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Endo-Urological Surgery in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic specialises in advanced endo-urological surgery — minimally invasive operations performed through the urinary tract or small percutaneous tracts. Under the care of Dr. Aditya Sengar (Urologist), we use modern endoscopes, lasers and high-definition imaging to treat stones, prostate obstruction, bladder tumours and other urological conditions with less pain and faster recovery than traditional open surgery.
What is Endo-Urology?
Endo-urology refers to procedures performed using endoscopes inserted via natural openings (urethra) or through a small skin puncture (percutaneous). These techniques include ureteroscopy (URS), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), TURP for prostate enlargement and TURBT for bladder tumours. The goal is precise treatment with minimal trauma to surrounding tissues.
Common Endo-Urological Procedures
• URS (Ureteroscopy) – For ureteric stones and some renal stones using semirigid or flexible scopes.
• RIRS – Flexible ureteroscopy to treat kidney stones with laser without external incisions.
• PCNL – Percutaneous removal of large or complex kidney stones through a small back incision.
• TURP – Endoscopic removal of obstructing prostate tissue to relieve urinary flow in BPH.
• TURBT – Endoscopic resection of bladder tumours for diagnosis and treatment.
• RIRS – Flexible ureteroscopy to treat kidney stones with laser without external incisions.
• PCNL – Percutaneous removal of large or complex kidney stones through a small back incision.
• TURP – Endoscopic removal of obstructing prostate tissue to relieve urinary flow in BPH.
• TURBT – Endoscopic resection of bladder tumours for diagnosis and treatment.
Indications for Endo-Urological Surgery
• Symptomatic kidney or ureteric stones not suitable for conservative treatment.
• Large or staghorn renal calculi requiring PCNL.
• Lower urinary tract obstruction due to benign prostatic hyperplasia (BPH).
• Visible bladder tumours on cystoscopy/imaging requiring TURBT.
• Recurrent urinary tract stones or infections related to obstructing lesions.
• Large or staghorn renal calculi requiring PCNL.
• Lower urinary tract obstruction due to benign prostatic hyperplasia (BPH).
• Visible bladder tumours on cystoscopy/imaging requiring TURBT.
• Recurrent urinary tract stones or infections related to obstructing lesions.
Advantages of Endoscopic/Endo-Urology Techniques
• Minimal or no external incision — better cosmesis.
• Less post-operative pain and faster mobilisation.
• Shorter hospital stay and quicker return to daily activities.
• High success rates for stone clearance and relief of obstruction when performed by experienced surgeons.
• Less post-operative pain and faster mobilisation.
• Shorter hospital stay and quicker return to daily activities.
• High success rates for stone clearance and relief of obstruction when performed by experienced surgeons.
Investigations & Preoperative Assessment
Proper evaluation includes ultrasound, non-contrast CT scan for stones, urine culture, blood tests and uroflowmetry or cystoscopy for bladder/prostate issues. Preoperative optimisation reduces complications and improves outcomes.
Why Choose Swastik Urology Clinic for Endo-Urological Surgery?
Swastik Urology Clinic in Gomti Nagar Extension offers comprehensive endo-urological care with a focus on safety, precision and recovery:
• Expertise — Dr. Aditya Sengar
Skilled in a wide range of endoscopic techniques with experience treating complex stones, prostate obstruction and bladder pathology.
• Modern Endoscopes & Laser Technology
We use high-definition imaging, flexible and semirigid endoscopes, and Holmium/Thulium lasers for effective stone fragmentation and tissue management.
• Individualised Treatment Planning
Each patient receives a customised plan—choosing the least invasive yet most effective option based on stone size/location, prostate anatomy or bladder tumour features.
• Safety & Fast Recovery
Protocols focus on infection control, pain management and early mobilisation to ensure rapid and safe recovery.
• Expertise — Dr. Aditya Sengar
Skilled in a wide range of endoscopic techniques with experience treating complex stones, prostate obstruction and bladder pathology.
• Modern Endoscopes & Laser Technology
We use high-definition imaging, flexible and semirigid endoscopes, and Holmium/Thulium lasers for effective stone fragmentation and tissue management.
• Individualised Treatment Planning
Each patient receives a customised plan—choosing the least invasive yet most effective option based on stone size/location, prostate anatomy or bladder tumour features.
• Safety & Fast Recovery
Protocols focus on infection control, pain management and early mobilisation to ensure rapid and safe recovery.
Endo-Urological Treatment Options at Swastik Urology Clinic
1. Ureteroscopy (URS) ± Laser Fragmentation
• Ideal for ureteric stones and selected renal stones. Laser fragmentation with basket retrieval achieves high clearance rates.
2. RIRS (Retrograde Intrarenal Surgery)
• Flexible ureteroscope is used for intrarenal stones; suitable for stones not amenable to ESWL and when PCNL is not ideal.
3. PCNL (Percutaneous Nephrolithotomy)
• Standard for large (>2 cm) or staghorn stones. Performed through a small skin tract under imaging guidance to remove stone burden efficiently.
4. TURP (Transurethral Resection of Prostate)
• Endoscopic removal of obstructing prostate tissue to relieve urinary retention and poor urinary flow in BPH.
5. TURBT (Transurethral Resection of Bladder Tumour)
• Diagnostic and therapeutic endoscopic resection of visible bladder tumours with sampling for histopathology and staging.
6. Ancillary Procedures
• DJ stenting for drainage, cystoscopic evaluation, diagnostic ureteroscopy, and follow-up procedures like ureteral dilatation or repeat resection as needed.
• Ideal for ureteric stones and selected renal stones. Laser fragmentation with basket retrieval achieves high clearance rates.
2. RIRS (Retrograde Intrarenal Surgery)
• Flexible ureteroscope is used for intrarenal stones; suitable for stones not amenable to ESWL and when PCNL is not ideal.
3. PCNL (Percutaneous Nephrolithotomy)
• Standard for large (>2 cm) or staghorn stones. Performed through a small skin tract under imaging guidance to remove stone burden efficiently.
4. TURP (Transurethral Resection of Prostate)
• Endoscopic removal of obstructing prostate tissue to relieve urinary retention and poor urinary flow in BPH.
5. TURBT (Transurethral Resection of Bladder Tumour)
• Diagnostic and therapeutic endoscopic resection of visible bladder tumours with sampling for histopathology and staging.
6. Ancillary Procedures
• DJ stenting for drainage, cystoscopic evaluation, diagnostic ureteroscopy, and follow-up procedures like ureteral dilatation or repeat resection as needed.
Is endo-urological surgery safe for elderly patients?
Yes — with proper preoperative assessment and optimisation, many endoscopic procedures are safely performed in elderly patients and offer benefits of shorter hospital stay and faster recovery compared to open surgery.
What is the typical hospital stay after these procedures?
Many endoscopic procedures (URS, RIRS, TURBT, TURP in selected cases) can be day-care or 1–2 day admissions. PCNL may require 1–3 days depending on stone complexity and recovery. Your surgeon will advise expected stay based on the planned procedure.
Can all stones be treated endoscopically?
Most ureteric and many renal stones can be treated endoscopically. Very large or complex staghorn stones are best managed with PCNL. The choice depends on stone size, location, anatomy and patient factors.
How to prepare for an endoscopic urology procedure?
Typical preparation includes urine culture and antibiotics if needed, blood tests, imaging (ultrasound/CT), and fasting as per anaesthesia instructions. Inform your surgeon about medications (eg. blood thinners) and medical conditions prior to surgery.