Endoscopic surgery of the lower urinary tract

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Endoscopic surgery for the lower urinary tract has gained prominence in Singapore over the past decade.
• It is now the preferred treatment for conditions including benign prostatic hyperplasia, bladder stones, bladder cancer, and neurogenic bladder.

Purpose of the Study:

• To review the role and impact of endoscopic surgery in managing lower urinary tract diseases in Singapore.
• To highlight the benefits and challenges associated with these procedures.

Main Methods:

• Literature review and clinical experience in Singapore.
• Analysis of indications, advantages, and potential complications of endoscopic urological procedures.

Main Results:

• Endoscopic surgery offers significant advantages such as reduced postoperative pain, minimal morbidity and mortality, and faster patient recovery.
• Established indications include benign prostatic hyperplasia, urolithiasis, bladder tumors, neurogenic bladder, radiation cystitis, ureteral obstruction, and urethral strictures.

Conclusions:

• Endoscopic urological surgery is a highly effective treatment modality with substantial patient benefits.
• There is a critical need for specialized training and dedicated urology departments to ensure optimal outcomes and patient safety.