Urological Interventions


Urological interventions in interventional radiology are minimally invasive procedures aimed at diagnosing and treating conditions related to the urinary system, including the kidneys, ureters, bladder, and prostate. These procedures use image-guided techniques (such as CT, ultrasound, and fluoroscopy) to treat conditions like kidney stones, urinary tract obstructions, prostate enlargement, hematuria, and tumors. Interventional radiology offers an alternative to traditional surgery with quicker recovery times, less pain, and fewer risks.

Minimally Invasive: These procedures require only small incisions or no incisions at all, reducing trauma to the body.

Faster Recovery: Most interventional urological procedures have shorter recovery times compared to traditional surgery, allowing patients to return to their daily activities quickly.

Lower Risk of Complications: With less invasive techniques, there’s a lower risk of infection, bleeding, and scarring.

Targeted Treatment: These procedures are guided by real-time imaging, ensuring that only the affected area is treated, leaving surrounding tissues unharmed.

Effective for High-Risk Patients: These procedures are ideal for patients who are not candidates for traditional surgery due to underlying health conditions or other factors.

  • Minimally Invasive: Most procedures require only small punctures or no incisions at all, which reduces trauma to the body and leads to quicker recovery times.
  • Reduced Pain and Discomfort: The use of local anesthesia or sedation minimizes pain during the procedure, and recovery is typically less painful compared to traditional surgery.
  • Faster Recovery Time: These procedures often allow for same-day discharge or require only a short hospital stay, minimizing disruption to the patient’s routine.
  • Lower Risk of Complications: Due to the precision and minimal invasiveness of these procedures, the risk of infection, bleeding, and scarring is much lower.
  • Targeted and Effective Treatment: Image-guided techniques ensure that treatment is precisely delivered to the affected area, increasing the effectiveness of the procedure while sparing healthy tissue.
  • Preservation of Kidney and Urinary Function: Many of these procedures are designed to treat conditions like kidney stones or BPH without removing organs, allowing patients to maintain their kidney and urinary function.
  • Outpatient Options: Many urological procedures are performed on an outpatient basis, meaning patients can go home the same day without the need for hospitalization.

Percutaneous Nephrolithotomy (PCNL):

Used to treat large kidney stones that cannot pass naturally. A small incision is made in the back, and a nephroscope is inserted to break up and remove the stones. This procedure is guided by imaging such as ultrasound or CT.

Ureteral Stent Placement:

A stent is inserted into the ureter to relieve obstruction caused by kidney stones, tumors, or strictures. The stent allows urine to flow freely from the kidney to the bladder. The procedure is minimally invasive, performed through a small incision or via the urethra.

Ureteroscopy:

A thin ureteroscope is passed through the urinary tract to remove stones, tumors, or obstructions from the kidneys, ureters, or bladder. The procedure is typically performed under general anesthesia and can be done on an outpatient basis.

Transurethral Microwave Therapy (TUMT) for Benign Prostatic Hyperplasia (BPH):

Used to treat enlarged prostates causing urinary issues, this procedure involves using microwave energy to heat and shrink the prostate tissue, relieving symptoms of BPH.

Cryotherapy for Prostate Cancer:

Cryoablation involves freezing cancerous tissues in the prostate, killing the cancer cells. This is often used as an alternative to surgery for localized prostate cancer.

Percutaneous Biopsy of Kidney Tumors:

A needle is inserted through the skin to collect tissue samples from kidney tumors for diagnostic purposes. This procedure is guided by ultrasound or CT scans and can help identify cancer or other kidney abnormalities.

Prostatic Artery Embolization (PAE):

Used for patients with enlarged prostates who cannot undergo surgery, PAE involves blocking blood flow to the prostate, causing it to shrink and relieve urinary symptoms. It is a minimally invasive alternative to more traditional surgical treatments for BPH.

Nephrostomy Tube Insertion:

This procedure is performed to drain urine from the kidney when there’s an obstruction in the urinary tract (due to stones, tumors, or infection). A tube is inserted through the skin into the kidney under imaging guidance to ensure proper placement.

Transurethral Resection of Bladder Tumors (TURBT):

This procedure is performed to remove bladder tumors through the urethra, eliminating the need for open surgery. It is guided by cystoscopy, which allows the doctor to see the bladder and treat the tumor effectively.

  • Patients with kidney stones that are too large to pass or are causing pain and obstruction.
  • Individuals with urinary tract obstructions due to stones, tumors, or strictures.
  • Patients experiencing benign prostatic hyperplasia (BPH) who want a non-surgical treatment for prostate enlargement.
  • Those with kidney tumors or prostate cancer who want minimally invasive treatment options.
  • People who require dialysis access or need to relieve urinary tract blockages through nephrostomy tube placement.