During 14 months more than 300 endoscopic interventions were performed
by video-control only: 160 TUR of prostate, 37 TUR of bladder-tumours
, 7 ureteroscopies, 17 manupulations with bladder stones and stents, 9
sight-urethrotomies, 72 diagnostic cystoscopies, 2 percutaneous nephr
olithotripsies and 12 laparoscopic interventions. Technical requiremen
t is a light and rotatable camera, preferably a monitor mounted over t
he patient and a self-adjusting light-source. The advantages are bette
r identification of tissue, the use where there is limited mobility of
the patient's hip joint and the possibility of demonstration and docu
mentation. The urologist's face is protected against blood contact (HI
V-prophylaxis), and he is taking care of his spine. It is the best way
of instruction for the learning urologist and even a good training fo
r laparoscopic surgery.