Mr Thyer offers specialist management of prostate cancer.
Mr Thyer has a special interest in robotic and laparoscopic surgery for prostate and kidney cancer but also performs surgery for many other urological conditions.
The ureter is the tube that transports urine from the kidney in the upper abdomen to the bladder in the pelvis. Ureteroscopy is a procedure where a thin scope is passed through the ureter via the bladder to directly inspect the internal aspect of the ureter. This is most commonly performed for urinary stone disease but may also be performed where there is unexplained bleeding, a tumour is suspected based on imaging or there is a blockage that needs further investigation.
Ten days prior to the procedure you should have your blood and urine test. Notify Mr Thyer’s rooms if you are:
On arrival at hospital you will be prepared for theatre by nursing staff. Mr Thyer will see you just prior to being taken into the operating theatre. You will require a general anaesthetic of approximately 30 minutes to 1 hour. Mr Thyer will introduce a thin ureteroscope into your ureter via the urethra and bladder. No skin incision is required. Stones will be broken up with laser and usually also removed if safe to do so. Tumours will be biopsied and occasionally also burnt to prevent recurrence if small and superficial. If biopsies or stone specimens are taken these will be sent to a pathologist for examination (you may incur a pathologist fee). A ureteric stent will usually be placed. Following the procedure, the ward nurse will check you have passed urine then you will be sent home usually the same day but an overnight stay is occasionally required.
You should take laxatives, drink plenty of water and avoid heavy lifting for 3 weeks following the procedure. If a biopsy was taken, you will have an appointment made with Mr Thyer in his rooms to check on your pathology at 2-3 weeks. If a stent was placed this is usually removed with a flexible cystoscope under local anaesthetic after 1-2 weeks but this time may vary depending on availability of flexible cystoscopy.
Following the procedure, you should contact Mr Thyer if you: