Laparoscopic surgery in urology

Written by: Dr. Enrique Pérez-Castro Ellendt
Edited by: Top Doctors®

The main advances in urology in recent years go through the important evolution of laparoscopic surgery. As this has markedly improved the treatment of all urological diseases that require surgery. At the same time, laser technology has now allowed us to improve the treatment of benign prostatic hypertrophy and superficial bladder tumors, mainly.

That is to say, all the patients with pathologies that need a surgical intervention will benefit from the great advance that during the last years have had the laparoscopic surgery and / or the laser. Going into more detail, laparoscopic surgery makes more perfect - for the doctor and for the patient - interventions such as: the removal of the adrenal gland, part or all of the kidney - whether for a transplant or not - of the entire bladder (cystectomy) and the prostate for a tumor, likewise allows to correct a varicocele, etc.. We would practically be talking about almost any surgical pathology in urology.


The benefits of urological laparoscopy

Beyond the diseases for which laparoscopic surgery can be used, important aspects such as the incision have been improved. And is that the incisions of today are minimal , have the size of the diameter of a fountain pen, and only extends discreetly to extract the piece to the outside. It should be noted that the incisions are made in the navel and in the sides of the abdomen but they are not noticed practically afterwards.

The fact that the incisions are so small makes the postoperative very comfortable and painless , even significantly shorten the stay in the clinic and greatly reduce complications , for example in what refers to the infection of the wounds.


And if we talk about progress we can not ignore the advantage of the camcorders that we use for interventions today. They are high definition cameras, which are coupled to the trocar that was inserted by the navel. They give an unbeatable image quality, they allow a perfect control even of the smallest blood vessels and, therefore, it is very rare to need a blood transfusion. In addition, they allow recording the intervention and giving it to patients, so that they can see it later, on a pendrive.

All these advantages have a beneficial effect on patients, who are increasingly better informed and know that thanks to the advances of this surgery they will be much less time admitted and will have much less discomfort.

*Translated with Google translator. We apologize for any imperfection

By Dr. Enrique Pérez-Castro Ellendt

Famous urologist at national and international level, promoter of the application of lithotripsy and percutaneous nephrolitectomy in Spain. He is considered the father of ureteroscopy, since he was the one who patented the rigid ureteroscope, an instrument that revolutionized the world of endourology. Winner of numerous prizes, highlights among them, the "Enrique Suender" 2013 recognition to the most relevant Urologist of the year in the Community of Madrid.

The doctor has more than two decades of experience, having worked in numerous prominent centers, such as La Paz Hospital and La Luz Clinic.

*Translated with Google translator. We apologize for any imperfection

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