Stone Removal

Stone Removal
Lithotripsy, Cystoscopy and Ureteroscopy
Extracorporeal Shock Wave Lithotripsy - ESWL
• Non-invasive
• Shock waves
• Kidney or upper ureteral stones
• Anesthesia
– General
• Pt position
– Semi-fowlers in a submergible chair
• Stone location
– Fluoroscopy

Endoscopic Stone Removal
• Cystoscopy
– Bladder stones
• Stone baskets
• Endoscopic lithotripsy
• Ureteroscopy
– Flexible
– Rigid

Cystostomy
Insertion of a urinary catheter through the abdominal wall
Open Cystostomy
Malecot (Mushroom) Catheter

Cystectomy/Ileal Conduit

Radical Cystectomy
• Male
– Bladder, prostate, and seminal vesicles
• Female
– Bladder, urethra, anterior vaginal wall, TAH-BSO
• Ileal Conduit