Manual Endourology

With 135 Figures

Springer

Rudolf Hohenfellner, MD, PhD

Professor Emeritus of Urology University of Mainz Department of Urology Langenbeckstraße 1 55101 Mainz, Germany

Jens-Uwe Stolzenburg, MD, PhD

Associate Professor of Urology University of Leipzig Department of Urology Liebigstraße 20 04103 Leipzig, Germany

Library of Congress Control Number: 2005929874

ISBN-10 3-540-25622-9 Springer Berlin Heidelberg New York ISBN-13 978-3-540-25622-9 Springer Berlin Heidelberg New York

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SPIN 11377139

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Printed on acid free paper

Preface

With the first cystoscopy performed by Maximilian Nitze more than 100 years ago, endoscopy developed step by step to become eventually a subspecialty in urology now called endourology.

Manual Endourology addresses young trainees in urology and is written by experts in this field who are also experienced teachers. It is hoped that the book will be helpful to prepare the trainee in the first steps of these still fascinating techniques but will also prevent the newcomer from mistakes and common complications.

In 12 chapters, he or she will find the typical procedures, which are also the gold standard and therefore performed in almost every urological department. The text is written from all the authors in Simplified Basic English in order to facilitate the study in countries where English is the scientific but not the native language.

The pictures presented are a careful selection of several thousand photos. Of the highest possible quality, the majority of them are self-explanatory. The same is true for the video clips found on the DVD.

The structure of the text in each chapter is the same. It starts with Indications, Limits, Risks and Contraindications and proceeds to the Step by Step procedure. Common Complications are mentioned and Do's and Dont's as well as special comments from the author.

At the beginning, the trainee will observe his instructor who performs the operation step by step and will follow the operation on the screen. Later on he or she will gain experience using a simulator program and eventually will perform the first operations under the supervision of the teacher.

Well prepared for the first steps in endourology, we wish to encourage the trainee to ask his supervisor the right questions and thus start the process of interaction or »How to teach the teacher to teach.«

We also wish to encourage the trainee to establish a personal computer checklist to document all operations step by step in detail in a personal data bank. Completed by the complications encountered, the steps to be corrected to avoid complications can be delineated.

However, remember when starting the first endourologic procedures alone, stop immediately if there is the slightest resistance regarding which instrument to use. Any disproportion of your instrument may cause urosepsis or a lifelong obstruction.

We wish to thank here all the unnamed co-workers of the different institutions without whom this book could never have been published. The same is true for the companies, which assisted in producing the pictures and videos.

Furthermore we wish to thank the Deutsche Gesellschaft für Urology for the support of the training program initiated by GESRU (German Society of Residents in Urology).

Last but not least Dr. Rüttinger from Springer for his understanding helps, advise and coordination is given our warmest appreciation.

Rudolf Hohenfellner Jens-Uwe Stolzenburg Mainz, Leipzig July 2005

Contents

Endourological Training Models 1

Maurice-Stephan Michel, Herbert Leyh

Urethrotomy 9

Herbert Leyh, Roger Paul

Urethrocystoscopy 17

Herbert Leyh, Roger Paul

Rare findings in Cystoscopy 27

Hassan Abol-Enein

Pediatric Endoscopy 35

Marcus Riccabona, Ulrike Necknig

Laparoscopy for the Undescended Testicle 47

Ulrich Humke, Stefan Siemer, Roland Bonfig, Mark Koen

Transurethral Resection of Bladder Tumours 55

Armin Pycha, Salvatore Palermo

Surgical Anatomy of the Prostate Sphincter Complex 71

Lutz Trojan, Maurice-Stephan Michel

Transurethral Resection of the Prostate 77

Jens-Uwe Stolzenburg, Kossen M.T. Ho, Thilo Schwalenberg

Minimal Invasive Transurethral Resection of the Prostate 89

Jan Fichtner

Percutaneous Nephrolithotomy and Percutaneous Nephrostomy 93

Jens-Uwe Stolzenburg, Chris Anderson, Evangelos N. Liatsikos, Thilo Schwalenberg

Ureterorenoscopy 105

Thomas Knoll, Maurice-Stephan Michel

Subject Index 117

List of Contributors

Hassan Abol-Enein, MD, PhD

Professor of Urology

Director of Urology & Nephrology

Center

Mansoura University Gomhoria Street 35516 Mansoura, Egypt

Chris Anderson, MD

St. George's Hospital Tooting

Queen Mary's Hospital

Roehampton

Department of Urology

35 Wimple Street

London W1G 8GY, Great Britain

Roland Bonfig, MD

Julius-Maximilians-University Hospital

Department of General and Pediatric Urology Oberdürrbacher Straße 6 97080 Würzburg, Germany

Jan Fichtner, MD

Associate Professor of Urology Johanniterklinikum, Department of Urology Steinbrinkstraße 96a 46145 Oberhausen, Germany

University of Leipzig Department of Urology Liebigstraße 20 04103 Leipzig, Germany

Ulrich Humke, MD

Professor of Urology Klinikum Stuttgart, Katharinenhospital Department of Urology Kriegsbergstr. 60 70174 Stuttgart, Germany

Thomas Knoll, MD

University Hospital of Mannheim Department of Urology Theodor-Kutzer-Ufer 1-3 68167 Mannheim, Germany

Mark Koen, MD

Department of Pediatric Urology Krankenhaus der Barmherzigen Schwestern 4010 Linz, Austria

Herbert Leyh, MD

Professor of Urology Klinikum Garmisch-Partenkirchen Department of Urology Auenstraße 6

82467 Garmisch-Partenkirchen, Germany

Evangelos N. Liatsikos MD, PhD

University of Patras Department of Urology 26500 Rio, Patras, Greece

Maurice-Stephan Michel, MD

Associate Professor of Urology University Hospital of Mannheim Department of Urology Theodor-Kutzer-Ufer 1-3 68167 Mannheim, Germany

Ulrike Necknig, MD

Klinikum Garmisch-Partenkirchen Department of Urology Auenstraße 6

82467 Garmisch-Partenkirchen, Germany

Salvatore Palermo, MD

Central Hospital of Bolzano/Bozen Department of Urology Lorenz-Boehler-Str. 5 39100 Bolzano/Bozen, Italy

Roger Paul, MD

Associate Professor of Urology Department of Urology Technische Universität München Klinikum rechts der Isar Ismaninger Straße 22 81675 München, Germany

Armin Pycha, MD

Professor of Urology Central Hospital of Bolzano/Bozen Department of Urology Lorenz-Boehler-Str. 5 39100 Bolzano/Bozen, Italy

Marcus Riccabona, MD

Professor of Urology Department of Pediatric Urology Krankenhaus der Barmherzigen Schwestern 4010 Linz, Austria

Thilo Schwalenberg, MD

University of Leipzig Department of Urology Liebigstraße 20 04103 Leipzig, Germany

Stefan Siemer, MD

Associate Professor of Urology University Hospital of Saarland Department of General and Pediatric Urology 66421 Homburg/Saar, Germany

Jens-Uwe Stolzenburg, MD, PhD

Associate Professor of Urology University of Leipzig Department of Urology Liebigstraße 20 04103 Leipzig, Germany

Lutz Trojan, MD

University Hospital of Mannheim Department of Urology Theodor-Kutzer-Ufer 1-3 68167 Mannheim, Germany

Endourological Training Models

Maurice-Stephan Michel, Herbert Leyh

Introduction - 2 Synthetic Organ Models - 2 Animal Organ Models - 3 Computer-Based Training Systems - 3 Tips for Training - 6 References - 7

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