Urology has seen significant advances in instrumentation, such as cystoscopes, ureteroscopes, dilators, and catheters now a days. These innovations have contributed to the shift towards minimally invasive procedures, resulting in reduced patient discomfort, faster recovery times, and improved outcomes. It has been found in Ayurveda texts that there are some basic design models and ideas which can be modify and can be used for new innovations. So, it should be accepted as a fact that all the instruments were originally rooted in ancient Ayurveda texts and were used for innovation in specification i.e. ‘Uttar Basti Nadi Yantra’ and ‘Uttar Basti Netra’ which were used to make passage to the urogenital tract from outside. Here, Ayurveda gave concepts to make a hollow passage to lumen of inner urogenital organs. By the development of new era, this design got modification, and used for minimal invasive techniques. Final judgement can be made by observation of fundaments used for instrument development. Endoscopic urinary instruments have the same design module with modification of attached light source and catheters are modified ‘Uttar Basti Netra’ having hollow lumen which is used for drainage of urine or application of antibacterial solutions in the bladder. So, these instruments have basic fundaments of hollow pathway to inner urogenital organs which is said in Ayurveda classical texts. So, this paper gives a highlight of original concepts of urology instrument and how its modification took place by the ages. So, Ayurveda does lay a foundation of principles and knowledge that has influenced the development of medical instruments over time.