Dr Ho Siew Hong gave a series of Continous Medical Education lectures to doctors of Gleneagles, Mount Elizabeth and East Shore Hospitals on the latest in Urology surgery

1. What’s New in Minimally Invasive Surgery for Urology Ho Siew Hong Consultant Urological Surgeon S H Ho Urology and Laparoscopy Centre

5. Minimally Invasive Surgery Laparoscopy Endoscopy Percutaneous surgery ESWL

6. Extracorporal Shockwave Lithotripsy (ESWL) ‘ A thousand grains of sand pass through the eye of a needle before a single pebble’ W. Spencer

12. Endoscopy in Urology (endourology) Cystoscopy TURP / transurethral resection Ureteroscopy

22. Ureteroscopy for stones Laser lithotripsy

23. Percutaneous surgery

26. Laparoscopic surgery

30. Laparoscopic urological surgeries Procedure Standard of care Current opinion Laparoscopic radical nephrectomy Yes Proven long term results for tumour upto 7cm Laparoscopic radical nephroureterectomy Yes Replaces open Laparoscopic marsupilazation of kidney cyst Yes Replaces open Laparoscopic adrenalectomy Yes Replaces open Laparoscopic pyeloplasty Not yet Very promising, awaiting long term results

31. Laparoscopic urological surgeries Procedure Standard of care Current opinion Laparoscopic radical prostatectomy No Divided (laparoscopic, robotic assisted laparoscopic, open) Laparoscopic varicocelectomy No Divided (open microscope) Laparoscopic extra peritoneal herniorraphy No Promising, awaiting long term results Laparoscopic ureterolithotomy No Advantage over open, but other options available Laparoscopic partial nephrectomy No At best, similar to open Laparoscopic radical cystectomy No At best, similar to open Laparoscopic retroperitoneal lymp node dissection No Promising, development stage Laparoscopic reimplatation of ureter No Early development stage Laparoscopic augmentation cystoplasty No Early development stage

32. Laparoscopic Nephrectomy

36. Radical Prostatectomy

37. Laparoscopic Extraperitoneal Radical Prostatectomy - Our Initial Experience Siew Hong Ho, Li-Tsa Koh , Sam Peh Department of Urology Changi General Hospital Winner of 2 nd best presentation in International College Of Surgeons Meeting, 2006

42. Thank you