urethra, allowing the procedure to be performed without making any incisions in the skin.

Ureterotomy may be necessary in the following cases:

  1. Ureteral strictures: The ureter can become narrowed due to inflammation, trauma, or previous surgery. Ureterotomy eliminates the narrowing and restores the normal flow of urine.

  2. Stone Removal: Stones in the ureter can cause pain and obstruct the flow of urine. Ureterotomy can be used to remove stones or break them up and then remove the fragments.

  3. Tumors and obstructions: The presence of tumors or other obstructions in the ureter can interfere with the normal flow of urine. A ureterotomy may be necessary to remove a tumor or remove an obstruction.

Ureterotomy is a serious medical procedure that requires a highly qualified urological surgeon. Like any other surgical procedure, there may be certain risks and complications, such as infection, bleeding, or damage to surrounding tissue. Therefore, before prescribing a ureterotomy, the physician should carefully evaluate the indications and contraindications, and also discuss the possible risks and benefits of the procedure with the patient.

In conclusion, ureterotomy is an important procedure in urology to treat and correct various ureteral pathologies. It can be performed using various methods depending on the characteristics of a particular case. However, doctors always strive for minimally invasive techniques such as endoscopic ureterotomy to reduce the risk of complications and ensure a quick recovery for the patient.

It is important to note that each case requires an individual approach, and the decision to perform ureterotomy should be made after a thorough examination and consultation with a urologist. Doctors will consider many factors, such as the patient's general condition, the nature and location of the obstruction in the ureter, and the presence of other medical conditions.

If a ureterotomy is necessary, it is important to follow your doctor's recommendations for preparation for the procedure and subsequent postoperative care. Regular follow-up examinations and compliance with all recommendations will help ensure successful recovery and prevent possible complications.

Ureterotomy is an important tool in modern urology, allowing to treat and eliminate various pathologies of the ureter. Modern technologies and constant developments in medicine contribute to improving the methods and results of such procedures, which contributes to more effective and safe treatment of patients with ureteral problems.