Lesion excision

Candidates for lesion excision typically include individuals who have: Detected abnormalities: Such as masses, cysts, or lesions found during imaging studies or physical examination. Symptomatic lesions: Causing symptoms like pain, bleeding, or urinary obstruction. Suspicious findings: Lesions that appear suspicious for cancer or have grown over time. Recurrent issues: Recurrent infections or other urological problems that warrant removal of the lesion for diagnostic clarity or treatment.

Preparation for lesion excision includes several steps: Medical evaluation: Comprehensive review of medical history, current medications, and any allergies. Imaging studies: Preoperative imaging (such as ultrasound, CT scan, or MRI) to precisely locate and assess the lesion. Medication adjustments: Temporary discontinuation of certain medications like blood thinners, as advised by the doctor, to minimize the risk of bleeding during surgery. Fasting: Patients are usually instructed to fast for a certain period before the procedure, especially if general anesthesia is to be used. Consent: Signing a consent form after understanding the risks and benefits of the procedure.

The lesion excision procedure generally follows these steps: Anesthesia: Depending on the location and size of the lesion, either local, regional, or general anesthesia is administered. Surgical access: The surgeon makes an incision to access the lesion. This can be done through open surgery, laparoscopically (using small incisions and a camera), or with endoscopic techniques (using a scope inserted through the urethra). Excision of the lesion: The lesion is carefully removed along with some surrounding tissue if necessary to ensure complete excision and reduce the risk of recurrence. Closure: The incision is closed with sutures or surgical staples, and a sterile dressing is applied. Postoperative care: The patient is monitored in a recovery area until the effects of anesthesia wear off.

Pathology report: The excised tissue is examined by a pathologist, and a report is provided indicating whether the lesion is benign or malignant. Symptom relief: Removal of the lesion can alleviate symptoms such as pain, bleeding, or urinary obstruction. Further treatment: Depending on the pathology results, additional treatments such as radiation, chemotherapy, or further surgery may be recommended.

Infection: There is a risk of infection at the surgical site, which can be minimized with proper wound care and antibiotics. Bleeding: Some bleeding is normal, but excessive bleeding may require medical attention. Pain: Pain at the surgical site, which can usually be managed with prescribed pain medications. Recurrence: There is a possibility that the lesion may recur, especially if it was not completely removed. Scarring: Some scarring at the incision site is expected.