1.1 Most important surgical interventions in urology

Question 1

Surgical procedures of kidney?

Answer 1

• Simple nephrectomy
• Radical nephrectomy
• Open partial nephrectomy
• Laparoscopic nephrectomy
• Retro-peritoneo-scopic nephrectomy
• Laparoscopic partial nephrectomy
• Percutaneous nephrolithotomy
• Extracorporeal shock wave lithotripsy (ESWL)

Question 2

define simple nephrectomy?

Answer 2

The surgical removal of a kidney; without Gerota´s fat capsule, lymph node, ureters and adrenal glands

Question 3

define radical nephrectomy?

Answer 3

• Gold standard if large renal cell carcinoma.
• Removal of kidney together with:
  Gerota´s fat capsule
  lymph node
  ureters
  adrenal glands

Question 4

define open partial nephrectomy?

Answer 4

Organ spearing. Should always be done if possible

Question 5

what is ESWL?

Answer 5

Extracorporeal shock wave lithotripsy

externally generated shock waves, which are directed into the patient’s body and focused on the target (kidney or ureter stone).

Question 6

what are the surgical procedures of the ureters?

Answer 6

• Nephroureterectomy (upper urinary tract tumors)
• Open pyeloplasty
• Laparoscopic pyeloplasty
• Uretero-ureterostomy
• Uretero-cysto-neostomy
• Megaureter operations
• Ureteroscopy

Question 7

Surgical Procedures of the Bladder?

Answer 7

• Tension-free vaginal tape (TVT)
• Cysto-litheo-lapaxy
• Transurethral resection of the bladder (TURB)
• Cysto-lithotomy (sectio alta)
• Cystectomy
• Principles of urinary diversion
• Ileum conduit
• Colon conduit
• Uretero-cutaneostomy
• Ileum neobladder (Studer)
• Ileum neobladder (Hautmann)
• Continent heterotope urostoma
  (Mainz-Pouch I)

Question 8

Surgical Procedures of the Prostate?

Answer 8

• Prostate biopsy
• Transurethral Resection of the Prostate (TURP)
• Greenlight laser treatment of BPH
• Suprapubic simple prostatectomy
• Retropubic simple prostatectomy (Millin)
• Retropubic radical prostatectomy
• Laparoscopic pelvine lymphadenectomy
• Laparoscopic radical prostatectomy
• Radical perineal prostatectomy
• Brachytherapy of the prostate

Question 9

Surgical Procedures of the Penis?

Answer 9

• Circumcision
• Frenuloplasty
• Internal urethrotomy
• Open urethral reconstruction:
  reanastomosis
• Open urethral reconstruction:
  single-stage with tissue transfer
• Open urethral reconstruction:
  two-stage repair
• Operations for penile deviation
• Principles of hypospadia operations
• MAGPI hypospadia repair
• Tubularized incised plate urethroplasty (TIP) hypospadia repair
• Mathieu hypospadia repair
• Duckett hypospadia repair
• Two-stage hypospadia repair
• Partial penectomy
• Radical penektomie
• Inguinal lymphadenectomy for penile cancer